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Bisexual Behaviors, HIV Knowledge, and Stigmatizing/Discriminatory Attitudes among Men Who Have Sex with Men.

作者信息

Liao Meizhen, Wang Mei, Shen Xingjie, Huang Pengxiang, Yang Xingguang, Hao Lianzheng, Cox Catherine, Wu Pingsheng, Tao Xiaorun, Kang Dianmin, Jia Yujiang

机构信息

Institution for AIDS/STD Control and Prevention & Shandong Key Laboratory for Epidemic Disease Control and Prevention, Shandong CDC, Jinan, Shandong Province 250014, P. R. China.

Jinan Central Hospital Affiliated Shandong University, Jinan, Shandong Province 250014, P. R. China.

出版信息

PLoS One. 2015 Jun 29;10(6):e0130866. doi: 10.1371/journal.pone.0130866. eCollection 2015.


DOI:10.1371/journal.pone.0130866
PMID:26121250
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4485898/
Abstract

OBJECTIVE: To assess the correlates for bisexual behaviors, HIV knowledge, and HIV/AIDS-related stigmatizing/discriminatory attitudes among men who have sex with men (MSM). METHODS: A cross-sectional survey among MSM was conducted in 2011 to provide demographics, sexual behaviors, HIV knowledge, HIV/AIDS-related stigmatizing/discriminatory attitudes, and services in Jinan, Qingdao, and Yantai of Shandong Province of China. RESULTS: Of 1230 participants, 82.8% were single, 85.7% aged <35 years, and 47.2% received college or higher education. There were 28.6% MSM who reported to be married or cohabitating or ever had sex with woman in the past 6 months (P6M). 74.5% had ≥6 HIV-related knowledge score. The average total score of stigmatizing/discriminatory attitude was 37.4±4.4(standard deviation). Bisexual behavior was independently associated with higher levels of HIV/AIDS-related stigma/discrimination(AOR = 1.1, 95% CI:1.0-1.1), older age(AOR = 1.2, 95%CI:1.1-1.2), and lower HIV-related knowledge score(AOR = 1.6, 95%CI:1.2-2.2). HIV knowledge score ≥6 was independently associated with lower levels of HIV/AIDS-related stigma/discrimination(AOR = 1.3, 95%CI:1.2-1.3), less bisexual behaviors(AOR = 0.6, 95%CI:0.5-0.9), ever received a test for HIV in the past 12 months (P12M)(AOR = 3.2, 95%CI:2.3-4.5), college or higher level education(AOR = 1.9, 95%CI:1.4-2.6), consistent condom use with men in P6M(AOR=6.9, 95%CI:4.6-10.6), recruited from internet or HIV testing sites(AOR = 11.2, 95%CI:8.0-16.1) and bars, night clubs, or tea houses(AOR = 2.5, 95%CI:1.7-4.8). Expressing higher levels of HIV/AIDS-related stigmatizing/discriminatory attitudes was independently associated with bisexual behaviors(Aβ = 0.9, 95%CI:0.4-1.4), lower HIV-related knowledge score(Aβ = 3.6, 95%CI:3.0-4.1), the number of male sex partners in the past week ≥2(Aβ = 1.4, 95%CI:1.0-1.9), unprotected male anal sex in P6M(Aβ = 1.0, 95%CI:0.5-1.6), and inversely associated with ever received HIV test(Aβ = 1.4, 95%CI:0.8-2.0) and peer education in P12M(Aβ = 1.4, 95%CI:0.9-1.9). CONCLUSION: HIV/AIDS-related stigmatizing/discriminatory attitudes were associated with bisexual behaviors, low HIV testing rate, lower HIV-related knowledge and risk behaviors. This study called for innovative programs that would reduce HIV/AIDS-related stigmatizing/discriminatory attitudes and bisexual behaviors and improve the uptake of prevention service among MSM.

摘要

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本文引用的文献

[1]
Dynamics of the HIV epidemic in MSM.

Biomed Res Int. 2014

[2]
Prevalence of unprotected anal intercourse among men who have sex with men in China: an updated meta-analysis.

PLoS One. 2014-5-29

[3]
Risk factors for HIV/syphilis infection and male circumcision practices and preferences among men who have sex with men in China.

Biomed Res Int. 2014

[4]
Alcohol use, stigmatizing/discriminatory attitudes, and HIV high-risk sexual behaviors among men who have sex with men in China.

Biomed Res Int. 2014

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HIV prevention services and testing utilization behaviors among men who have sex with men at elevated risk for HIV in Chongqing, China.

Biomed Res Int. 2014-3-26

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Changing the landscape of the HIV epidemic among MSM in China: results from three consecutive respondent-driven sampling surveys from 2009 to 2011.

Biomed Res Int. 2014-1-20

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Harm Reduct J. 2013-10-4

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SAHARA J. 2011

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HIV/AIDS-related stigmatizing and discriminatory attitudes and recent HIV testing among men who have sex with men in Beijing.

AIDS Behav. 2012-4

[10]
Bisexual behavior and infection with HIV and syphilis among men who have sex with men along the east coast of China.

AIDS Patient Care STDS. 2011-9-16

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