Mental Health Problems and Associated Socio-Ecological Factors Among HIV-Positive Young Migrant Men Who Have Sex with Men in China

  • Haochu (Howard) Li
  • Joseph T. F. Lau
  • Eleanor Holroyd
  • Xiaoming Li
Chapter

Abstract

We examined the mental health status among HIV-positive young migrant men who have sex with men (MSM) residing in a city in Southern China through an ethnographic study. Nineteen HIV-positive young MSM aged from 18 to 25 were included in the current analysis. Most HIV-positive young MSM (14/19) self-reported depressive symptoms, almost half (8/19) had experienced anxiety, and about one third (6/19) had experienced both symptoms. The HIV diagnosis brought on such testified stressors including frightening images of HIV/AIDS, side-effects of antiretroviral treatment (ART), and social restrictions due to the disease, serving to make the men feel disabled and worthless. Participants’ life history accounts provided evidence of their problems being embedded in social ecological contexts, such as social adversity in the process of migration, social suffering as MSM, cultural trauma, stigma and discrimination. We theorize that HIV/AIDS is a trigger that amplifies pre-existing stress and conflicts that are deeply embedded at different socio-ecological levels among young migrant MSM.

Keywords

HIV-positive Depression Anxiety Mental health Socio-ecological model Young people Migrant Men who have sex with men Ethnography China 

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Haochu (Howard) Li
    • 1
    • 2
  • Joseph T. F. Lau
    • 3
  • Eleanor Holroyd
    • 4
  • Xiaoming Li
    • 5
  1. 1.UNC Project-China, Institute for Global Health and Infectious DiseasesUniversity of North Carolina at Chapel HillChapel HillUSA
  2. 2.School of Public HealthShandong UniversityJinanChina
  3. 3.Jockey Club School of Public Health and Primary CareThe Chinese University of Hong KongHong Kong SARChina
  4. 4.School of Clinical SciencesAuckland University of TechnologyNorthcoteAuckland
  5. 5.Department of Health Promotion, Education, and BehaviorArnold School of Public HealthColumbiaUSA

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