Condom use social norms and self-efficacy with different kinds of male partners among Chinese men who have sex with men: results from an online survey

Wang, Cheng; Tucker, Joseph D.; Liu, Chuncheng; Zheng, Heping; Tang, Weiming; Li, Ling

doi:10.1186/s12889-018-6090-5

Cited by 22 publications

(18 citation statements)

References 50 publications

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“…Condom use consistency with regular partners was quite low (n = 70, 32.7%). This finding is supported by previous studies showing that when regular sex partners are involved, young MSM are likely to have condomless anal sex in China 32–36 and developed countries, such as Sweden 37 and New Zealand. 38 Particularly, a study among college student MSM in Beijing reported that believing in unnecessary condom use with a regular sex partner is a significant predictor of UAI.…”

Section: Discussionsupporting

confidence: 85%

“…In the current study, the participants with high condom use self-efficacy were likely to report condom use consistency in the past six months, consistent with previous studies. 32 , 40 , 41 Furthermore, in different exceptional circumstances, especially if the sex partner becomes angry at the request for condom use and when the sex partner is intoxicated, the rates of having confidence in consistent condom use markedly decreased at 75.7% (n = 162) and 81.8% (n = 175), respectively. This finding shows that the willingness to use condoms might be affected if their partners became unconscious due to alcohol or illicit drug use in this sample.…”

Section: Discussionmentioning

confidence: 99%

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Condom Use Consistency and Associated Factors Among College Student Men Who Have Sex with Men from Seven Colleges in Changsha City: A Cross-Sectional Survey

Wang¹,

Yu²,

Cross³

et al. 2021

HIV

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Background: College student men who have sex with men (MSM) are at high risk for HIV infection due to multiple social and behavioral factors. Consistent condom use is nationally advocated for HIV prevention. This study explored the sexual behaviors and factors associated with condom use consistency in the past six months among college student MSM from seven colleges in Hunan Province, China. Methods: A cross-sectional survey was conducted from September 2017 to March 2018. Condom use consistency, sexual behaviors, HIV testing performance, substance use, and alcohol consumption were examined using researcher-created questionnaires. Condom use self-efficacy and HIV-related knowledge were assessed using the Condom Use Self-Efficacy Scale and the unified National AIDS Sentinel Surveillance Questionnaire. Univariate and multivariate logistic regressions were used. P <0.05 was considered significant. Results: In the 214 respondents, the rate of consistent condom use was 56% (n = 119) during the past six months. Participants who were studying at first-tier universities (odds ratio [OR]: 2.522, 95% confidence interval [CI]: 1.255-5.067) and had higher scores for condom use self-efficacy (OR: 2.617, 95% CI: 1.462-4.685) were more likely to report consistent condom use than the others. The risk factor was having suspicious symptoms of sexually transmitted diseases (OR: 0.357, 95% CI: 0.163-0.780). Conclusion:Numerous students were at high risk of HIV infection with inconsistent condom use. Comprehensive and specific topics about safe sex education from parents and peers should be offered on campuses in China.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Condom Use Consistency and Associated Factors Among College Student Men Who Have Sex with Men from Seven Colleges in Changsha City: A Cross-Sectional Survey

Wang¹,

Yu²,

Cross³

et al. 2021

HIV

View full text Add to dashboard Cite

show abstract

“…We used an online method to recruit participants for this study and our sample is more likely to be educated, younger, and have Internet access [43,44]. However, online technologies have been rapidly growing in use for sex-partner seeking among MSM [45].…”

Section: Discussionmentioning

confidence: 99%

Syphilis Self-testing: A Nationwide Pragmatic Study Among Men Who Have Sex With Men in China

