Liao Meizhen, Kang Dianmin, Tao Xiaorun, Bouey Jennifer Huang, Aliyu Muktar H, Qian Yuesheng, Wang Guoyong, Sun Xiaoguang, Lin Bin, Bi Zhenqiang, Jia Yujiang
Institution for HIV/AIDS Control and Prevention and Shandong Key Laboratory for Epidemic Disease Control and Prevention, Shandong Center for Disease Control and Prevention, Jinan, Shandong 250014, China.
Department of International Health, Georgetown University, Washington, DC 20057, USA.
Biomed Res Int. 2014;2014:143738. doi: 10.1155/2014/143738. Epub 2014 Mar 27.
This research was conducted to assess the correlates of alcohol consumption and HIV/AIDS-related stigmatizing and discriminatory attitudes among men who have sex with men (MSM) in Shandong province, China.
A cross-sectional survey provided demographics, sexual behaviors, illicit drug use, alcohol consumptions, and service utilization.
Of 1,230 participants, 82.8% were single, 85.7% aged <35 years, 47.2% had college or higher education, and 11.7% drank alcohol >3 times per week in the past six months. The average total score of stigmatizing and discriminatory attitude was 37.4 ± 4.4. More frequent episodes of alcohol use were independently associated with higher levels of HIV/AIDS-related stigma and discrimination, unprotected anal sex, bisexual identity, multiple male sex partners, drug use, and lower levels of education. Expressing higher levels of HIV/AIDS-related stigmatizing and discriminatory attitudes was independently associated with alcohol use, unprotected male anal sex, bisexuals, more male sex partners, commercial sex with men, and non-receipt of peer education in the past year.
HIV/AIDS-related stigmatizing and discriminatory attitudes are common and associated with alcohol use and unprotected sex among MSM. The finding highlights the needs to develop programs that would reduce HIV/AIDS-related stigmatizing and discriminatory attitudes and strengthen alcohol use prevention and risk reduction initiatives among MSM.
本研究旨在评估中国山东省男男性行为者（MSM）的饮酒情况与艾滋病相关污名化及歧视态度之间的关联。
一项横断面调查提供了人口统计学信息、性行为、非法药物使用、饮酒情况及服务利用情况。
在1230名参与者中，82.8%为单身，85.7%年龄小于35岁，47.2%拥有大专及以上学历，11.7%在过去六个月中每周饮酒超过3次。污名化和歧视态度的平均总分是37.4±4.4。饮酒频率越高，与艾滋病相关的污名化和歧视程度越高、无保护肛交、双性恋身份、多个男性性伴侣、药物使用以及较低教育水平独立相关。表达更高水平的艾滋病相关污名化和歧视态度与饮酒、无保护男性肛交、双性恋、更多男性性伴侣、与男性商业性行为以及过去一年未接受同伴教育独立相关。
艾滋病相关污名化和歧视态度普遍存在，且与男男性行为者的饮酒及无保护性行为相关。该发现凸显了制定减少艾滋病相关污名化和歧视态度的项目以及加强男男性行为者饮酒预防和降低风险举措的必要性。
