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    Safer sex practices among newly diagnosed HIV-positive men who have sex with men in China: results from an ethnographic study

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    Author
    Li, H; Sankar, A; Holroyd, E; Jiang, B
    Date
    2017-06-15
    Source Title
    International Journal of Qualitative Studies on Health & Well-Being
    Publisher
    TAYLOR & FRANCIS LTD
    University of Melbourne Author/s
    Holroyd, Eleanor
    Affiliation
    Melbourne School of Population and Global Health
    Metadata
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    Document Type
    Journal Article
    Citations
    Li, H., Sankar, A., Holroyd, E. & Jiang, B. (2017). Safer sex practices among newly diagnosed HIV-positive men who have sex with men in China: results from an ethnographic study. INTERNATIONAL JOURNAL OF QUALITATIVE STUDIES ON HEALTH AND WELL-BEING, 12 (1), https://doi.org/10.1080/17482631.2017.1335167.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/256515
    DOI
    10.1080/17482631.2017.1335167
    Abstract
    The study reported here sought to understand the rationales of safer sex practices adopted by newly diagnosed HIV-positive men who have sex with men (MSM). Guided by a socio-ecological framework, an ethnography was conducted among newly diagnosed HIV-positive MSM. In-depth interviews and participant observation were employed to produce an account of the social and cultural settings that was faithful to the perspectives of participants. A total of 31 participants with diverse backgrounds were recruited in a southern city of China. Participant observation was conducted in local healthcare settings, MSM venues, and NGO offices. Most participants (24/31) reported stopping unprotected anal intercourse (UAI) immediately after being diagnosed as HIV-positive. Factors associated with safer sex practices were identified at both individual and environmental levels, including self-protection, establishment of self-esteem, dignity, altruism and reciprocity, disease experience as a source of personal growth, and organizational culture and values. Newly diagnosed HIV-positive MSM navigate their sexual practices within the context of multiple competing factors. Implications for sustained behaviour change enabling safer sex practices include stimulating survival instinct, facilitating safer sex decision making, motivating and facilitating personal growth, and encouraging volunteerism to promote intentional activities for safer sex practices.

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