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. 2014:2014:143738.
doi: 10.1155/2014/143738. Epub 2014 Mar 27.

Alcohol use, stigmatizing/discriminatory attitudes, and HIV high-risk sexual behaviors among men who have sex with men in China

Meizhen Liao  1 , Dianmin Kang  1 , Xiaorun Tao  1 , Jennifer Huang Bouey  2 , Muktar H Aliyu  3 , Yuesheng Qian  1 , Guoyong Wang  1 , Xiaoguang Sun  1 , Bin Lin  1 , Zhenqiang Bi  1 , Yujiang Jia  4
Affiliations

Alcohol use, stigmatizing/discriminatory attitudes, and HIV high-risk sexual behaviors among men who have sex with men in China

Meizhen Liao et al. Biomed Res Int. 2014.

Abstract

Objective: This research was conducted to assess the correlates of alcohol consumption and HIV/AIDS-related stigmatizing and discriminatory attitudes among men who have sex with men (MSM) in Shandong province, China.

Methods: A cross-sectional survey provided demographics, sexual behaviors, illicit drug use, alcohol consumptions, and service utilization.

Results: Of 1,230 participants, 82.8% were single, 85.7% aged <35 years, 47.2% had college or higher education, and 11.7% drank alcohol >3 times per week in the past six months. The average total score of stigmatizing and discriminatory attitude was 37.4 ± 4.4. More frequent episodes of alcohol use were independently associated with higher levels of HIV/AIDS-related stigma and discrimination, unprotected anal sex, bisexual identity, multiple male sex partners, drug use, and lower levels of education. Expressing higher levels of HIV/AIDS-related stigmatizing and discriminatory attitudes was independently associated with alcohol use, unprotected male anal sex, bisexuals, more male sex partners, commercial sex with men, and non-receipt of peer education in the past year.

Conclusion: HIV/AIDS-related stigmatizing and discriminatory attitudes are common and associated with alcohol use and unprotected sex among MSM. The finding highlights the needs to develop programs that would reduce HIV/AIDS-related stigmatizing and discriminatory attitudes and strengthen alcohol use prevention and risk reduction initiatives among MSM.

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Figure 1
Figure 1
Comparisons of HIV/AIDS-related stigmatizing and discriminatory attitudes with the alcohol consumption for the participants who reported drinking ≥3 times per week in the past 6 months (P6M) in Shandong province, China.
See this image and copyright information in PMC

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