Barcelona 2013
Barcelona 2013
Abstract book - Abstract - 417
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Abstract #417  -  E-Posters English
Session:
  50.48: E-Posters English (Poster) on Sunday   in  Chaired by
Authors:
  Presenting Author:   Prof. Yan Guo - Sun Yat-sen University, China
 
  Additional Authors:  Dr. Jordi Casabona, Sra Cristina Sanclemente, Dra. Anna  Esteve, Dra. Victoria Gonzalez, Grupo HIVITS TS,  
Aim:
Studies have shown that social norms are predictors of unprotected sexual behavior among men who have sex with men (MSM). However, such studies have been mainly conducted in the Western countries with individualistic culture. There are limited studies in countries with collectivist culture such as China. The present study is to investigate the relationship between social norms and consistent condom use behavior among young Chinese migrant MSM.
 
Method / Issue:
We recruited 307 MSM in Beijing, China in 2009. Participants were 18-30 years old, migrant (not having permanent household registration status in Beijing), having had sex with men in the past, and willing to provide blood specimens for HIV and Syphilis test. Social norms of condom use were assessed by asking participants the proportions of their friends using condoms when having sex with their stable, casual, and female sexual partners. Their general perception of the proportion of friends approving condom use when having sex was also assessed.
 
Results / Comments:
The rates of consistent condom use among the sampled MSM were 47.4% in anal intercourse, 37.9% with male and 21.3% with female stable sexual partners, and 51.0% with casual sexual partners. Consistent condom use was significantly associated with perceptions of social norms regarding male and female stable partners and casual sexual partners, respectively. However, their general perception of the proportion of friends approving condom use was only associated with consistent condom use with male sexual partners (stable and casual, respectively), but not female stable sexual partners. In logistic regression, even after controlling some socio-demographic characteristics (i.e., age, education, income, and length of duration in Beijing), social norms of condom use were still important predictors of consistent condom use with stable (aOR=1.506, 95%CI: 1.113-2.038) and casual (aOR=1.899, 95%CI: 1.461-2.470) sexual partners and in anal intercourse (aOR=1.695, 95%CI: 1.313-2.189).
 
Discussion:
Results of the current study indicate that social norms are important predictors of condom use behavior among MSM. More attention needs to be paid to gender difference, as it is the gender specific social norm instead of the general social norm that is relevant to their condom use with female sexual partners. Implications for future intervention are the potential feasibility and effectiveness of employing social norms approach in the social network of MSM to improving the rate of their condom use and reducing sexual risk behavior.
 
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