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HIV disclosure and intimate partner violence among HIV ‐infected men who have sex with men in marriage of convenience in China

Bibliographic Data

ID21320101
AuthorsYong Yu (0000-0003-1928-2514, School of Politics and Public Administration Guangxi Normal University Guilin Guangxi China), Keke Qin (0000-0001-8611-5471, School of Politics and Public Administration Guangxi Normal University Guilin Guangxi China, corresponding author), Yedong Xian (School of Politics and Public Administration Guangxi Normal University Guilin Guangxi China), Huiling Cai (School of Politics and Public Administration Guangxi Normal University Guilin Guangxi China), Fuqun Xiao (School of Politics and Public Administration Guangxi Normal University Guilin Guangxi China)
Year2024
Volume63
Issue4
Pages2434-2454
Publication date2024-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFamily Process (JOURNAL)
Journal identifiersISSN: 0014-7370 • E-ISSN: 1545-5300
PublisherWiley (PUBLISHER • GB)
DOI10.1111/famp.13017
PMID38775139
OpenAlexW4398209912
LanguageEN
References cited63

Marriage of convenience is a unique phenomenon in China where a gay man and a lesbian get married to fulfill social expectations while retaining their homosexual identities. Men who have sex with men (MSM) are at increased risk of HIV infection and intimate partner violence (IPV) following HIV disclosure. A sample of 232 HIV‐infected MSM in the marriage of convenience was recruited online and completed questionnaires about experiences of IPV, HIV disclosure, and their sociodemographic, clinical, and psychosocial characteristics. Our results showed that over half (57.3%) of HIV‐infected MSM had disclosed their HIV status to their lesbian spouses. Bisexual men, having children with their lesbian spouse, HIV diagnosis time >24 months, having a current fixed gay partner, having disclosed HIV to their current fixed gay partners, higher levels of social support, lower levels of self‐stigma related to HIV infection, no depression, and no suicidal ideation were all independently associated with an increased likelihood of disclosing to lesbian spouses. Approximately 61.6% of participants experienced at least one type of IPV from either a gay partner, a lesbian spouse, or both in the past 12 months. HIV disclosure to lesbian spouses was associated with an increased risk of IPV. Our findings reveal the high prevalence of IPV among HIV‐infected MSM in the marriage of convenience and its association with HIV disclosure, which warrants policy, clinical, and research efforts to design targeted and comprehensive interventions to improve HIV disclosure while preventing IPV among this population

Domestic violence · Environmental health · Lesbian · Poison control · Population · Psychiatry · Psychological intervention · Psychosocial · Self-disclosure · Social support · Spouse · Suicidal ideation · Suicide prevention · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology

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