Men Who Have Sex with Men Who Are College Students with More Social Contacts Are More Likely to Have Repeated HIV Testing: A Longitudinal Study in Northeast China

2019 ◽  
Author(s):  
Huichao Wu ◽  
Menglong Li ◽  
Hongmei Yan ◽  
Wen Shu ◽  
Hongtao Hui ◽  
...  
10.2196/19627 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e19627
Author(s):  
Xiangyu Yan ◽  
Hexuan Su ◽  
Bo Zhang ◽  
Yongjie Li ◽  
Lingling Zhang ◽  
...  

Background The World Health Organization recommended HIV self-testing (HIVST) for individuals practicing unsafe sexual behaviors; however, the adherence to HIV testing has not been reported. Objective In this study, we attempted to determine the adherence to HIVST among men who have sex with men (MSM), as well as the impact factors and potential effects of their adherence. Methods We conducted a longitudinal study among MSM in Harbin, Heilongjiang province, China from July 1, 2017 to June 30, 2018. A mobile app system was used to provide the “Mailing rapid test reagent kit” for the HIVST service. The proportion of those who adhered to HIV testing every 3 months was calculated. Logistic regression was used to explore the impact factors related to adherence to HIVST. Rates of HIV infection between MSM who adhered to HIVST and those who did not were compared using Cox proportional hazards regression. Changes of condom use behaviors between the two groups were also compared using the chi-square test. Results A total of 1315 MSM who received the HIVST service through the app were included in the study. Overall, 10% of the MSM adhered to HIVST, and the proportion of adhering tests was only 34.9%. Adherence of HIVST was associated with marital status (adjusted odds ratio [OR]unmarried vs married 2.31, 95% CI 1.13-4.71) and the number of HIV tests they received (adjusted OR3 times vs 2 times or below 3.36, 95% CI 2.01-5.63; adjusted OR4 times or above vs 2 times or below 7.30, 95% CI 4.67-11.42). Twenty HIV seroconversions were observed during 1-year follow up. The rate of HIV infection in the adherence group (17.10 per 100 person years, 95% CI 8.80-30.84) was significantly higher than that in the nonadherence group (4.80 per 100 person years, 95% CI 2.77-7.88; adjusted hazard ratio 3.33, 95% CI 1.35-8.20). Those who adhered to HIV testing were more likely to improve condom use behaviors, although the difference was not statistically significant. Conclusions Regular HIV testing is necessary for early detection of HIV infection among MSM. Given the poor adherence, a new internet-based management paradigm for MSM is needed to raise their health awareness to optimize the implementation of HIVST.


2014 ◽  
Vol 91 (4) ◽  
pp. 294-299 ◽  
Author(s):  
Henrike J Vriend ◽  
Ineke G Stolte ◽  
Janneke C M Heijne ◽  
Titia Heijman ◽  
Henry J C De Vries ◽  
...  

2020 ◽  
Author(s):  
Xiangyu Yan ◽  
Hexuan Su ◽  
Bo Zhang ◽  
Yongjie Li ◽  
Lingling Zhang ◽  
...  

BACKGROUND The World Health Organization recommended HIV self-testing (HIVST) for individuals practicing unsafe sexual behaviors; however, the adherence to HIV testing has not been reported. OBJECTIVE In this study, we attempted to determine the adherence to HIVST among men who have sex with men (MSM), as well as the impact factors and potential effects of their adherence. METHODS We conducted a longitudinal study among MSM in Harbin, Heilongjiang province, China from July 1, 2017 to June 30, 2018. A mobile app system was used to provide the “Mailing rapid test reagent kit” for the HIVST service. The proportion of those who adhered to HIV testing every 3 months was calculated. Logistic regression was used to explore the impact factors related to adherence to HIVST. Rates of HIV infection between MSM who adhered to HIVST and those who did not were compared using Cox proportional hazards regression. Changes of condom use behaviors between the two groups were also compared using the chi-square test. RESULTS A total of 1315 MSM who received the HIVST service through the app were included in the study. Overall, 10% of the MSM adhered to HIVST, and the proportion of adhering tests was only 34.9%. Adherence of HIVST was associated with marital status (adjusted odds ratio [OR]<sub>unmarried vs married</sub> 2.31, 95% CI 1.13-4.71) and the number of HIV tests they received (adjusted OR<sub>3 times vs 2 times or below</sub> 3.36, 95% CI 2.01-5.63; adjusted OR<sub>4 times or above vs 2 times or below</sub> 7.30, 95% CI 4.67-11.42). Twenty HIV seroconversions were observed during 1-year follow up. The rate of HIV infection in the adherence group (17.10 per 100 person years, 95% CI 8.80-30.84) was significantly higher than that in the nonadherence group (4.80 per 100 person years, 95% CI 2.77-7.88; adjusted hazard ratio 3.33, 95% CI 1.35-8.20). Those who adhered to HIV testing were more likely to improve condom use behaviors, although the difference was not statistically significant. CONCLUSIONS Regular HIV testing is necessary for early detection of HIV infection among MSM. Given the poor adherence, a new internet-based management paradigm for MSM is needed to raise their health awareness to optimize the implementation of HIVST.


2020 ◽  
Author(s):  
Ming-Chen Zhang ◽  
Lin-Xin Wang ◽  
Kai Dou ◽  
Yue Liang

Cyberbullying is a major youth social problem over the world and it has been associated with a variety of negative outcomes. However, few studies investigated how offline peer victimization affect cyberbullying and the potential relations between family factors and cyberbullying remains unknown. The current study addresses this gap in knowledge by examining the victimized by peers is associated with higher moral disengagement which further promotes college student’s bullying online. A three-wave longitudinal study, each wave spanning six months apart, was conducted in a sample of 521 Chinese college students (Mage = 22.45, SD = 4.44, 59.3% girls). Results of moderated mediation model shown that peer victimization at T1 predicted more cyberbullying at T3 through moral disengagement at T2, after controlling for demographic variables and cyberbullying at T1. T2 moral disengagement significantly mediating the association between T1 peer victimization and T3 cyberbullying. In addition, high level of negative parenting strengthened the effect of moral disengagement at T2 on cyberbullying at T3. The prevention and intervention for both offline and online bullying victimization are discussed.


2021 ◽  
pp. 009365022199149
Author(s):  
Shan Xu ◽  
Zheng Wang

This study integrates the theory of multiple selves within the theoretical framework of dynamic motivational activation (DMA) to identify the dynamic patterns of multiple self-concepts (i.e., the potential self, the actual self) in multitasking (e.g., primary and secondary activities) in daily life. A three-week experience sampling study was conducted on college students. Dynamic panel modeling results suggest that the self-concepts are both sustaining and shifting in daily activities and media activities. Specifically, the potential and actual selves sustained themselves over time in primary and secondary activities, but they also shifted from one to another to achieve a balance in primary activities over time. Interestingly, secondary activities were not driven by the alternative self-concept in primary activities, but instead, by the emotional experiences of primary activities. Furthermore, the findings identified that multitasking to fulfill their actual self did not motivate people to re-prioritize their potential self later.


Sign in / Sign up

Export Citation Format

Share Document