用户名: 密码: 验证码:
Non-disclosure of Sexual Orientation to Parents Associated with Sexual Risk Behaviors Among Gay and Bisexual MSM in China
详细信息    查看全文
  • 作者:Ye Zhao ; Ying Ma ; Ren Chen ; Feng Li ; Xia Qin ; Zhi Hu
  • 关键词:Disclosure ; Parents ; MSM ; Gay ; Bisexual ; Sexual risk behaviors ; China
  • 刊名:AIDS and Behavior
  • 出版年:2016
  • 出版时间:January 2016
  • 年:2016
  • 卷:20
  • 期:1
  • 页码:193-203
  • 全文大小:399 KB
  • 参考文献:1.Chen GC, Li Y, Zhang BC, et al. Psychological characteristics in high-risk MSM in China. BMC Public Health. 2012;12:58. doi:10.​1186/​1471-2458-12-58 .PubMed PubMedCentral CrossRef
    2.UNAIDS (2013) HIV in China: facts and figures. http://​www.​unaids.​org.​cn/​en/​index/​page.​asp?​id=​197&​class=​2&​classname=​China+Epidemic+%26+Response . Accessed 22 April 2013.
    3.Lau JTF, Lin C, Hao C, Wu X, Gu J. Public health challenges of the emerging HIV epidemic among men who have sex with men in China. Public Health. 2011;125(5):260–5.PubMed CrossRef
    4.Guo Y, Li X, Stanton B. HIV-related behavioral studies of men who have sex with men in China: a systematic review and recommendations for future research. AIDS Behav. 2011;15(3):521–34.PubMed CrossRef
    5.Wong FY, Huang ZJ, Wang W, et al. STIs and HIV among men having sex with men in China: a ticking time bomb? AIDS Educ Prev. 2009;21(5):430–46.PubMed CrossRef
    6.Zhang BC, Chu QS. MSM and HIV/AIDS in China. Cell Res. 2005;15(11–12):858–64.PubMed PubMedCentral CrossRef
    7.Everett BG. Sexual orientation disparities in sexually transmitted infections: examing the intersection between sexual identity and sexual behavior. Arch Sex Behav. 2013;42(2):225–36.PubMed PubMedCentral CrossRef
    8.Wang Y. The research of the main affecting factors of the high risk behaviors of men who have sex with men (MSM) in Taiyuan. Shanxi Medical University, 2007.
    9.Jessor R. Risk behaviors in adolesence: a psychological framework for understanding and action. J Adolesc Health. 1991;12(8):597–605.PubMed CrossRef
    10.Garofalo R, Wolf RC, Kessel S, Palfrey SJ, DuRant RH. The association between health risk behaviors and sexual orientation among a school-based sample of adolescents. Pediatrics. 1998;101(5):895–902.PubMed CrossRef
    11.Liu YY. Association between mental disorders and high risk sexual behaviors among men who have sex with men in urban area of Liaoning province. Dalian Medical University, 2009.
    12.Meyer IH. Minority stress and mental health in gay men. J Health Soc Behav. 1995;36(1):38–56.PubMed CrossRef
    13.Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003;129(5):674–97.PubMed PubMedCentral CrossRef
    14.Greene K, Derlega VJ, Mathews A. Self-disclosure in personal relationships. In: Vangelisti AL, Perlman D, editors. The Cambridge handbook of personal relationships. Cambridge: Cambridge University Press; 2006. p. 409–28.CrossRef
    15.Cole SW, Kemeny ME, Taylor SE, Visscher BR. Elevated physical health risk among gay men who conceal their homosexual identity. Health Psychol. 1996;15(4):243–51.PubMed CrossRef
    16.Taylor B. Coming out as a life transition: homosexual identity formation and its implications for health care practice. J Adv Nurs. 1999;30(2):520–5.PubMed CrossRef
    17.Rosario M, Hunter J, Maguen S, Gwadz M, Smith R. The coming-out process and its adaptational and health-related associations among gay, lesbian, and bisexual youths: stipulation and exploration of a model. Am J Community Psychol. 2001;29(1):133–60.PubMed CrossRef
    18.Kuyper L, Fokkema T. Minority stress and mental health among Dutch LGBs: examination of differences between sex and sexual orientation. J Couns Psychol. 2011;58(2):222–33.PubMed CrossRef
    19.Lewis RJ, Derlega VJ, Griffin JL, Krowinski AC. Stressors for gay men and lesbians: life stress, gay-related stress, stigma consciousness, and depressive symptoms. J Soc Clin Psychol. 2003;22(6):716–29.CrossRef
    20.Frable DES, Wortman C, Joseph J. Predicting self-esteem, well-being, and distress in a cohort of gay men: the importance of cultural stigma, personal visibility, community networks, and positive identity. J Pers. 1997;65(3):599–624.PubMed CrossRef
    21.Hershberger SL, Pilkington NW, D’Augelli AR. Predictors of suicide attempts among gay, lesbian, and bisexual youth. J Adolesc Res. 1997;12(4):477–97.CrossRef
    22.D’Augelli AR, Hershberger SL, Pilkington NW. Lesbian, gay, and bisexual youth and their families: disclosure of sexual orientation and its consequences. Am J Orthopsychiatry. 1998;68(3):361–71.PubMed CrossRef
    23.Xue LJ, Wang WM, Xu Y, et al. An online-survey of HIV related knowledge and high risk behaviors, social pressure and their influencing factors among MSM. Chin J AIDS STD. 2011;3:324–7.
