Familism and HIV Risk Among Men Who Have Sex With Men in Taiwan: The Mediating Roles of Stressful Life Events and Coping Strategies.

IF 1.6 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Aids Education and Prevention Pub Date : 2022-02-01 DOI:10.1521/aeap.2022.34.1.1

Deng-Min Chuang, Peter A Newman, Lin Fang, Meng-Chuan Lai

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Abstract

Familism may play an important role in HIV risk behaviors among men who have sex with men (MSM) living in a collectivist culture. This study examined a hypothesized path from familism, stressful life events (i.e., adverse childhood experiences, intimate partner violence, and sexuality-related discriminatory experiences), and coping strategies to condomless anal sex (CAS) among Taiwanese MSM. Participants were 1,000 MSM (mean age = 28.5 years) recruited through five community-based organizations. Structural equation modeling using bootstrapping with 3,000 iterations evaluated the mediating effects of 14 coping strategies. We found a pathway from familism to CAS through stressful life events and substance use coping. The protective effects of familism on stressful life events and CAS suggest that integrating components of family support and family connection into HIV prevention and education programs may increase the effectiveness of these programs in reducing HIV risk behaviors and dysfunctional coping strategies among MSM in Taiwan.

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台湾男男性行为者的家庭主义与HIV风险:压力生活事件与应对策略的中介作用。

家庭主义可能在生活在集体主义文化中的男男性行为者(MSM)的艾滋病毒风险行为中起重要作用。本研究探讨台湾男男性接触者无套肛交发生的假设路径，包括家庭主义、生活压力事件(如不良童年经历、亲密伴侣暴力、性相关歧视经历)、应对策略等。参与者是通过五个社区组织招募的1,000名男男性行为者(平均年龄= 28.5岁)。采用3000次迭代自举的结构方程模型评估了14种应对策略的中介效应。我们发现了从家庭主义到CAS的途径，通过压力生活事件和物质使用应对。家庭主义对压力性生活事件的保护作用，提示将家庭支持和家庭联系纳入HIV预防和教育计划，可能会提高这些计划在减少台湾男同性恋者HIV风险行为和功能失调应对策略方面的有效性。

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来源期刊

Aids Education and Prevention Multiple-

CiteScore

2.20

自引率

5.60%

发文量

期刊介绍： Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.