Receiving Human Immunodeficiency Virus Serostatus Disclosure from Male Sexual Partners and Related Factors among Men Who Have Sex with Men Aged 50 and Above.
10.3881/j.issn.1000-503X.14171
- Author:
Jun LIAN
1
;
Xiao-You SU
2
;
Xin-Yue CHEN
1
;
Wen-Jun WANG
3
;
Fei YU
4
;
Guo-Dong MI
4
;
Yuan-Li LIU
1
Author Information
1. School of Health Policy and Management,CAMS and PUMC,Beijing 100005,China.
2. School of Population Medicine and Public Health,CAMS and PUMC,Beijing 100005,China.
3. Jining Medical College,Jining,Shandong 272067,China.
4. Danlan Public Welfare,Beijing 100020,China.
- Publication Type:Journal Article
- Keywords:
human immunodeficiency virus;
infection;
men who have sex with men
- MeSH:
Acquired Immunodeficiency Syndrome;
Disclosure;
Female;
HIV;
HIV Infections;
Homosexuality, Male;
Humans;
Male;
Sexual Behavior;
Sexual Partners;
Sexual and Gender Minorities;
Sexually Transmitted Diseases/diagnosis*
- From:
Acta Academiae Medicinae Sinicae
2022;44(2):221-226
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the rate and correlates of receiving human immunodeficiency virus(HIV) serostatus disclosure from their most recent male sexual partners among men who have sex with men(MSM) aged 50 and above. Methods With a geosocial networking application,we recruited participants through online convenience sampling to collect the demographic variables,behavioral information,receiving HIV serostatus disclosure,etc.Univariate and multivariate analyses were performed to interpret the associated factors of receiving HIV serostatus disclosure. Results Overall,38.4%(398/1037) of participants received HIV serostatus disclosure from their most recent male sexual partners.The multivariable analysis demonstrated that the following populations were less likely to receive HIV serostatus disclosure from their most recent male sexual partners:participants with junior high school degree or below(OR=0.660,95%CI=0.473-0.922, P=0.015) compared to those with senior high school degree or above;participants unemployed(OR=0.537,95%CI=0.322-0.896, P=0.017) and employed(OR=0.663,95%CI=0.466-0.944, P=0.022) compared to those retired;participants without knowledge about HIV or acquired immune deficiency syndrome(AIDS) compared to those with knowledge about HIV/AIDS(OR=0.636,95%CI=0.466-0.868, P=0.004);participants having ≥2 male sexual partners in the last year(OR=0.433,95%CI=0.320-0.586, P<0.001) compared to those having none or one male sexual partner;participants never been tested for HIV(OR=0.544,95%CI=0.403-0.734, P<0.001) compared to those ever been tested for HIV;participants ever been diagnosed to have sexually transmitted infection(STI)(OR=0.472,95%CI=0.349-0.637, P<0.001) compared to those never diagnosed to have STI;and participants with higher level of HIV stigma(OR=0.742,95%CI=0.604-0.912, P=0.005). Conclusions Our findings indicated that the MSM aged 50 and above had low possibility of receiving HIV serostatus disclosure from the most recent male sexual partners.Education,employment status,number of sexual partners,HIV/AIDS-related knowledge,HIV testing behaviors,STI infection history,and HIV stigma contributed to this result.
