The Impact of Homophobia and HIV Stigma on HIV Testing Uptake Among Chinese Men Who Have Sex With Men: a Mediation Analysis

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Chongyi WeiH F Raymond

Abstract

Gay and HIV-related stigma and discrimination are major barriers to accessing HIV prevention services among Men Who Have Sex with Men (MSM) worldwide. We aimed to identify modifiable factors that mediate the relationships between gay and HIV-related stigma and discrimination and HIV testing uptake among Chinese MSM. We conducted a cross-sectional survey study of 523 HIV-uninfected or unknown HIV status MSM in Jiangsu Province, China between November 2013 and January 2014. Multivariable analyses were conducted to examine the associations among experienced homophobia, HIV stigma, and recent HIV testing. Causal mediation parametric analyses were conducted to assess whether depression and social norms mediated hypothesized associations. Stronger subjective norms toward testing was associated with higher odds of recent HIV testing (adjusted odds ratio [AOR]: 1.10, 95% confidence interval [CI]: 1.01 to 1.21), whereas increasing levels of depression and HIV stigma were both associated with lower odds of recent testing (AOR: 0.96, 95% CI: 0.92 to 0.99; and AOR: 0.91, 95% CI: 0.84 to 0.99, respectively). There was an indirect relationship (natural indirect effect [NIE]) of experienced homophobia on recent testing (ORNIE: 0.96, 95% CI: 0...Continue Reading

References

Jul 6, 2004·Epidemiologic Reviews·K E PoundstoneD D Celentano
Jun 4, 2005·AIDS and Behavior·Seth C KalichmanAshraf Kagee
Dec 16, 2005·Cell Research·Na He, Roger Detels
Mar 17, 2006·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Kyung-Hee ChoiJeffrey S Mandel
Feb 6, 2010·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Yuji FengRoger Detels
Mar 26, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Steven A SafrenRonald D Stall
Aug 4, 2011·Epidemiology·Johannes TextorSven Knüppel
Jan 10, 2013·Annual Review of Public Health·Thomas A GlassJonathan M Samet
Jul 9, 2013·Social Science & Medicine·Mark L HatzenbuehlerKevin Fiscella
Jan 17, 2014·Sexually Transmitted Infections·Glenn-Milo SantosGeorge Ayala
Feb 21, 2014·Asia-Pacific Journal of Public Health·Thomas PyunGeorge Ayala
Dec 17, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Matthew J MimiagaKenneth H Mayer

❮ Previous
Next ❯

Citations

Sep 21, 2018·AIDS Patient Care and STDs·Wenjian XuMichelle R Kaufman
Feb 7, 2018·Journal of American College Health : J of ACH·Tyler G James, Sadie J Ryan
Nov 7, 2017·Journal of the International AIDS Society·Minh D PhamStanley Luchters
Feb 23, 2017·International Journal for Equity in Health·Wenjian XuYong Zheng
Sep 4, 2020·AIDS·Timothy R BroadyMartin Holt
Aug 28, 2020·Journal of the International AIDS Society·M Kumi SmithSean Y Sylvia
Dec 18, 2020·International Journal of Epidemiology·Peter W G TennantGeorge T H Ellison
May 25, 2021·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Kaijie LiuJunfang Xu
Jun 25, 2021·Journal of the International AIDS Society·Pamela Y CollinsBradley H Wagenaar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.