Unpacking the Influence of Sexual Stigma on HIV Risk: Results From a Prospective Study of Men Who Have Sex With Men in Beijing, China

Choi, Kyung–Hee; Steward, Wayne T.; Miège, Pierre; Gregorich, Steven E.

doi:10.1097/qai.0000000000001217

Cited by 15 publications

(2 citation statements)

References 42 publications

(52 reference statements)

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“…Insofar as limited research has quantitatively examined components of minority stress in China, studies have focused on testing known factors identified by literature in the West, and findings have been mixed. A longitudinal study found that internalized stigma and enacted stigma (overt experience of discrimination) did not predict psychological distress yet anticipated stigma (i.e., anticipated rejection and discrimination from others) affected both depression and anxiety (Choi, Steward, Miège, & Gregorich, 2017; Choi, Steward, Miège, Hudes, & Gregorich, 2016). Another study showed gay-related stressful events, particularly workplace discrimination, associated with depression among sexual minority men (Y.…”

Section: Contextualizing Minority Stress Among Chinese Sexual Minorit...mentioning

confidence: 99%

Cultural context matters: Testing the minority stress model among Chinese sexual minority men.

Sun¹,

Hoyt²,

Tarantino³

et al. 2021

Journal of Counseling Psychology

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Minority stress theory (e.g., Meyer, 2003b), a model for understanding mental health disparities affecting sexual minorities, has primarily been tested in Western samples yet has not been carefully applied to the experiences of sexual minorities in a global context, including in East Asian countries. Combining minority stress theory with considerations of Chinese culture, the current study tested the associations among norm conformity, distal minority stressor (enacted stigma), proximal minority stressors (sexual identity concerns and concealment), lesbian, gay, and bisexual (LGB) family support, and psychological distress among Chinese sexual minority men (n = 748). Structural equation modeling showed that sexual identity concerns mediated the associations of norm conformity, enacted stigma, and lower family support with concealment. Psychological distress was associated with enacted stigma and lower family support, but not with proximal stressors (sexual identity concerns and concealment). Alternative model testing found sexual identity acceptance concerns predicted psychological distress and mediated the associations of norm conformity and LGB family support with distress. Findings provide partial support for the minority stress model in a Chinese context and suggest the importance of incorporating cultural considerations into minority stress conceptualizations.

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Section: Contextualizing Minority Stress Among Chinese Sexual Minorit...mentioning

confidence: 99%

Cultural context matters: Testing the minority stress model among Chinese sexual minority men.

Sun¹,

Hoyt²,

Tarantino³

et al. 2021

Journal of Counseling Psychology

View full text Add to dashboard Cite

show abstract

“…Nevertheless, the potential mediating effects of different coping strategies on the relationship between PTSD and PTG remain unclear. Especially, rejection of those with HIV/AIDS by the public and the stigma associated with homosexuality in China’s society may have direct influence on ways to cope with HIV-related stress and emotional reactions in this vulnerable population ( Choi et al, 2017 ); therefore, the distinct mediating effects of coping strategies may vary in accordance with its specific types.…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Posttraumatic Stress Disorder Symptoms and Posttraumatic Growth Among HIV-Infected Men Who Have Sex With Men in Beijing, China: The Mediating Roles of Coping Strategies

2018

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The traumatic experience of contracting and living with HIV/AIDS may produce a myriad of mental health problems, especially posttraumatic stress disorder (PTSD) symptoms, and conversely, bring posttraumatic growth (PTG), that is, positive changes resulting from a struggle with trauma. The growing body of research into the relationship between PTSD symptoms and PTG has produced mixed results. In addition, some research has suggested that psychosocial and cognitive factors may mediate the development of PTG after trauma exposure. Specifically, individuals experience fewer psychological symptoms and better mental health when adaptive coping strategies align with stressors; however, little research is available on the relationship and the mediating effect of coping strategies on the link of PTSD symptoms and PTG among HIV-infected men who have sex with men (MSM) in China. The aims of the current study were to investigate the relationship between PTSD symptoms and PTG as well as the potential mediating effects of coping strategies through which PTSD symptoms contributes to PTG among this vulnerable population. One hundred and forty HIV-positive MSM were recruited from the Beijing Center for Disease Prevention and Control and were asked to complete a battery of self-administered questionnaires, covering sociodemographic and HIV-related characteristics, coping strategies (i.e., problem-solving, seeking social support, self-blame, and wishful thinking), PTSD symptoms, and PTG. Results showed that, after controlling for sociodemographic and HIV-related variables, a negative linear relationship was found between PTSD symptoms and PTG. In addition, problem-solving and self-blame played significant mediating roles in the association between PTSD symptoms and PTG. The mediating effects of seeking social support and engaging in wishful thinking on the PTSD symptoms and PTD link were, however, non-significant. The present study contributes to an understanding of the association between PTSD symptoms and PTG and underscores the mediators through which individuals gain growth from traumatic experience in the context of HIV infection in Beijing, China. Given these findings, the future efforts at psychological intervention should differentiate and target various types of coping strategies, especially focusing on enhancing problem-solving skills and decreasing self-blame, in response to the promotion of positive growth among HIV-infected MSM.

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Social Capital Moderates the Relationship Between Stigma and Sexual Risk Among Male Sex Workers in the US Northeast

et al. 2019

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Stigma contributes to elevated HIV incidence among male sex workers (MSW). Social capital (i.e., resources accessed through one's social relationships) may act as a buffer between stigma and sexual risk behaviors and HIV acquisition. Using negative binomial regression, we examined the association between both sex work-related stigma and social capital with respect to number of condomless sex acts among 98 MSW living in the US Northeast. In models adjusted for sociodemographic characteristics, sex work-related stigma was associated with number of condomless sex acts with any non-paying partner (i.e., male and female) (aIRR = 1.25, p < 0.001) and male non-paying partners (aIRR = 1.27, p = 0.09) among individuals with low social capital, not among those with high social capital. Sex work-related stigma was not associated with number of condomless anal sex acts with male paying clients at any level of social capital. Future HIV prevention interventions should consider promoting social capital among MSW.

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Unpacking the Influence of Sexual Stigma on HIV Risk: Results From a Prospective Study of Men Who Have Sex With Men in Beijing, China

Cited by 15 publications

References 42 publications

Cultural context matters: Testing the minority stress model among Chinese sexual minority men.

Cultural context matters: Testing the minority stress model among Chinese sexual minority men.

The Relationship Between Posttraumatic Stress Disorder Symptoms and Posttraumatic Growth Among HIV-Infected Men Who Have Sex With Men in Beijing, China: The Mediating Roles of Coping Strategies

Social Capital Moderates the Relationship Between Stigma and Sexual Risk Among Male Sex Workers in the US Northeast

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