Abstract
The objective of this study was to explore the relationship between non-disclosure of sexual orientation to parents and sexual risk behaviors among gay and bisexual men who have sex with men (MSM) in China. A total of 295 eligible participants (gay n = 179, bisexual n = 116) were recruited from MSM venues and MSM organizations in Anhui Province, China. Overall, 16.6 % of participants chose to disclose their sexual orientation to parents. Fewer bisexual participants chose to disclose their sexual orientation than gay participants (9.5 vs. 21.2 %, p < 0.01). A multivariate logistic regression analysis indicated that non-disclosers were more likely than disclosers to report having one or more female sex partners among gay and bisexual MSM (AOR = 2.91), non-disclosure of sexual orientation to parents was positively associated with the number of female sex partners (AOR = 3.40) and with engagement in unprotected anal intercourse with men (AOR = 2.49) among gay MSM, in the past 6 months. Our findings indicated that HIV/AIDS intervention programs should promote the disclosure of sexual orientation and should design interventions specific to gay and bisexual MSM separately.
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Acknowledgments
This work was supported by the national nature science foundation of China under Grant No. 71173002 and No. 71303007. The authors thank the participations and all who were involved in the surveys. Specially thanks to Wuhu, Hefei and Maanshan CDC and local grassroots organizations for assisting the field work.
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Ye Zhao and Ying Ma contributed equally to this paper.
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Zhao, Y., Ma, Y., Chen, R. et al. Non-disclosure of Sexual Orientation to Parents Associated with Sexual Risk Behaviors Among Gay and Bisexual MSM in China. AIDS Behav 20, 193–203 (2016). https://doi.org/10.1007/s10461-015-1135-6
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DOI: https://doi.org/10.1007/s10461-015-1135-6