title: Stigma, Subsistence, Intimacy, Face, Filial Piety, and Mental Health Problems Among Newly HIV-Diagnosed Men Who Have Sex With Men in China.
abstract: High rates of mental health problems among people living with HIV (PLWH) have been widely reported in the literature; however, an understanding of the socioecological contexts of these presentations remains limited, particularly in China. In order to explore potential socioecological factors associated with mental health problems among newly diagnosed HIV-infected migrant men who have sex with men (MSM), we employed a life profile approach conducting semi-structured in-depth interviews with 31 newly diagnosed HIV-infected MSM residing in a city in Southern China. Participants' life profile accounts outlined their concerns, including internalized stigma, subsistence living, difficulties finding a lover or a stable partner, loss of face, and deviation from filial piety. We contend that targeted interventions should address socio-ecological issues such as migrant adversities, social suffering, and cultural trauma when providing culturally based mental health services for this marginalized population within the context of Chinese society.
authors.forename: Haochu Howard
authors.initials: HH
authors.lastname: Li
authors.forename: Eleanor
authors.initials: E
authors.lastname: Holroyd
authors.forename: Joseph
authors.initials: J
authors.lastname: Lau
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Li
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D005195:Family Relations; D017144:Focus Groups; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000208:ethnology / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008603:Mental Health; D011287:Prejudice; D036301:Qualitative Research; D012649:Self Concept; D012747:Sexual Partners; D057545:Social Stigma; D012944:Social Support; D013240:Stereotyping; D055815:Young Adult
keywords: China; HIV; men who have sex with men; mental health; newly diagnosed HIV infection