Cultural diversity is a highly important issue in nursing education and nursing practice today. This study is a philosophical approach to the power relationship between a health care provider and a care recipient. The main purpose of this paper is to analyze the relationships between nurses and ethnic minority patients based on the discussions of some Foucauldian concepts that are related to cultural diversity. Based on the analysis, this study provides some suggestions for cultural competency in nursing practice.
*Cultural Diversity ; History, 20th Century ; Humans ; Minority Groups/*psychology ; *Nurse-Patient Relations ; *Philosophy, Nursing/history ; *Power (Psychology)

OBJECTIVETo understand the incidence of HIV infection among men who have sex with men (MSM) in China.

METHODSMeta-analysis was performed to systematically and quantitatively review all the original research papers and reports published during 2010-2015 on the incidence of HIV infection among MSM in China. Pooled incidence, pooled hazard ratios, publication bias, heterogeneity and sensitivity analysis for those studies were calculated or analyzed by using Stata 12.0 software.

RESULTSA total of 24 studies were analyzed. Pooled incidence of HIV infection among MSM in China was 5.0/100 person year; Based on HIV case report, severe epidemic areas had higher HIV incidence than other areas (4.9/100 person year vs. 3.4/100 person year). Low education level (HR = 1.61, 95% CI: 1.21-2.15), syphilis prevalence (HR = 3.22, 95% CI: 2.21-4.70), unprotected anal sex (HR = 2.92, 95% CI: 1.51-5.63), minority ethnic group (HR = 4.01, 95% CI: 1.96-8.21), commercial sex (HR = 4.11, 95% CI: 1.47-11.46) and multiple sexual partners (HR = 2.31, 95% CI: 1.60-3.34) were the risk factors for HIV incidence.

CONCLUSIONPooled incidence of HIV infection among MSM was 5.0% in China. Low education level, syphilis prevalence, unprotected anal sex, minority ethnic group, commercial sex and multiple sexual partners were the risk factors for HIV infection.

China ; epidemiology ; Educational Status ; Ethnic Groups ; statistics & numerical data ; HIV Infections ; epidemiology ; Homosexuality, Male ; psychology ; statistics & numerical data ; Humans ; Incidence ; Male ; Minority Groups ; statistics & numerical data ; Prevalence ; Risk Factors ; Sex Work ; statistics & numerical data ; Sexual Partners ; Syphilis ; epidemiology ; Unsafe Sex ; statistics & numerical data