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

Download
Author
Li, H; Sankar, A; Holroyd, E; Jiang, BDate
2017-06-15Source Title
International Journal of Qualitative Studies on Health & Well-BeingPublisher
TAYLOR & FRANCIS LTDUniversity of Melbourne Author/s
Holroyd, EleanorAffiliation
Melbourne School of Population and Global HealthMetadata
Show full item recordDocument Type
Journal ArticleCitations
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 AccessAbstract
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.
Export Reference in RIS Format
Endnote
- Click on "Export Reference in RIS Format" and choose "open with... Endnote".
Refworks
- Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References