    24.LaSala MC. Gay male couples: the importance of coming out and being out to parents. J Homosex. 2000;39(2):47–71.PubMed CrossRef
    25.Mallon GP. Knowledge for practice with gay and lesbian persons. In: Mallon G, editor. Foundations of social work practice with lesbian and gay persons. New York: Harrington Park Press; 1998. p. 1–18.
    26.LaSala MC. Lesbians, gay men, and their parents: family therapy for the coming-out crisis. Fam Process. 2000;39(1):67–81.PubMed CrossRef
    27.Willoughby B, Doty ND, Malik NM. Parental reactions to their child’s sexual orientation disclosure: a family stress perspective. Parent Sci Pract. 2008;8(1):70–91.CrossRef
    28.Green RJ. Lesbians, gay men, and their parents: a critique of LaSala and the prevailing clinical “wisdom”. Fam Process. 2000;39(2):257–66.PubMed CrossRef
    29.Wong CY, Tang CS. Coming out experiences and psychological distress of chinese homosexual men in Hong Kong. Arch Sex Behav. 2004;33(2):149–57.PubMed CrossRef
    30.Liu H, Li J, Lu Z, Liu W, Zhang Z. Does Chinese culture influence psychosocial factors for heroin use among young adolescents in China? A cross-sectional study. BMC Public Health. 2010;10:563. doi:10.​1186/​1471-2458-10-563 .PubMed PubMedCentral CrossRef
    31.Park IH, Cho LJ. Confucianism and the Korean family. J Comp Fam Stud. 1995;26:117–34.
    32.Park M, Chesla C. Revisiting Confucianism as a conceptual framework for Asian family study. J Fam Nurs. 2007;13(3):293–311.PubMed CrossRef
    33.Liu H, Feng T, Ha T, et al. Chinese culture, homosexuality stigma, social support and condom use: a path analytic model. Stigma Res Action. 2011;1(1):27–35.PubMed PubMedCentral CrossRef
    34.Berger RM. Men together: understanding the gay couple. J Homosex. 1990;3:31–49.CrossRef
    35.Bryant AS, Demian. Relationship characteristics of American gays and lesbians couples: findings from a national survey. J Gay Lesbian Soc Serv. 1994;1(2):101–17.CrossRef
    36.Zang C, Guida J, Sun Y, Liu H. Collectivism culture, HIV stigma and social network support in Anhui, China: a path analytic model. AIDS Patient Care STDS. 2014;28(8):452–8.PubMed CrossRef
    37.Neillands TB, Steward WT, Choi KH. Assessment of stigma towards homosexuality in China: a study of men who have sex with men. Arch Sex Behav. 2008;37(5):838–44.CrossRef
    38.Wang QF. Well-identified but not coming out: contemporary gay minority investigation. Chin Agric Univ J Soc Sci Ed. 2011;28(4):142–53.
    39.Peng TX. The reason and effect of chinese homesexual choosing marriage of convenience. Chin J Hum Sex. 2014;23(8):97–9.
