Non-disclosed men who have sex with men within local MSM HIV-1 genetic transmission networks in Guangyuan, China

Dados Bibliográficos

ID22073001
AutoresLacuo Zhuoma (Sichuan Center for Disease Control and Prevention), Yan Zhang (0000-0001-8460-2671, Sichuan Center for Disease Control and Prevention), Yan Tu (0000-0002-8956-5790), Tu Yan, Fayang Kang, Xueqin Hou (0000-0001-7075-3321), Jianguo Chen (0000-0001-6809-9711), Min Huang (0000-0003-2810-6475), Yali Zeng (0000-0001-9501-3047, Sichuan Center for Disease Control and Prevention), Qiushi Wang (0000-0001-5196-5011, Sichuan Center for Disease Control and Prevention), Chang Zhou (0009-0001-0260-4268, Sichuan Center for Disease Control and Prevention), Shu Liang (0000-0002-0331-246X, Sichuan Center for Disease Control and Prevention), Ling Su (0000-0002-6229-5137, Sichuan Center for Disease Control and Prevention, autor correspondente)
Ano2022
Volume10
Páginas956217-956217
Data de publicação2022-08-09
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.956217
PMID36117593
OpenAlexW4293762758
IdiomaEN
Citações recebidas3
Referências citadas27

Background: Most men who have sex with men (MSM), especially those with HIV infection, do not disclose their same-sex behaviors in China due to Chinese family values and fear of stigmatization, rejection, or prejudice. However, disclosure of same-sex behaviors to healthcare providers (HCPs) can be beneficial for reducing viral transmission and promoting their physical and mental health. In this study, by combining phylogenetic analysis with traditional epidemiological approaches, we tried to identify the MSM who do not disclose to HCPs in transmission networks and explored the factors related to the non-disclosed behaviors. Method: sequences obtained from the drug-resistant surveillance program, which was collected as part of routine clinical care since 2012. Sequences were linked to the demographic data collected in the Chinese HIV/AIDS Comprehensive Response Information Management System (CRIMS). First, male patients in whom genetic sequences were within the molecular transmission clusters involving self-reported MSM were identified as potential MSM (pMSM). Then, a cross-sectional survey was conducted to supplement behavioral information and attitudes toward MSM. Results: Our sample consisted of 190 pMSM patients. In total, 43.16% of the patients were likely to conceal same-sex behaviors during the first-self-report, and 14.73% of patients might continue to conceal a history of same-sex behaviors even after receiving medical care. The pMSM who concealed their same-sex behaviors were reluctant to accept medical services such as Voluntary Counseling and Testing (VCT) and had a lower likelihood of condom use. In addition, the related factors for non-disclosed behavior were associated with current address, income before diagnosis, and attitudes toward MSM. Conclusion: Non-disclosure of same-sex behaviors to HCPs may be a major obstacle for certain medical services for MSM who exhibit risky sexual behaviors. The pMSM from developing areas, with high monthly income, and with neutral or un-supportive attitudes toward MSM may represent non-disclosure of their same-sex behaviors. Thus, policies facilitating MSM to disclose their same-sex behaviors are recommended, such as legislations protecting homosexual rights on employment, education, marriage, and so on

Condom · Environmental health · Family medicine · Men who have sex with men · Demography · HIV/AIDS drug development and treatment · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine