MSM Behavior Disclosure Networks and HIV Testing: An Egocentric Network Analysis Among MSM in China

被引:16
作者
Cao, Bolin [1 ,2 ,3 ]
Saffer, Adam J. [4 ]
Yang, Cui [5 ]
Chen, Hexin [6 ]
Peng, Kun [7 ]
Pan, Stephen W. [2 ,3 ,8 ]
Durvasula, Maya [9 ]
Liu, Chuncheng [2 ,3 ,10 ]
Fu, Hongyun [11 ]
Ong, Jason J. [3 ,12 ]
Tang, Weiming [2 ,3 ,13 ]
Tucker, Joseph D. [2 ,3 ,4 ,12 ]
机构
[1] Shenzhen Univ, Sch Media & Commun, Shenzhen, Peoples R China
[2] Univ North Carolina Project China, Guangzhou, Guangdong, Peoples R China
[3] SESH, Guangzhou, Guangdong, Peoples R China
[4] Univ N Carolina, Chapel Hill, NC 27515 USA
[5] Johns Hopkins Univ, Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA
[6] City Univ Hong Kong, Dept Media & Commun, Hong Kong, Peoples R China
[7] Macau Univ Sci & Technol, Fac Humanities & Arts, Taipa, Macao, Peoples R China
[8] Xian Jiaotong Liverpool Univ, Dept Publ Hlth, Suzhou, Peoples R China
[9] Duke Univ, Sanford Sch Publ Policy, Durham, NC USA
[10] Univ Calif San Diego, Dept Sociol, La Jolla, CA 92093 USA
[11] Eastern Virginia Med Univ, Norfolk, VA USA
[12] London Sch Hyg & Trop Med, London, England
[13] Guangdong Prov Ctr Skin Dis & STI Control, 2 Lujing Rd, Guangzhou, Guangdong, Peoples R China
基金
美国国家卫生研究院; 比尔及梅琳达.盖茨基金会;
关键词
HIV; MSM; China; Ego; Network; SEXUAL ORIENTATION DISCLOSURE; HEALTH-CARE PROVIDERS; SOCIAL NETWORK; YOUNG MEN; PREVENTION INTERVENTION; SELF-PRESENTATION; GAY; STIGMA; MEDIA; FAMILY;
D O I
10.1007/s10461-019-02404-z
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Men who have sex with men (MSM) disclose same-sex behaviors with others, creating disclosure networks. This study examined the characteristics of disclosure networks that are associated with HIV testing among MSM in China through an online nationwide survey. Name-generator questions were used to ask each participant ("ego") to nominate up to five social network members ("alters") with whom he had disclosed same-sex behaviors. Among the 806 men, the average disclosure network size was 4.05. MSM who reported larger disclosure networks were more likely to have been tested for HIV (aOR 1.21, 95% CI 1.08-1.34). The most common disclosure network alters were friends (45.1%), followed by sex partners (18.7%) and healthcare professionals (2.5%). Men who disclosed to healthcare professionals were more likely to test for HIV compared to men who disclosed to family members (aOR 5.43, 95% CI 2.11-14.04). Our findings can inform disclosure network-based interventions to promote MSM HIV testing.
引用
收藏
页码:1368 / 1374
页数:7
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