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HIV Serostatus Disclosure Among Men Who Have Sex with Men in China in the Era of U=U and PrEP

Bibliographic Data

ID15335671
AuthorsWangnan Cao (0000-0002-6163-2760, Peking University), Jinghua Li (0000-0002-1805-9970, Sun Yat-sen University, corresponding author), Shengzhi Sun (0000-0002-3708-1225, Boston University), Carla Denise Sturm (Karolinska Institutet), Carla Sturm, Liping Peng (0000-0002-1646-2491, Sun Yat-sen University), Jing Gu (0000-0002-4035-9072, Sun Yat-sen University), Chun Hao (0000-0002-9881-6504, Sun Yat-sen University), Fengsu Hou (0000-0001-5869-4365, Shenzhen KangNing Hospital), Dannuo Wei (0000-0002-9293-4956, Sun Yat-sen University), Xinyi You (0000-0003-1434-6830, Sun Yat-sen University), Yang Deng (0000-0001-5807-1440, Sun Yat-sen University), Anna Mia Ekström (0000-0002-3912-1171, Karolinska Institutet), Muslima Ejaz (0000-0002-1187-9095)
Year2021
Volume26
Issue5
Pages1477-1488
Publication date2021-10-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAIDS and Behavior (JOURNAL)
Journal identifiersISSN: 1090-7165 • E-ISSN: 1573-3254
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10461-021-03502-7
PMID34697704
OpenAlexW3210201048
LanguageEN
Citations received3
References cited37

Given the recent evidence on "Undetectable = Untransmittable" (U=U) and pre-exposure prophylaxis (PrEP), the present study aimed to investigate HIV disclosure behaviors and their associations with sexual risk behaviors and U=U and PrEP awareness among men who have sex with men (MSM) in China. A cross-sectional survey was conducted among 689 MSM recruited through a gay-friendly non-governmental organization located in Chengdu, China in 2018-2019. Information was collected by a structured self-administrated questionnaire. The enrolled sample included 554 (80.4%) participants who were HIV-negative and 135 (19.6%) participants with an unknown HIV status. In terms of disclosure, 41.4% of participants informed all partners about their HIV status all the time (informing behavior), while 30.4% asked all partners about their HIV status all the time (asking behavior). Only one-fifth knew about U=U, but this was not statistically associated with either informing or asking behavior. Half (50.5%) had heard of PrEP but this was not statistically associated with either informing or asking behavior. Common barriers to informing and asking behaviors were lower risk perception of HIV infection, a history of sexually transmitted infections, engagement in receptive sex, and a history of sex with casual partners. We found that both U=U and PrEP awareness and HIV serostatus disclosure were infrequent and not associated in this study of Chinese MSM. These data indicate huge information gaps among MSM in China

China · Family medicine · Health psychology · Human immunodeficiency virus (HIV · Male Homosexuality · Men who have sex with men · Political science · Public health · Serostatus · Sociology · Syphilis · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Gerontology

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Unique citing works3
Citations per year0,75
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3
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