    40.Bostwick WB, Boyd CJ, Hughes TL, McCabe SE. Dimensions of sexual orientation and the prevalence of mood and anxiety disorders in the United States. Am J Public Health. 2010;100(3):468–75.PubMed PubMedCentral CrossRef
    41.Conron KJ, Mimiaga MJ, Landers SJ. A population-based study of sexual orientation identity and gender differences in adult health. Am J Public Health. 2010;100(10):1953–60.PubMed PubMedCentral CrossRef
    42.Warner J, McKeown E, Griffin M, et al. Rates and predictors of mental illness in gay men, lesbians, and bisexual men and women: results from a survey based in England and Wales. Br J Psychiatry. 2004;185:479–85.PubMed CrossRef
    43.Henry E, Awondo P, Fugon L, Yomb Y, Spire B. Coming out of the Nkuta: disclosure of sexual orientation associated with reduced risk behavior among MSM in Cameroon. Arch Sex Behav. 2012;41(3):525–7.PubMed CrossRef
    44.From the Centers for Disease Control and Prevention. HIV/STD risks in young men who have sex with men who do not disclose their sexual orientation—six U.S. cities, 1994-2000. JAMA. 2003;289(8):975–7.CrossRef
    45.Kelly JA, St Lawrence JS, Brasfield TL, et al. Psychological factors that predict AIDS high-risk versus AIDS precautionary behavior. J Consult Clin Psychol. 1990;58(1):117–20.PubMed CrossRef
    46.Henry E, Marcellin F, Yomb Y, et al. Factors associated with unprotected anal intercourse among men who have sex with men in Douala, Cameroon. Sex Transm Infect. 2010;86(2):136–40.PubMed CrossRef
    47.Liu JX, Choi K. Experiences of social discrimination among homosexual men in Shanghai, China. AIDS Behav. 2006;10(4 Suppl):S25–33.PubMed CrossRef
    48.Zhang L, Zhang D, Yu B, et al. Prevalence of HIV infection and associated risk factors among men who have sex with men (MSM) in Harbin, P. R. China. PLoS One. 2013;8(3):e58440. doi:10.​1371/​journal.​pone.​0058440 .PubMed PubMedCentral CrossRef
    49.Strathdee SA, Hogg RS, Martindale SL, et al. Determinants of sexual risk-taking among young HIV-negative gay and bisexual men. J Acquir Immune Defic Syndr Hum Retrovirol. 1998;19(1):61–6.PubMed CrossRef
    50.Liu MH. High risk behaviors related HIV/AIDS and demographic variables of men whohave sex with men (MSM) in Jiangsu province. Qindao University, 2005.
    51.Yu F, Nehl EJ, Zheng T, et al. Syndemic including cigarette smoking and sexual risk behaviors among a sample of MSM in Shanghai, China. Drug Alcohol Depend. 2013;132(1–2):265–70.PubMed PubMedCentral CrossRef
    52.Prestage G, Van De Ven P, Grulich A, Kippax S, McInnes D, Hendry O. Gay men’s casual sex encounters: discussing HIV and using condoms. AIDS Care. 2001;13(3):277–84.PubMed CrossRef
    53.Wang D. A depth interview research, of bisexual identity. Nanjing Normal University, 2013.
    54.Dai ZZ, Zhong XN, Peng B, et al. Comparative analysis on characteristics of gay-identified and bisexual-identified men in western China. J Third Mil Med Univ. 2014;36(19):2025–9.
    55.Agronick G, O’Donnell L, Stueve A, Doval AS, Duran R, Vargo S. Sexual behaviors and risks among bisexually- and gay-identified young Latino men. AIDS Behav. 2004;8(2):185–97.PubMed CrossRef
    56.Newman PA, Chakrapani V, Cook C, Shunmugam M, Kakinami L. Determinants of sexual risk behavior among men who have sex with men accessing public sex environments in Chennai, India. J LGBT Health Res. 2008;4(2–3):81–7.PubMed
  • 作者单位:Ye Zhao (1) (2)
    Ying Ma (1)
    Ren Chen (1)
    Feng Li (3)
    Xia Qin (1)
    Zhi Hu (1)

    1. School of Health Service management, Anhui Medical University, Hefei, China
    2. Department of Literature Review and Analysis, Library of Anhui Medical University, Hefei, China
    3. Medicare Office, Anhui Provincial Children’s Hospital, Hefei, China
  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Public Health
    Health Psychology
    Infectious Diseases
  • 出版者:Springer Netherlands
  • ISSN:1573-3254
文摘
The objective of this study was to explore the relationship between non-disclosure of sexual orientation to parents and sexual risk behaviors among gay and bisexual men who have sex with men (MSM) in China. A total of 295 eligible participants (gay n = 179, bisexual n = 116) were recruited from MSM venues and MSM organizations in Anhui Province, China. Overall, 16.6 % of participants chose to disclose their sexual orientation to parents. Fewer bisexual participants chose to disclose their sexual orientation than gay participants (9.5 vs. 21.2 %, p < 0.01). A multivariate logistic regression analysis indicated that non-disclosers were more likely than disclosers to report having one or more female sex partners among gay and bisexual MSM (AOR = 2.91), non-disclosure of sexual orientation to parents was positively associated with the number of female sex partners (AOR = 3.40) and with engagement in unprotected anal intercourse with men (AOR = 2.49) among gay MSM, in the past 6 months. Our findings indicated that HIV/AIDS intervention programs should promote the disclosure of sexual orientation and should design interventions specific to gay and bisexual MSM separately. Keywords Disclosure Parents MSM Gay Bisexual Sexual risk behaviors China

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700