Wang

Cheng

et al. 2019

Clinical Infectious Diseases

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Background Syphilis self-testing may help expand syphilis testing among men who have sex with men (MSM). China has rapidly scaled up human immunodeficiency virus (HIV) self-testing, creating an opportunity for integrated syphilis self-testing. However, there is a limited literature on implementing syphilis self-testing. Methods A cross-sectional online survey was conducted among Chinese MSM in 2018. Participants completed a survey instrument including sociodemographic characteristics, sexual behaviors, syphilis self-testing, and HIV self-testing history. Multivariable logistic regression was conducted to identify correlates of syphilis self-testing. We also recorded potential harms associated with syphilis self-testing. Results Six hundred ninety-nine MSM from 89 cities in 21 provinces in China completed the study. A total of 361/699 (51.7%) men tested for syphilis, of whom 174/699 (24.9%) men used syphilis self-testing. Among 174 who had self-tested, 90 (51.7%) reported that the self-test was their first syphilis test and 161 (92.5%) reported that they undertook syphilis self-testing together with HIV self-testing. After adjusting for covariates, syphilis self-testing was correlated with disclosure of sexual orientation to family or friends (adjusted odds ratio [aOR], 1.90; 95% confidence interval [CI], 1.32–2.73), reporting 2–5 male sexual partners (aOR, 1.81; 95% CI, 1.04–3.16), HIV self-testing (aOR, 39.90; 95% CI, 17.00–93.61), and never tested for syphilis in the hospital (aOR, 2.96; 95% CI, 1.86–4.72). Self-reported harms associated with syphilis self-testing were minimal. Conclusions Scaling up syphilis self-testing could complement facility-based testing in China among MSM. Self-testing may increase first-time testing and has limited harms. Our findings suggest that syphilis self-testing could be integrated into HIV self-testing services.

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“…First, for perceived barriers, some MSM individuals might believe that condom usage would affect the trust of intimacy [ 20 ], same-sex identity [ 21 ], or lower sexual pleasure during UAI [ 22 ], as a result of which they would choose not to use condoms. Second, self-efficacy of condom use usually refers to the reward and proper use of condoms and to the communication with partners concerning condom use [ 23 , 24 ]. MSM with a high self-efficacy of condom use might have strong confidence and awareness to maintain condom use behaviors during anal sex, whether with regular partners or nonregular partners.…”

Section: Discussionmentioning

confidence: 99%

Association between Psychological Factors and Condom Use with Regular and Nonregular Male Sexual Partners among Chinese MSM: A Quantitative Study Based on the Health Belief Model

Huang

Jia

et al. 2020

BioMed Research International

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Objective. The Chinese men who have sex with men (MSM) population is suffering from a high HIV infection rate owing to unprotected anal sex. The Health Belief Model (HBM) has been proven to be an effective frame associated with behavior maintenance. Based on HBM, we analyzed the beliefs associated with consistent condom use behavior with regular and nonregular partners among MSM to better provide targeted interventions and services. Methods. A study was conducted in Sichuan Province, China, from November 2018 to April 2019, and 801 eligible participants were recruited by snowball sampling. Sociodemographic characteristics, AIDS-related characteristics, sexual behaviors, condom use behavior, and dimensions of HBM were investigated. Univariate, single multivariate, and summary multivariate models were employed to analyze the factors associated with consistent condom use. Results. Of all participants, 39.1% and 53.6% had had anal sex with regular and nonregular partners in the last six months, respectively. Only 56.5% of them had used condoms consistently with regular partners, and only 60% of them had used condoms consistently with nonregular partners. When taking consistent condoms use with regular partners as the dependent variable, the dimensions of perceived threats ( ORM = 1.28 , 95% CI: 1.10, 1.49), perceived barriers ( ORM = 0.70 , 95% CI: 0.60, 0.82), self-efficacy ( ORM = 1.23 , 95% CI: 1.14, 1.32), and cues to action ( ORM = 1.21 , 95% CI: 1.02, 1.43) showed significant associations with the dependent variable. When taking consistent condoms use with nonregular partners as the dependent variable, the dimensions of perceived barriers ( ORM = 0.77 , 95% CI: 0.67, 0.89), self-efficacy ( ORM = 1.22 , 95% CI: 1.13, 1.32), and cues to action ( ORM = 1.53 , 95% CI: 1.30, 1.80) showed significant associations with the dependent variable. Conclusions. More attention should be focused on how to decrease the obstructive factors of condom use, how to improve the confidence of condom use, and how to layout more cues to action to promote consistent condom use behavior with regular and nonregular partners during anal sex among Chinese MSM.

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Condom use social norms and self-efficacy with different kinds of male partners among Chinese men who have sex with men: results from an online survey

Cited by 22 publications

References 50 publications

Condom Use Consistency and Associated Factors Among College Student Men Who Have Sex with Men from Seven Colleges in Changsha City: A Cross-Sectional Survey

Condom Use Consistency and Associated Factors Among College Student Men Who Have Sex with Men from Seven Colleges in Changsha City: A Cross-Sectional Survey

Syphilis Self-testing: A Nationwide Pragmatic Study Among Men Who Have Sex With Men in China

Association between Psychological Factors and Condom Use with Regular and Nonregular Male Sexual Partners among Chinese MSM: A Quantitative Study Based on the Health Belief Model

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