Psychosocial characteristics and HIV-related sexual behaviors among cisgender, transgender, and gender non-conforming MSM in China
Autor: | Shiyue Li, Menglan Guo, Changmian Ding, Amanda Wilson, Zhizhou Duan, Liyin Wang, Danqin Huang, Hong Yan |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Male
China Sexual Behavior media_common.quotation_subject Social Stigma Population RC435-571 HIV Infections Transgender Persons Gender non-conforming Men who have sex with men Sexual and Gender Minorities 03 medical and health sciences Social support 0302 clinical medicine Transgender Humans 030212 general & internal medicine Homosexuality Male Psychosocial characteristics education HIV-related sexual behaviors media_common Psychiatry education.field_of_study 030505 public health Gender Identity virus diseases Mental health Cisgender Sexual minority Psychiatry and Mental health Cross-Sectional Studies Female Psychological resilience 0305 other medical science Psychology Psychosocial Research Article Demography |
Zdroj: | BMC Psychiatry, Vol 21, Iss 1, Pp 1-8 (2021) BMC Psychiatry |
Popis: | Background While a growing number of studies focus on men who have sex with men (MSM), they typically ignore the heterogeneity of gender minorities within the MSM population. The recognition of new sub-groups among gender minorities (i.e., transgender and gender non-conforming), who also identify as MSM, play a considerable role in new HIV infections in China. Information on the psychosocial factors and HIV-related sexual behaviors require further consideration to understand the prevalence of HIV infection among MSM within these gender minority sub-groups. Methods From September 2017 to January 2018, MSM without HIV were recruited in Wuhan, Nanchang, and Changsha cities in China. Participants were asked to fill out a structured self-administered questionnaire to assess depression, perceived social support, resilience, identity concealment, and HIV-related risky sexual behaviors. Results A total of 715 MSM completed the structured questionnaire, the number of MSM identifying as gender minorities were 63 and accounted for 8.8% of the population. Compared to the cisgender MSM population, transgender MSM were more likely to have a one-night stand/occasional partner (AOR = 3.49, 95% CI =1.02–11.98), to have sex after drug use in the past 6 months (AOR = 2.57, 95%CI =1.05–6.29), and to have reported a significantly lower likelihood of identity concealment (mean difference = − 3.30, 95%CI = -5.86, − 0.74, P = 0.01). Conclusions The findings highlight the significance of providing targeted interventions for different gender minorities within the MSM population. Research is required to further understand the relationship between gender identity, mental health, and HIV-related sexual behaviors. |
Databáze: | OpenAIRE |
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