Understanding how gay, bisexual, and other men who have sex with men in China cope with hiv care-related stressors

Chunyan Li, Danielle Giovenco, Willa Dong, M. Kumi Smith, Carol E. Golin, Edwin B. Fisher, Gang Lei, Hua Jiang, Patrick Y. Tang, Kathryn E. Muessig

Research output: Contribution to journalArticlepeer-review

Abstract

Understanding how Chinese gay, bisexual, and other men who have sex with men (GBMSM) cope with HIV care-related stressors could improve their care engagement. Qualitative semistructured interviews were conducted with 30 GBMSM living with HIV recruited through clinics and a community-based organization (CBO) in Chengdu, China. Interviews focused on treatment-related stress, coping strategies, social support, and well-being. Half reported symptoms consistent with mild or moderate depression as measured by the PHQ-9 scale. HIV care-related stressors included side effects, difficulty with adherence, and fear of drug resistance. Challenges to coping include navigating contradictory information about HIV and treatment, experiencing stigma and discrimination within medical and nonmedical settings, and managing financial concerns. CBOs, peer groups, and providers were salient sources of social support benefitting coping. To improve sustained HIV care that meets the needs of Chinese GBMSM living with HIV, tailored interventions that address the above-mentioned stressors and coping challenges are likely needed.

Original languageEnglish (US)
Pages (from-to)46-61
Number of pages16
JournalAIDS Education and Prevention
Volume33
Issue number1
DOIs
StatePublished - Feb 1 2021

Bibliographical note

Funding Information:
We thank all participants for generously sharing their views and experiences with us. We also thank AIBAI Culture and Education Center in Chengdu, China for its support in terms of recruitment and interview arrangement. This study was supported by the University of North Carolina at Chapel Hill Center for AIDS Research (CFAR) (P30 AI50410), National Institute of Health, Institutional National Research Service Award (T32-AI007001) (WD), and the University of North Carolina at Chapel Hill Graduate School (CL, WD).

Publisher Copyright:
© 2021 The Guilford Press.

Keywords

  • China
  • Coping
  • HIV
  • HIV care
  • Men who have sex with men
  • Stress

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

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