Perceived Empathy of Service Providers Mediates the Association Between Perceived Discrimination and Behavioral Intention to Take Up HIV Antibody Testing Again Among Men Who Have Sex with Men

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2015 Feb 19

PMID 25693179

Citations 10

Authors

Jing Gu

Joseph T F Lau

Zixin Wang

Anise M S Wu

Xuhui Tan

Affiliations

Soon will be listed here.

Abstract

HIV antibody testing is a key measure of HIV prevention for men who have sex with men (MSM). The World Health Organization recommends sexually active and at-risk MSM to take up HIV antibody testing regularly. This study aimed to investigate the prevalence of behavioral intention to take up HIV antibody testing in the next six months among Hong Kong MSM who were ever-testers. An anonymous cross-sectional survey recruited 326 MSM who had taken up HIV antibody testing from gay-friendly venues and internet in Hong Kong. Of the participants, 40.8% had had unprotected anal intercourse with regular or non-regular male sex partners in the last six months; they were at risk of HIV transmission despite experience in HIV antibody testing. Only 37.2% showed a strong intention to take up HIV antibody testing again in the next six months. Adjusted analysis showed that both perceived discrimination toward Hong Kong MSM (AOR = .60, 95% CI: .36-.98) and the CARE Measure assessing perceived empathy of service providers (AOR = 1.05, 95% CI: 1.02-1.08) were significantly associated with intention for retesting. Perceived discrimination, however, became statistically non-significant (AOR = .68, 95% CI: .41-1.14), when both CARE Measure and perceived discrimination entered into the adjusted model. It is warranted to increase HIV retesting rate by removing perceived discrimination and reducing the negative effect of perceived discrimination through enhancement of empathy of service providers.

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References

McDaid L, Hart G . Increased HIV testing and reduced undiagnosed infection among gay men in Scotland, 2005-8: support for the opt-out testing policy?. Sex Transm Infect. 2011; 87(3):221-4. PMC: 3791475. DOI: 10.1136/sti.2010.044560. View

Gu J, Lau J, Tsui H . Psychological factors in association with uptake of voluntary counselling and testing for HIV among men who have sex with men in Hong Kong. Public Health. 2011; 125(5):275-82. DOI: 10.1016/j.puhe.2011.01.010. View

Kilmarx P, Mutasa-Apollo T . Patching a leaky pipe: the cascade of HIV care. Curr Opin HIV AIDS. 2012; 8(1):59-64. DOI: 10.1097/COH.0b013e32835b806e. View

Nelson J, Cook P, Ingram J . Utility of the theory of planned behavior to predict nursing staff blood pressure monitoring behaviours. J Clin Nurs. 2013; 23(3-4):461-70. DOI: 10.1111/jocn.12183. View

Lau J, Cai W, Tsui H, Chen L, Cheng J, Lin C . Unprotected anal intercourse behavior and intention among male sex workers in Shenzhen serving cross-boundary male clients coming from Hong Kong, China - prevalence and associated factors. AIDS Care. 2011; 24(1):59-70. DOI: 10.1080/09540121.2011.592813. View

van Boekel L, Brouwers E, van Weeghel J, Garretsen H . Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug Alcohol Depend. 2013; 131(1-2):23-35. DOI: 10.1016/j.drugalcdep.2013.02.018. View

Choi K, Lui H, Guo Y, Han L, Mandel J . Lack of HIV testing and awareness of HIV infection among men who have sex with men, Beijing, China. AIDS Educ Prev. 2006; 18(1):33-43. DOI: 10.1521/aeap.2006.18.1.33. View

Wang Y, Zhang H, Xu J, Zhang G, Yang H, Fan J . [Relations between self-discrimination of MSM and sexual behavior and psychological factors]. Zhonghua Yu Fang Yi Xue Za Zhi. 2010; 44(7):636-44. View

Zou H, Wu Z, Yu J, Li M, Ablimit M, Li F . Sexual risk behaviors and HIV infection among men who have sex with men who use the internet in Beijing and Urumqi, China. J Acquir Immune Defic Syndr. 2010; 53 Suppl 1:S81-7. PMC: 2818820. DOI: 10.1097/QAI.0b013e3181c7dd2b. View

10.

Zhang H, Wu Z, Zheng Y, Wang J, Zhu J, Xu J . A pilot intervention to increase condom use and HIV testing and counseling among men who have sex with men in Anhui, China. J Acquir Immune Defic Syndr. 2010; 53 Suppl 1:S88-92. DOI: 10.1097/QAI.0b013e3181c7de63. View

11.

Lau J, Wang Z, Lau M, Lai C . Perceptions of HPV, genital warts, and penile/anal cancer and high-risk sexual behaviors among men who have sex with men in Hong Kong. Arch Sex Behav. 2013; 43(4):789-800. DOI: 10.1007/s10508-013-0172-3. View

12.

Corrigan P, Morris S, Larson J, Rafacz J, Wassel A, Michaels P . SELF-STIGMA AND COMING OUT ABOUT ONE'S MENTAL ILLNESS. J Community Psychol. 2013; 38(3):259-275. PMC: 3747968. DOI: 10.1002/jcop.20363. View

13.

Yap M, Jorm A . Young people's mental health first aid intentions and beliefs prospectively predict their actions: findings from an Australian National Survey of Youth. Psychiatry Res. 2012; 196(2-3):315-9. DOI: 10.1016/j.psychres.2011.10.004. View

14.

Edwards N, Peterson W, Davies B . Evaluation of a multiple component intervention to support the implementation of a 'Therapeutic Relationships' best practice guideline on nurses' communication skills. Patient Educ Couns. 2006; 63(1-2):3-11. DOI: 10.1016/j.pec.2006.07.008. View

15.

Golub S, Gamarel K . The impact of anticipated HIV stigma on delays in HIV testing behaviors: findings from a community-based sample of men who have sex with men and transgender women in New York City. AIDS Patient Care STDS. 2013; 27(11):621-7. PMC: 3820140. DOI: 10.1089/apc.2013.0245. View

16.

Emdadi S, Nilsaze M, Hosseini B, Sohrabi F . Application of the Trans-Theoretical Model (TTM) to Exercise Behavior among Female College Students. J Res Health Sci. 2013; 7(2):25-30. View

17.

. Prevalence and awareness of HIV infection among men who have sex with men --- 21 cities, United States, 2008. MMWR Morb Mortal Wkly Rep. 2010; 59(37):1201-7. View

18.

Zhang Y, Chen P, Lu R, Liu L, Wu Y, Liu X . Prevalence of HIV among men who have sex with men in Chongqing, China, 2006-2009: cross-sectional biological and behavioural surveys. Sex Transm Infect. 2012; 88(6):444-50. DOI: 10.1136/sextrans-2011-050295. View

19.

Prochaska J . Strong and weak principles for progressing from precontemplation to action on the basis of twelve problem behaviors. Health Psychol. 1994; 13(1):47-51. DOI: 10.1037//0278-6133.13.1.47. View

20.

Heijnders M, van der Meij S . The fight against stigma: an overview of stigma-reduction strategies and interventions. Psychol Health Med. 2006; 11(3):353-63. DOI: 10.1080/13548500600595327. View