Z Wang1,2, X Wu1,3, Jtf Lau1,2, Pkh Mo1, Wws Mak4, X Wang5, X Yang1, D Gross1, H Jiang6. 1. Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China. 2. Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, China. 3. Shenzhen Center for Chronic Disease Control, Shenzhen, China. 4. Department of Psychology, The Chinese University of Hong Kong, Hong Kong, China. 5. Chengdu Tongle Health Counselling Service Center, Chengdu, China. 6. School of Public Health, Sun Yat-sen University, Guangzhou, China.
Abstract
OBJECTIVES: This study investigated the prevalence of, and multi-dimensional factors associated with, unprotected anal intercourse (UAI) with regular male sexual partners ('regular partners') and nonregular male sexual partners ('nonregular partners') among newly diagnosed HIV-positive men who have sex with men (MSM) in Chengdu, China. METHODS: A total of 225 newly diagnosed HIV-positive MSM were interviewed using a combined interviewer-computer-assisted method in Chengdu, China. RESULTS: The prevalence of UAI with regular and nonregular partners since diagnosis was 27.7% and 33.8% among participants reporting having sex with regular and nonregular partners (n = 159 and 133), respectively. Adjusted analysis showed that: (1) cognitive variables based on the Health Belief Model (perceived susceptibility to HIV transmission and perceived severity of the consequences of HIV transmission, perceived barriers and perceived self-efficacy related to consistent condom use), (2) emotion-related variables (worry about transmitting HIV to others), (3) psychological factors (post-traumatic growth) and (4) socio-structural factors (perceived partners' responsibility for condom use) were significantly associated with UAI with regular and/or nonregular partners. CONCLUSIONS: Interventions are warranted, and should be designed with consideration of multi-dimensional factors and be partner type-specific.
OBJECTIVES: This study investigated the prevalence of, and multi-dimensional factors associated with, unprotected anal intercourse (UAI) with regular male sexual partners ('regular partners') and nonregular male sexual partners ('nonregular partners') among newly diagnosed HIV-positivemen who have sex with men (MSM) in Chengdu, China. METHODS: A total of 225 newly diagnosed HIV-positive MSM were interviewed using a combined interviewer-computer-assisted method in Chengdu, China. RESULTS: The prevalence of UAI with regular and nonregular partners since diagnosis was 27.7% and 33.8% among participants reporting having sex with regular and nonregular partners (n = 159 and 133), respectively. Adjusted analysis showed that: (1) cognitive variables based on the Health Belief Model (perceived susceptibility to HIV transmission and perceived severity of the consequences of HIV transmission, perceived barriers and perceived self-efficacy related to consistent condom use), (2) emotion-related variables (worry about transmitting HIV to others), (3) psychological factors (post-traumatic growth) and (4) socio-structural factors (perceived partners' responsibility for condom use) were significantly associated with UAI with regular and/or nonregular partners. CONCLUSIONS: Interventions are warranted, and should be designed with consideration of multi-dimensional factors and be partner type-specific.
Keywords:
multi-dimensional factors; newly diagnosed HIV-positive men who have sex with men; nonregular male sexual partners; regular male sexual partners; unprotected anal intercourse
Authors: Xueying Yang; Zixin Wang; Xiaodong Wang; Tiecheng Ma; Honghong Xue; Yingqin He; Joseph Tak Fai Lau Journal: Am J Mens Health Date: 2019 Jan-Feb