title: Non-disclosure of Sexual Orientation to Parents Associated with Sexual Risk Behaviors Among Gay and Bisexual MSM in China.
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.
authors.affiliation: School of Health Service management, Anhui Medical University, Hefei, China.|Department of Literature Review and Analysis, Library of Anhui Medical University, Hefei, China.
authors.forename: Ye
authors.initials: Y
authors.lastname: Zhao
authors.affiliation: School of Health Service management, Anhui Medical University, Hefei, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Ma
authors.affiliation: School of Health Service management, Anhui Medical University, Hefei, China.
authors.forename: Ren
authors.initials: R
authors.lastname: Chen
authors.affiliation: Medicare Office, Anhui Provincial Children's Hospital, Hefei, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Li
authors.affiliation: School of Health Service management, Anhui Medical University, Hefei, China.
authors.forename: Xia
authors.initials: X
authors.lastname: Qin
authors.affiliation: School of Health Service management, Anhui Medical University, Hefei, China. aywghz@126.com.
authors.forename: Zhi
authors.initials: Z
authors.lastname: Hu
mesh_terms: D000293:Adolescent; D000328:Adult; D001727:Bisexuality / Q000523:psychology* / Q000706:statistics & numerical data; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D030881:Disclosure; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D018452:Homosexuality, Female / Q000523:psychology* / Q000706:statistics & numerical data; D018451:Homosexuality, Male / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010290:Parents; D012044:Regression Analysis; D012306:Risk; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: Bisexual; China; Disclosure; Gay; MSM; Parents; Sexual risk behaviors