Safer Sex Practices Among Newly Diagnosed Hiv-positive Men Who Have Sex With Men in China: Results From an Ethnographic Study

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aut.relation.issue1en_NZ
aut.relation.journalInternational Journal of Qualitative Studies on Health and Well-beingen_NZ
aut.relation.volume12en_NZ
aut.researcherHolroyd, Eleanor
dc.contributor.authorLi, Hen_NZ
dc.contributor.authorSankar, Aen_NZ
dc.contributor.authorHolroyd, Een_NZ
dc.contributor.authorJiang, Ben_NZ
dc.date.accessioned2020-08-31T00:46:01Z
dc.date.available2020-08-31T00:46:01Z
dc.date.copyright2017-01-01en_NZ
dc.date.issued2017-01-01en_NZ
dc.description.abstractThe study reported here sought to understand the rationales of safer sex practices adopted by newly diagnosed HIV-positive men who have sex with men (MSM). Guided by a socio-ecological framework, an ethnography was conducted among newly diagnosed HIV-positive MSM. Indepth interviews and participant observation were employed to produce an account of the social and cultural settings that was faithful to the perspectives of participants. A total of 31 participants with diverse backgrounds were recruited in a southern city of China. Participant observation was conducted in local healthcare settings, MSM venues, and NGO offices. Most participants (24/31) reported stopping unprotected anal intercourse (UAI) immediately after being diagnosed as HIV-positive. Factors associated with safer sex practices were identified at both individual and environmental levels, including self-protection, establishment of selfesteem, dignity, altruism and reciprocity, disease experience as a source of personal growth, and organizational culture and values. Newly diagnosed HIV-positive MSM navigate their sexual practices within the context of multiple competing factors. Implications for sustained behaviour change enabling safer sex practices include stimulating survival instinct, facilitating safer sex decision making, motivating and facilitating personal growth, and encouraging volunteerism to promote intentional activities for safer sex practices.en_NZ
dc.identifier.citationInternational Journal of Qualitative Studies on Health and Well-being, 12(1), 1335167.
dc.identifier.doi10.1080/17482631.2017.1335167en_NZ
dc.identifier.issn1748-2623en_NZ
dc.identifier.issn1748-2631en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13617
dc.publisherTaylor & Francis
dc.relation.urihttps://www.tandfonline.com/doi/full/10.1080/17482631.2017.1335167
dc.rights© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectSafer sex; New HIV diagnosis; Men who have sex with men; China
dc.titleSafer Sex Practices Among Newly Diagnosed Hiv-positive Men Who Have Sex With Men in China: Results From an Ethnographic Studyen_NZ
dc.typeJournal Article
pubs.elements-id304014
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/Nursing
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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