Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (3): 113-119.doi: 10.6040/j.issn.1671-7554.0.2020.1586

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Sexual orientation disclosure and HIV testing uptake among men who have sex with men: chain mediating effect of HIV testing social norms and self-efficacy

LIN Yuxi, LI Chuanxi, WANG Lin, MA Wei   

  1. Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China
  • Published:2021-04-06

Abstract: Objective To explore the relationship among sexual orientation disclosure, social norms, self-efficacy and uptake of human immunodeficiency virus(HIV)testing among men who have sex with men(MSM). Methods Participants were recruited in 11 cities of Shandong Province during Aug. and Dec., 2019, and were investigated with an anonymous online survey. The chain mediating effect was analyzed with non-parametric bootstrap method with bias correction. Results Among 924 participants, 37.1%(343/924)disclosed their sexual orientation to health professionals and 83.8%(774/924)had received HIV testing. Spearman correlation analysis showed that there was significantly positive correlation between sexual orientation disclosure, HIV testing social norms, HIV testing self-efficacy and HIV testing uptake(P<0.05). Bootstrap test showed that between sexual orientation disclosure and HIV testing uptake, the mediating effect of HIV testing self-efficacy was 0.163(95%CI: 0.075-0.283), and the chain mediating effect of HIV testing social norms and self-efficacy was 0.022(95%CI: 0.006-0.052). Conclusion It is necessary to carry out MSM sexual orientation disclosure intervention and improve HIV testing social norms and self-efficacy to promote HIV testing uptake among MSM in China.

Key words: Sexual orientation disclosure, HIV testing social norms, HIV testing self-efficacy, HIV testing, Men who have sex with men

CLC Number: 

  • R181.3
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