Sexual Minority Stigma, Sexual Orientation Concealment, Social Support and Depressive Symptoms Among Men Who have Sex with Men in China: A Moderated Mediation Modeling Analysis

Ding, Chao; Chen, Xiangfan; Wang, Wei; Yu, Bin; Yang, Huimin; Li, Xiaoyan; Deng, Shumin; Yan, Hong; Li, Shiyue

doi:10.1007/s10461-019-02713-3

Cited by 30 publications

(25 citation statements)

References 53 publications

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“…This study highlights the complex set of factors that contribute to HIV-related vulnerability in newly-arrived Asian-born gbMSM. Previous reports have shown that minority stress is an important contributor to psychological distress among gbMSM [22] and that sexual identity concealment is a critical mechanism linking sexual minority stigma and depressive symptoms [42]. The findings from our study suggest the potential for considerable minority stress among Asian-born gbMSM newly arrived in Australia, not only in terms of sexual minority status but also in terms of race and ethnicity in Australia.…”

Section: Plos Onementioning

confidence: 47%

“Moving from one environment to another, it doesn’t automatically change everything”. Exploring the transnational experience of Asian-born gay and bisexual men who have sex with men newly arrived in Australia

et al. 2020

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Asian-born gay, bisexual and other men who have sex with men (gbMSM) who are newly arrived in Australia are at a higher risk of acquiring HIV than Australian-born gbMSM. We used a social constructionist framework to explore HIV knowledge and prevention strategies used by newly-arrived Asian-born gbMSM. Twenty four Asian-born gbMSM, aged 20–34 years, attending Melbourne Sexual Health Centre, who arrived in Australia in the preceding five years, participated in semi-structured, face-to-face interviews. Interviews were recorded, transcribed verbatim and analysed thematically. Participants described hiding their sexual identities in their country of origin, particularly from family members, due to fear of judgement and discrimination resulting from exposure to sexual identity and HIV related stigma in their countries of origin, although some were open to friends. Despite feeling more sexual freedom and acceptance in Australia, many were still not forthcoming with their sexual identity due to internalised feelings of stigma and shame. Exposure to stigma in their country of origin led many to report anxiety around HIV testing in Australia due to a fear of testing positive. Some described experiencing racism and lack of acceptance in the gay community in Australia, particularly on dating apps. Fear of discrimination and judgement about their sexual identity can have a significant impact on Asian-born gbMSM living in Australia, particularly in terms of social connectedness. Additionally, HIV-related stigma can contribute to anxieties around HIV testing. Our data highlights the potential discrimination Asian-born gbMSM face in Australia, which has implications for social connectedness, particularly with regard to LGBTQI communities and HIV testing practices. Future studies should determine effective strategies to reduce sexual identity and HIV-related stigma in newly-arrived Asian-born gbMSM.

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Section: Plos Onementioning

confidence: 47%

“Moving from one environment to another, it doesn’t automatically change everything”. Exploring the transnational experience of Asian-born gay and bisexual men who have sex with men newly arrived in Australia

et al. 2020

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“…Items were summed to yield a composite scale score, with a higher score suggesting a higher likelihood of sexual orientation concealment. It has been con rmed validated among Chinese adults [31] and the Cronbach's alpha was 0.91 in this study.…”

Section: Psychosocial Characteristicsmentioning

confidence: 57%

Psychosocial characteristics and HIV-related risky sexual behaviors among cisgender, transgender, and gender non-conforming MSM in China

Duan

Li-yin

Guo

et al. 2021

Preprint

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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 risky sexual behaviors requires 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 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 gender minorities identifying as MSM 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 partners (AOR= 3.49, 95% CI =1.02-11.98), to have sex after drug use in the past six 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, psychosocial characteristics, and HIV-related risky sexual behaviors.

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“…Compared with "SR group", "IC group" were more likely having one-night male partner, and having sex with HIV-unsure male partner. Studies have shown that stigma can promote identity concealment and depression [27,43,45], therefore, it is possible to explain why the IC group had higher scores of identity concealment and depression, and sexual minority stigma was not low. A current study has found that MSM concealing their identity had more occasional partners and less likely disclosed their HIV status to their partners, which was consistent with our ndings [24].…”

Section: Discussionmentioning

confidence: 99%

Psychosocial characteristics pattern correlated with HIV-related risky sexual behavior among HIV-negative men who have sex with men: a latent profile analysis.

Zhai

Duan

Tian

et al. 2021

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Background Men who have sex with men (MSM) have become a high-risky population of HIV infection due to their risk sexual behaviors. The psychosocial characteristics play an important effect on HIV-related risky behaviors. This current study aimed to explore the relationship between HIV-related risky behaviors and the latent pattern of psychosocial characteristics among HIV-negative MSM. Method Participants were recruited from Wuhan, Nanchang, and Changsha city from September 2017 to January 2018. The basic socio-demographic characteristics, psychosocial characteristics and HIV-related risky behaviors were collected by self-administered questionnaire and standardize scales. Latent profile analysis (LPA) was used to create the latent classes using variables associated with HIV-related risky behaviors, including social support, reliance, sexual minority stigma, identity concealment, adverse childhood experience and depression. Results Three psychosocial characteristic patterns were revealed by the LPA. “identity concealment group” (IC group) and “ACE group” represented the highest risk profile with highest score of identity concealment and adverse childhood experience (ACE), respectively. “IC group” have a higher likelihood of one-night male partners (AOR=2.74, 95%CI=1.54, 4.90), both fixed and one-night male partners (AOR=2.01, 95%CI=1.34-3.01) and HIV-unsure male partner (AOR=2.12, 95%CI=1.44-3.13) compared with “social support and resilience group” (SR group). ACE group were more likely having inconsistent condom use (AOR=2.58, 95%CI=1.41-4.73), and having sex with HIV-positive male partner (AOR=4.90, 95%CI=1.95-12.30) with comparison of SR group. Interesting, ACE group had a higher ratio (90.0%) of inconsistent condom use among MSM whose male partners were HIV-positive. Conclusions Six important psychosocial factors were divided into three latent pattern classes. Compared with “social support and reliance group”, “identity concealment group” and “ACE group” were more likely to engage in HIV-related risky sexual behaviors. Besides mental health guidance, promoting serological disclosure of sexual partners and consistent condom use behavior is critical for MSM with higher level of identity concealment or ACE.

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Sexual Minority Stigma, Sexual Orientation Concealment, Social Support and Depressive Symptoms Among Men Who have Sex with Men in China: A Moderated Mediation Modeling Analysis

Cited by 30 publications

References 53 publications

“Moving from one environment to another, it doesn’t automatically change everything”. Exploring the transnational experience of Asian-born gay and bisexual men who have sex with men newly arrived in Australia

“Moving from one environment to another, it doesn’t automatically change everything”. Exploring the transnational experience of Asian-born gay and bisexual men who have sex with men newly arrived in Australia

Psychosocial characteristics and HIV-related risky sexual behaviors among cisgender, transgender, and gender non-conforming MSM in China

Psychosocial characteristics pattern correlated with HIV-related risky sexual behavior among HIV-negative men who have sex with men: a latent profile analysis.

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