Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective
Abstract Background China is facing big challenges to achieve the “90–90-90 targets”. The HIV prevalence of elderly (≥50 years) men have been steadily increasing in China, mainly through the sexual transmission route, but sexual behaviors of them are far from well-studied. In 2019, elderly men accou...
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| Format: | Article |
| Language: | English |
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BMC
2021-11-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-021-12139-z |
| _version_ | 1818344459245453312 |
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| author | Yi Yang Hua Deng Huan He Shuang Feng Fan Yuan Li Xia Wu Na Li Jing Xi Jing Xu Jie Xiao Rui Ping Liao Wei Xiao |
| author_facet | Yi Yang Hua Deng Huan He Shuang Feng Fan Yuan Li Xia Wu Na Li Jing Xi Jing Xu Jie Xiao Rui Ping Liao Wei Xiao |
| author_sort | Yi Yang |
| collection | DOAJ |
| description | Abstract Background China is facing big challenges to achieve the “90–90-90 targets”. The HIV prevalence of elderly (≥50 years) men have been steadily increasing in China, mainly through the sexual transmission route, but sexual behaviors of them are far from well-studied. In 2019, elderly men accounted for 59.2% of HIV/AIDS cases in Sichuan, China. Methods The research design is a cross-sectional study. Face-to-face interviews were conducted among 795 HIV negative elderly men from rural Chengdu, capital City of Sichuan. Bivariate and multivariate logistic regression models were applied to examine factors associated with commercial heterosexual behavior from a modified Knowledge-Attitude-Practice (KAP) perspective. Results 129 (16.23%) respondents admitted high-risk sexual behaviors, including 11.07% commercial heterosexual behavior, 6.16% extramarital, 2.89% casual and 0.25% homosexual behavior, and no one used condom consistently. 427(68.43%) had ever gotten HIV-related Health Education (HRHE), mainly through mass media (70.49%). The HIV-related knowledge awareness rate was only 31.41%. Migration history (AOR =2.46,95% CI = 1.02–5.91), age(≥60 vs. 50–59, OR = 0.41, 95% CI = 0.19–0.91), receiving HRHE from mass media (OR = 0.37, 95%CI = 0.16–0.85), marital status (married vs. never married, OR = 0.04, 95%CI = 0–0.52), and undecided (AOR =0.02, 95%CI = 0.01–0.09) and objection (AOR =0.04, 95%CI = 0.01–0.1) attitude toward commercial sex were related to lifetime commercial heterosexual behavior. Conclusions High-risk sexual behaviors are common among elderly men from rural areas in Chengdu. Receiving HRHE from mass media and undecided and objection attitude toward commercial sex prevent elderly from being involving in commercial heterosexual behavior. According to the results, health facilities should continue to conduct systematic interventions, paying more attention to 50–59 years old group. Sex and condom use need to be talked in public. Working with mass media, health facilities give elderly men education not only focusing on HIV/AIDS, but also on knowledge and skills of condom use. |
| first_indexed | 2024-12-13T16:46:49Z |
| format | Article |
| id | doaj.art-d2dbfa6bba084b4c87afe57e8099c3df |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-13T16:46:49Z |
| publishDate | 2021-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-d2dbfa6bba084b4c87afe57e8099c3df2022-12-21T23:38:08ZengBMCBMC Public Health1471-24582021-11-012111910.1186/s12889-021-12139-zLifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspectiveYi Yang0Hua Deng1Huan He2Shuang Feng Fan3Yuan Li4Xia Wu5Na Li6Jing Xi7Jing Xu8Jie Xiao9Rui Ping Liao10Wei Xiao11Department of Social Medicine and Health Administration, School of Administration, Chengdu University of Traditional Chinese MedicineDepartment of Urology, Chengdu Second Peoples’ HospitalSchool of Public Administration, Southwestern University of Finance and EconomicsDepartment of HIV/AIDS prevention, Chengdu Center for Disease Control and PreventionDepartment of Epidemiology and Health Statistics, School of Public Health, Chengdu University of Traditional Chinese MedicineDepartment of HIV/AIDS prevention, Pengzhou Center for Disease Control and PreventionDepartment of HIV/AIDS prevention, Pengzhou Center for Disease Control and PreventionDepartment of HIV/AIDS prevention, Chengdu Center for Disease Control and PreventionDepartment of Social Medicine and Health Administration, School of Administration, Chengdu University of Traditional Chinese MedicineDepartment of Social Medicine and Health Administration, School of Administration, Chengdu University of Traditional Chinese MedicineDepartment of HIV/AIDS prevention, Pengzhou Center for Disease Control and PreventionDepartment of HIV/AIDS prevention, Pengzhou Center for Disease Control and PreventionAbstract Background China is facing big challenges to achieve the “90–90-90 targets”. The HIV prevalence of elderly (≥50 years) men have been steadily increasing in China, mainly through the sexual transmission route, but sexual behaviors of them are far from well-studied. In 2019, elderly men accounted for 59.2% of HIV/AIDS cases in Sichuan, China. Methods The research design is a cross-sectional study. Face-to-face interviews were conducted among 795 HIV negative elderly men from rural Chengdu, capital City of Sichuan. Bivariate and multivariate logistic regression models were applied to examine factors associated with commercial heterosexual behavior from a modified Knowledge-Attitude-Practice (KAP) perspective. Results 129 (16.23%) respondents admitted high-risk sexual behaviors, including 11.07% commercial heterosexual behavior, 6.16% extramarital, 2.89% casual and 0.25% homosexual behavior, and no one used condom consistently. 427(68.43%) had ever gotten HIV-related Health Education (HRHE), mainly through mass media (70.49%). The HIV-related knowledge awareness rate was only 31.41%. Migration history (AOR =2.46,95% CI = 1.02–5.91), age(≥60 vs. 50–59, OR = 0.41, 95% CI = 0.19–0.91), receiving HRHE from mass media (OR = 0.37, 95%CI = 0.16–0.85), marital status (married vs. never married, OR = 0.04, 95%CI = 0–0.52), and undecided (AOR =0.02, 95%CI = 0.01–0.09) and objection (AOR =0.04, 95%CI = 0.01–0.1) attitude toward commercial sex were related to lifetime commercial heterosexual behavior. Conclusions High-risk sexual behaviors are common among elderly men from rural areas in Chengdu. Receiving HRHE from mass media and undecided and objection attitude toward commercial sex prevent elderly from being involving in commercial heterosexual behavior. According to the results, health facilities should continue to conduct systematic interventions, paying more attention to 50–59 years old group. Sex and condom use need to be talked in public. Working with mass media, health facilities give elderly men education not only focusing on HIV/AIDS, but also on knowledge and skills of condom use.https://doi.org/10.1186/s12889-021-12139-zSexual behaviorElderly menKnowledge-attitude-practice (KAP) modelHIVChina |
| spellingShingle | Yi Yang Hua Deng Huan He Shuang Feng Fan Yuan Li Xia Wu Na Li Jing Xi Jing Xu Jie Xiao Rui Ping Liao Wei Xiao Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective BMC Public Health Sexual behavior Elderly men Knowledge-attitude-practice (KAP) model HIV China |
| title | Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective |
| title_full | Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective |
| title_fullStr | Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective |
| title_full_unstemmed | Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective |
| title_short | Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective |
| title_sort | lifetime commercial heterosexual behavior among hiv negative elderly men from rural chengdu china a modified knowledge attitude practice perspective |
| topic | Sexual behavior Elderly men Knowledge-attitude-practice (KAP) model HIV China |
| url | https://doi.org/10.1186/s12889-021-12139-z |
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