Time to consider elimination of HIV in China

Li, Jinghua; Gilmour, Stuart; Wang, Yijing; Gu, Jing; Lau, Joseph T. F.

doi:10.1016/j.lanwpc.2022.100497

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…Despite the underlying causal relationship between IPV and the willingness to use PrEP cannot be explored in detail in this cross-sectional study, our findings benefit the promotion of PrEP and address particular attention to IPV experience in Chinese MSM. Previous modeling studies (Li et al, 2018(Li et al, , 2022Wang et al, 2018b) have suggested that scaling up PrEP is the key to achieving HIV elimination in a near future among Chinese MSM who are facing an increasing risk of HIV infection. MSM with IPV experience is the target population for PrEP because IPV experience was associated with increased risky sexual behaviors including multiple casual partners and inconsistent condom use (Zhu et al, 2021).…”

Section: Associations Between Ipv Experience and Willingness To Use Prepmentioning

confidence: 99%

Intimate Partner Violence and Willingness to Use Pre-Exposure Prophylaxis Among Men Who Have Sex With Men in Chengdu, China

Guo

Hou

Cao

et al. 2022

J Interpers Violence

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Intimate partner violence (IPV) is common in men who have sex with men (MSM). MSM also face increased risk of human immunodeficiency virus infection. However, it is not known whether IPV experience of MSM in China would affect their attitudes toward pre-exposure prophylaxis (PrEP) use. A cross-sectional study was conducted to explore the associations between different types of IPV and willingness to use PrEP in a sample of 608 MSM from November 2018 to May 2019 in Chengdu, China. Univariate and multivariate logistic regression analyses were used to explore the associations between different types of IPV and willingness to use PrEP. The average age of the participants was 31.8 ± 12.3 years, 48.9% of them were aware of PrEP before this study, and only 7.2% were aware of long-acting injectable PrEP (LAI-PrEP). The overall willingness to use any type of PrEP in the next 6 months was 82.2%. Approximately one third of the participants ( n = 198) had experienced at least one type of IPV. We found that experience of sexual perpetration was negatively associated with the willingness to use on-demand PrEP (adjusted odds ratio [ORa] = 0.33, 95% CI = 0.16–0.67) and the overall willingness to use any type of PrEP (ORa = 0.31, 95% CI = 0.15–0.64). The willingness to use LAI-PrEP also had negative associations with any type of monitoring IPV (ORa = 0.58, 95% CI = 0.38–0.91), controlling victimization (ORa = 0.41, 95% CI = 0.21–0.82), and emotional victimization (ORa = 0.58, 95% CI = 0.35–0.97). The findings of this study demonstrate that IPV experiences are negatively associated with willingness to use PrEP among MSM, suggesting that PrEP promotion programs should consider IPV screening and develop explicit intervention strategies for both perpetrators and victims.

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Section: Associations Between Ipv Experience and Willingness To Use Prepmentioning

confidence: 99%

Intimate Partner Violence and Willingness to Use Pre-Exposure Prophylaxis Among Men Who Have Sex With Men in Chengdu, China

Guo

Hou

Cao

et al. 2022

J Interpers Violence

Self Cite

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“…G ay, bisexual, and other men who have sex with men (GBMSM) in China have integrated online websites and smartphone apps into their everyday lives, 1 but nevertheless continue to face substantial barriers to accessing health services due to stigma associated with their sexual orientation. 2 Such stigma manifests in several ways, including stigmatizing attitudes by the public and health care workers toward GBMSM, as well as internalized stigma among GBMSM. 3,4 The fear of disclosure as well as measures of internalized and perceived stigma have been found to be barriers to the uptake of HIV testing, as well as associated with sexual behaviors that increase the risk of HIVamong Chinese GBMSM.…”

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confidence: 99%

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confidence: 99%

Mapping Online Community Spaces through Online Focus Group Discussions among GBMSM in Guangdong, China: Implications for HIV/STD Prevention Services

Tan,

Marley,

Wang

et al. 2023

Sexual Trans Dis

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Background Chinese gay, bisexual and other men who have sex with men (GBMSM) face discrimination in many facility-based health services, thus increasing the importance of online engagement. The purpose of this study was to examine online GBMSM community spaces and implications for HIV/STD prevention services. Methods We conducted a total of six online focus group discussions with Chinese GBMSM from Guangdong province on the chat-based platform WeChat in 2021. Focus group discussions were asynchronous, and participants were able to provide and map out online spaces that they had participated in and share their perspectives on online engagement. Data were analyzed through framework analysis. Results Overall, 48 participants participated. Most were mainly sexually attracted to men (n = 43, 90.0%), and never participated in in-person LGBTQ-related events (n = 29, 60.4%). Participants articulated a typology of online spaces along the axes of whether such spaces were Chinese platforms (vs. non-Chinese) or whether they were GBMSM-specific (vs. non-GBMSM-specific). Participants articulated several advantages of online spaces, including greater anonymity, opportunities for community building, sharing of sexual health information and being able to meet other GBMSM more efficiently. Drawbacks included the lack of personal connection, lack of safety measures for youth, encountering deception and the use of fake profile pictures, and needing a virtual proxy network to access some websites. Participants provided suggestions to further improve their experiences of online spaces. Conclusions While broad-based, GBMSM-specific messaging can be implemented in Chinese, GBMSM-specific spaces, sexual health messaging may also reach niche GBMSM communities in a variety of non-GBMSM spaces.

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Time to consider elimination of HIV in China

Cited by 2 publications

References 7 publications

Intimate Partner Violence and Willingness to Use Pre-Exposure Prophylaxis Among Men Who Have Sex With Men in Chengdu, China

Intimate Partner Violence and Willingness to Use Pre-Exposure Prophylaxis Among Men Who Have Sex With Men in Chengdu, China

Mapping Online Community Spaces through Online Focus Group Discussions among GBMSM in Guangdong, China: Implications for HIV/STD Prevention Services

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