TY - JOUR
T1 - Stigma, Subsistence, Intimacy, Face, Filial Piety, and Mental Health Problems Among Newly HIV-Diagnosed Men Who Have Sex With Men in China
AU - Li, Haochu (Howard)
AU - Holroyd, Eleanor
AU - Lau, Joseph
AU - Li, Xiaoming
N1 - Funding Information:
This research was funded by the Center for Health Behaviors Research of the Jockey Club School of Public Health and Primary Care (JCSPHPC), The Chinese University of Hong Kong (CUHK), a postgraduate study grant in JCSPHPC , and the Global Scholarship Programme for Research Excellence–CNOOC Grants 2010-11 in CUHK. The authors wish to thank all participants who shared their life histories and experiences, Shenzhen 258 Rainbow Workgroup, and Shenzhen CDC who helped significantly in the fieldwork and access to the populations. Dr. Conall O'Cleirigh from Harvard Medical School provided significant assistance in coding depression and anxiety symptoms.
Publisher Copyright:
© 2015 Association of Nurses in AIDS Care.
PY - 2015/7/1
Y1 - 2015/7/1
N2 - High rates of mental health problems among people living with HIV (PLWH) have been widely reported in the literature; however, an understanding of the socioecological contexts of these presentations remains limited, particularly in China. In order to explore potential socioecological factors associated with mental health problems among newly diagnosed HIV-infected migrant men who have sex with men (MSM), we employed a life profile approach conducting semi-structured in-depth interviews with 31 newly diagnosed HIV-infected MSM residing in a city in Southern China. Participants' life profile accounts outlined their concerns, including internalized stigma, subsistence living, difficulties finding a lover or a stable partner, loss of face, and deviation from filial piety. We contend that targeted interventions should address socio-ecological issues such as migrant adversities, social suffering, and cultural trauma when providing culturally based mental health services for this marginalized population within the context of Chinese society.
AB - High rates of mental health problems among people living with HIV (PLWH) have been widely reported in the literature; however, an understanding of the socioecological contexts of these presentations remains limited, particularly in China. In order to explore potential socioecological factors associated with mental health problems among newly diagnosed HIV-infected migrant men who have sex with men (MSM), we employed a life profile approach conducting semi-structured in-depth interviews with 31 newly diagnosed HIV-infected MSM residing in a city in Southern China. Participants' life profile accounts outlined their concerns, including internalized stigma, subsistence living, difficulties finding a lover or a stable partner, loss of face, and deviation from filial piety. We contend that targeted interventions should address socio-ecological issues such as migrant adversities, social suffering, and cultural trauma when providing culturally based mental health services for this marginalized population within the context of Chinese society.
KW - China
KW - HIV
KW - Men who have sex with men
KW - Mental health
KW - Newly diagnosed HIV infection
UR - http://www.scopus.com/inward/record.url?scp=84930521101&partnerID=8YFLogxK
U2 - 10.1016/j.jana.2015.02.004
DO - 10.1016/j.jana.2015.02.004
M3 - Article
C2 - 26066696
AN - SCOPUS:84930521101
SN - 1055-3290
VL - 26
SP - 454
EP - 463
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 4
ER -
