Homosexual identity and network overlap predictors of HIV infection among older men from rural China: a case–control study
Background The number of newly reported older (≥50 years old) people living with HIV/AIDS in China has been steadily increasing, and heterosexual transmission has been identified as the major route.Methods In this study, based on biopsychosocial model, a case–control study (74 cases vs 296 controls)...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-07-01
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| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000781.full |
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| author | Yuan Li Jia He Yi Yang Shuangfeng Fan Jing Xi ShiJiao He |
| author_facet | Yuan Li Jia He Yi Yang Shuangfeng Fan Jing Xi ShiJiao He |
| author_sort | Yuan Li |
| collection | DOAJ |
| description | Background The number of newly reported older (≥50 years old) people living with HIV/AIDS in China has been steadily increasing, and heterosexual transmission has been identified as the major route.Methods In this study, based on biopsychosocial model, a case–control study (74 cases vs 296 controls) was applied to find out predictors (21 potential ones) of HIV infection among older men from rural China. Binary logistic regression with backward selection was applied.Results Out of 21 potential predictors of HIV infection, 4 were confirmed: receiving HIV-related health education (HRHE) (OR 0.449, 95% CI 0.238 to 0.848), self-reported homosexual identity (16.517 (95% CI 1.073 to 254.182)), visiting female sex workers (FSW) (58.427 (95% CI 7.895 to 432.403)), complete non-overlap of intimate social network and sexual network (2.912 (95% CI 1.372 to 6.177)), partial overlap (3.334 (95% CI 1.536 to 7.236)).Discussion Findings from this study suggest current comprehensive prevention and control services need to be strengthened to provide effective HRHE including condom use to older men and help them to improve condom use, especially during visiting FSW and among self-reported homosexual older men. Moreover, increasing intimacy in their sexual relationships is necessary. |
| format | Article |
| id | doaj-art-ecda80597b6b4389a87d3062af3d04e9 |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-ecda80597b6b4389a87d3062af3d04e92025-01-28T15:35:12ZengBMJ Publishing GroupBMJ Public Health2753-42942024-07-012110.1136/bmjph-2023-000781Homosexual identity and network overlap predictors of HIV infection among older men from rural China: a case–control studyYuan Li0Jia He1Yi Yang2Shuangfeng Fan3Jing Xi4ShiJiao He52 Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu, Sichuan, China7 Tongji University School of Medicine, Shanghai, ChinaBiocytogen Pharmaceuticals, Beijing, ChinaChengdu Center for Disease Control and Prevention, Chengdu, Sichuan, ChinaChengdu Center for Disease Control and Prevention, Chengdu, Sichuan, ChinaChengdu Center for Disease Control and Prevention, Chengdu, Sichuan, ChinaBackground The number of newly reported older (≥50 years old) people living with HIV/AIDS in China has been steadily increasing, and heterosexual transmission has been identified as the major route.Methods In this study, based on biopsychosocial model, a case–control study (74 cases vs 296 controls) was applied to find out predictors (21 potential ones) of HIV infection among older men from rural China. Binary logistic regression with backward selection was applied.Results Out of 21 potential predictors of HIV infection, 4 were confirmed: receiving HIV-related health education (HRHE) (OR 0.449, 95% CI 0.238 to 0.848), self-reported homosexual identity (16.517 (95% CI 1.073 to 254.182)), visiting female sex workers (FSW) (58.427 (95% CI 7.895 to 432.403)), complete non-overlap of intimate social network and sexual network (2.912 (95% CI 1.372 to 6.177)), partial overlap (3.334 (95% CI 1.536 to 7.236)).Discussion Findings from this study suggest current comprehensive prevention and control services need to be strengthened to provide effective HRHE including condom use to older men and help them to improve condom use, especially during visiting FSW and among self-reported homosexual older men. Moreover, increasing intimacy in their sexual relationships is necessary.https://bmjpublichealth.bmj.com/content/2/1/e000781.full |
| spellingShingle | Yuan Li Jia He Yi Yang Shuangfeng Fan Jing Xi ShiJiao He Homosexual identity and network overlap predictors of HIV infection among older men from rural China: a case–control study BMJ Public Health |
| title | Homosexual identity and network overlap predictors of HIV infection among older men from rural China: a case–control study |
| title_full | Homosexual identity and network overlap predictors of HIV infection among older men from rural China: a case–control study |
| title_fullStr | Homosexual identity and network overlap predictors of HIV infection among older men from rural China: a case–control study |
| title_full_unstemmed | Homosexual identity and network overlap predictors of HIV infection among older men from rural China: a case–control study |
| title_short | Homosexual identity and network overlap predictors of HIV infection among older men from rural China: a case–control study |
| title_sort | homosexual identity and network overlap predictors of hiv infection among older men from rural china a case control study |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000781.full |
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