Social support and depressive symptoms among 'money' boys and general men who have sex with men in Shanghai, China

Hong, Yan; Wong, Frank Y.; Zheng, Tony; Zhang, Ning; Ding, Yingying; Nehl, Eric J.; Lin, Lavinia; He, Na

doi:10.1071/sh14017

Cited by 26 publications

(22 citation statements)

References 20 publications

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“…Further, their chances of engaging in risky sexual behavior and reporting depression decrease. Similar findings are reported in Australia and China, where studies have shown that enriched social support has a negative association with depression among MSM [14]- [16]. Recognizing the role of community groups and community based organizations play in HIV prevention, "Pehchan" program is a rare example of a community systems strengthening program funded by Global Fund working at a national scale from 2010 in India.…”

Section: Discussionsupporting

confidence: 58%

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Factors Associated with Mental Depression among Men Who Have Sex with Men in Southern India

Patel¹,

Prabhakar²,

Saggurti³

2015

Health

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Rates of depression were significantly higher among MSM who had experienced Sexually Transmitted Infections symptoms; knowledge of their HIV positivity; who didn't use condoms during anal sex with any clients/partners; those who consumed alcohol and were in financial debt at the time of survey than others. Those who were associated with any community groups have significantly less chances of reporting depression. Discussion: The study certainly highlighted that the HIV prevention efforts with MSM in India require an integrated approach on addressing the mental health issues. To support this, programs and research-based evidence will be highly needed to ensure that mental health issues are properly addressed among MSM and other high risk groups.

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Section: Discussionsupporting

confidence: 58%

“…In a study in Shanghai, China, lack of social support was found to be a factor influencing high rates of depression among MSM [16]. Poor mental health is shown to increase high-risk behaviors in low-and middle-income countries [17]- [20].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Mental Depression among Men Who Have Sex with Men in Southern India

Patel¹,

Prabhakar²,

Saggurti³

2015

Health

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“…More than techniques for prevention of HIV/AIDS or other sexually transmitted infections, their answers reflected a desire for ways to exist with dignity and support, ways to negotiate their gay self identity in a society and world that currently discriminates against them cruelly. To date, silence on such issues has compounded stress, and led to mental health issues not limited to depression and suicide[18,72]. …”

Section: Discussionmentioning

confidence: 99%

Look into the HIV Epidemic of Gay Community with a Socio-Cultural Perspective: A Qualitative Study in China, 2015-2016

He¹,

Lv²,

Zhang³

et al. 2017

PLoS ONE

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BackgroundCurrent Chinese studies continue to view male homosexuality through a disease focused lens which pays limited attention to socio-cultural aspects of sexual behavior and HIV transmission. This qualitative study aimed to investigate how socio-cultural factors influence gay men’s sexual beliefs and behaviors in contemporary China, and their implications for HIV epidemic.Methods and FindingsQualitative methodology was used in this study. During 2015–2016, in-depth interviews were conducted with 61 self identified gay men in Jiangxi, Henan, Heilongjiang, Guangdong, Jiangsu provinces and Chongqing municipality of China. Our study revealed that: 1) influenced by Chinese traditional culture, gay men have conflicts on self-identity, which led to low self-acceptance and negative attitude on sex, and huge socio-psychological stress; 2) a generational differences within gay community was observed, reflected in varied sexual attitudes and practices as well as way for approaching new friends, both of which have implications and challenges on HIV control and prevention; 3) socio-cultural barriers, including open minds towards casual sex and nonmonogamous relationship, and low priority of health demands were widely observed and led to negative coping with AIDS among gay community.ConclusionsIt is essential to take a holistic view into gay men’s HIV epidemic in China. Socio-cultural barriers for HIV control and prevention found in this study call for serious and imperative consideration on integrated measures, including targeted efforts towards effective sex education and further inclusion of socio-cultural perspectives in HIV/AIDS interventions for gay men.

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“…Previous literature has also indicated that the prevalent stigma and discrimination against homosexuals and the resulting associations with depression can negatively influence quality of life and ability to make healthy decisions, including decisions regarding HIV preventive behaviors or initiation and adherence to HIV treatment [ 23 – 27 ]. MSM who reported a relative lack of social support and engaged in risky behaviors were more likely to have psychological problems [ 20 , 28 ]. Owing to the substantial mental health implications, more attention should be paid to the psychosocial health problems among the MSM population.…”

Section: Introductionmentioning

confidence: 99%

The psychological health and associated factors of men who have sex with men in China: A cross-sectional survey

Liu¹,

Zhou²,

Zhao³

et al. 2018

PLoS ONE

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ObjectivesThe psychological health of men who have sex with men (MSM) has received increased attention in recent years. We thus investigated the psychological status and associated factors among MSM in China.MethodsA cross-sectional survey of 248 MSM was conducted from April to September 2015 using Symptom Checklist 90 (SCL-90) in Huludao and Zhengzhou, China. Statistical analyses utilized SPSS version 19.0 for Windows.ResultsAll Cronbach’s α coefficients of the SCL-90 subscales exceeded 0.7, suggesting acceptable reliability. The coefficient range of the collective validity for all the subscales was >0.4. For the divisional validity, each item correlated better with the hypothetical subscale than with other subscales. Collective validity and divisional validity were both acceptable. The four most frequent types of psychological distress among MSM were depression, obsessive-compulsive behavior, interpersonal sensitivity, and anxiety. Results of the univariate analysis revealed that the following groups had significantly higher SCL-90 scores (P < 0.05): peasantry, married MSM, respondents who reported condomless anal intercourse and a greater number of male partners, and respondents who had not undergone psychosocial counseling and whose family or friends did not know about their sexual identity. In a multivariate logistic regression model, the following parameters were independently associated with higher SCL-90 scores: being married (AOR [adjusted odds ratio] = 3.19; 95% CI [confidence interval]: 1.96 to 5.93), condomless anal intercourse (AOR = 1.16; 95% CI: 1.02 to 1.31), number of male partners (AOR = 1.66 and 1.81; 95% CI: 1.08 to 2.34 and 1.32 to 2.69), family or friends not knowing about sexual identity (AOR = 2.13; 95% CI: 1.17 to 4.92), and lack of psychosocial counseling (AOR = 2.09; 95% CI: 1.06 to 4.09).ConclusionsOur results indicate that psychological health problems among MSM in China are of concern. It is thus necessary to strengthen intervention efforts, with more emphasis on intervention programs to improve psychological health among Chinese MSM.

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Social support and depressive symptoms among 'money' boys and general men who have sex with men in Shanghai, China

Cited by 26 publications

References 20 publications

Factors Associated with Mental Depression among Men Who Have Sex with Men in Southern India

Factors Associated with Mental Depression among Men Who Have Sex with Men in Southern India

Look into the HIV Epidemic of Gay Community with a Socio-Cultural Perspective: A Qualitative Study in China, 2015-2016

The psychological health and associated factors of men who have sex with men in China: A cross-sectional survey

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