Receiving HIV Serostatus Disclosure from Partners Before Sex: Results from an Online Survey of Chinese Men Who Have Sex with Men

  • Weiming Tang
  • Chuncheng Liu
  • Bolin Cao
  • Stephen W. Pan
  • Ye Zhang
  • Jason Ong
  • Hongyun Fu
  • Baoli Ma
  • Rong Fu
  • Bin Yang
  • Wei Ma
  • Chongyi Wei
  • Joseph D. Tucker
  • SESH Study Group
Original Paper

Abstract

HIV serostatus disclosure before sex can facilitate serosorting, condom use and potentially decrease the risk of HIV acquisition. However, few studies have evaluated HIV serostatus disclosure from partners before sex. We examined the rate and correlates of receiving HIV serostatus disclosure from regular and casual male partners before sex among an online sample of men who have sex with men (MSM) in China. An online cross-sectional study was conducted among MSM in eight Chinese cities in July 2016. Participants completed questions covering sociodemographic information, sexual behaviors, HIV testing (including HIV self-testing) history, self-reported HIV status, and post-test violence. In addition, participants were asked whether they received HIV serostatus disclosure from their most recent partners before sex. Overall, 2105 men completed the survey. Among them, 85.9% were never married, and 35.4% had high school or less education. A minority (20.6%, 346/1678; 17.8%, 287/1608) of men received HIV serostatus disclosure from their most recent regular and casual male partners, respectively. Multivariate analysis indicated that participants who ever self-tested for HIV were more likely to have received HIV status disclosure from regular [adjusted OR (aOR) = 1.92, 95% CI 1.50–2.44] and casual (aOR = 2.34, 95% CI 1.80–3.04) male partners compared to never self-tested participants. Compared to participants who had not received HIV status disclosure from regular partners, participants who received disclosure from regular male partners had higher likelihood in experiencing post-test violence (aOR = 5.18, 95% CI 1.53–17.58). Similar results were also found for receiving HIV serostatus disclosure from casual partners. This study showed that HIV serostatus disclosure from partners was uncommon among Chinese MSM. Interventions and further implementation research to facilitate safe disclosure are urgently needed for MSM.

Keywords

Disclosure Male partner Men who have sex with men Self-testing Violence 

Notes

Acknowledgements

This work was supported by the National Institutes of Health under grant [National Institute of Allergy and Infectious Diseases 1R01AI114310]; UNC-South China STD Research Training Centre under Grant [Fogarty International Centre 1D43TW009532]; UNC Center for AIDS Research under Grant [National Institute of Allergy and Infectious Diseases 5P30AI050410]; University of California San Francisco Center for AIDS Research under Grant [National Institute of Allergy and Infectious Diseases P30 AI027763]; and the Bill & Melinda Gates Foundation under Grant [MeSH Consortium BMGF-OPP1120138]. This publication was also supported by National Center for Advancing Translational Sciences (NCATS) at the National Institutes of Health under Grant [UL1TR001111]. We thank all the study participants and staff members at SESH Global, Danlan, and Southern Medical University Dermatology Hospital who contributed.

Disclosure

The authors declare no competing interests.

SESH Study Group

Lisa Hightow-Weidman, Barry Bayus, Fern Terris-Prestholt, Ligang Yang, Rosanna Peeling, Kevin Fenton, Shujie Huang, Cheng Wang, Heping Zheng, Peter Vickerman, Kate M Mitchell, Zihuang Cheng, John Best, Thitikarn May Tangthanasup, and Ngai Sze Wong, Lai Sze Tso, Wei Zhang and Haochu Li.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Weiming Tang
    • 1
    • 2
    • 3
    • 4
  • Chuncheng Liu
    • 1
    • 2
    • 5
  • Bolin Cao
    • 1
    • 2
    • 6
  • Stephen W. Pan
    • 1
    • 2
  • Ye Zhang
    • 1
    • 2
    • 3
  • Jason Ong
    • 1
  • Hongyun Fu
    • 7
  • Baoli Ma
    • 8
  • Rong Fu
    • 1
    • 2
  • Bin Yang
    • 3
  • Wei Ma
    • 9
  • Chongyi Wei
    • 10
  • Joseph D. Tucker
    • 1
    • 2
    • 4
  • SESH Study Group
  1. 1.University of North Carolina at Chapel Hill Project-ChinaGuangzhouChina
  2. 2.SESH Study GroupGuangzhouChina
  3. 3.Dermatology Hospital of Southern Medical University (Guangdong Dermatology Hospital)GuangzhouChina
  4. 4.School of Medicine of University of North Carolina at Chapel HillChapel HillUSA
  5. 5.Department of SociologyUniversity of California, San DiegoLa JollaUSA
  6. 6.College of Mass CommunicationShenzhen UniversityShenzhenChina
  7. 7.Division of Community Health and ResearchEastern Virginia Medical SchoolNorfolkUSA
  8. 8.Danlan GongyiBeijingChina
  9. 9.School of Public HealthShandong UniversityJinanChina
  10. 10.School of MedicineUniversity of California, San FranciscoSan FranciscoUSA

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