HIV/AIDS in the Social Context

[under review] Anticipated HIV Stigma Among HIV Negative Men who have Sex with Men in China: A Cross-Sectional Study

Findings: Associations between anticipated HIV stigma and HIV-related healthcare utilization has been established. However, little is known about the relationship between stigma and use of emerging technologies such as HIV self-testing and new sex seeking platforms. The purpose of this study was to examine correlates of anticipated HIV stigma among Chinese MSM not living with HIV. Our data suggest that HIV self-testing may attenuate anticipated HIV stigma among HIV-negative MSM in China.

Under review for Journal of AIDS

[2018] Transplantation or Rurality? Migration and HIV Risk among Chinese Men who have Sex with Men in the Urban Areas

Findings: In this paper I try to examine the widely used local/migrant categorization, and argue that it obscures important differences in HIV risk present between urban/rural subgroups among them. Previous studies of HIV risks in Chinese “migrant” may have failed to consider the role of structural factors such as discrimination or barriers to healthcare when interpreting their findings of higher HIV prevalence in this population.

Full textJournal of International AIDS Society. 21(1):e25039. DOI: 10.1002/jia2.25039

[2018] Receiving HIV Serostatus Disclosure from Partners Before Sex: Results from an Online Survey of Chinese Men Who Have Sex with Men and Transgender Individuals

Findings: We examined the rate and correlates of receiving HIV serostatus disclosure from regular and casual male partners before sex among an online sample of men who have sex with men (MSM) in China. This study showed that HIV serostatus disclosure from partners was uncommon among Chinese MSM. Interventions and further implementation research to facilitate safe disclosure are urgently needed for MSM.

Full text: forthcoming in AIDS & Behavior

[2018] Out of the Closet, Into the Clinic: Opportunities for Expanding MSM-Competent Services in China

Findings

Full text: forthcoming in Sexual Transmitted Diseases

[2017] Community Engagement in Sexual Health and Uptake of HIV Testing and Syphilis Testing among MSM in China: A Cross-sectional Online Survey

Findings: We try to identify relations between community engagement and HIV-related behaviors in this article, and find that community engagement may be useful for promoting testing in China and should be considered in intervention development and delivery.

Full text: Journal of the International AIDS Society. 20(1):21372. DOI: 10.7448/IAS.20.01/2137

[2017] Traditional, Complementary and Alternative Medical Cures for HIV: Rationale and Implications for HIV Cure Research

Findings: Those who decide to pursue traditional, complementary, and alternative medical cures may be influenced by the health system, cultural, and social dynamics, and their own individual beliefs and preferences. These same factors may impact participation in HIV cure research. People who search for traditional, complementary, and alternative medical cures may face special challenges as they are recruited, consented, and retained within HIV cure research studies. The social conditions that have promoted traditional, complementary and alternative medical cures will likely impact how PLHIV participate and experience HIV remission trials. Despite the potential challenges, it will be crucial to involve those who have previously sought out traditional cures for HIV in HIV cure research.

Full text: Global Public Health. 2017. DOI: 10.1080/17441692.2017.1413122 

[2017] Disclosure of Sexual Orientation to Health Professionals in China: Results from an Online Cross-Sectional Study

Findings: Over 80% of MSM had not disclosed their sexual orientation to health professionals. This low level of disclosure likely represents a major obstacle to serving the unique needs of MSM in clinical settings. Further research and interventions to facilitate MSM sexual orientation disclosure, especially to health professionals, are urgently needed.

Full text: Journal of the International AIDS Society20(1), 21416. DOI: 10.7448/IAS.20.1.21416

[2015] Physician Perceptions of HIV Cure in China: A Mixed Methods Review and Implications for HIV Cure Research

Findings: Quantitative survey data revealed that physicians rarely believed HIV was curable, but this perception may be more common compared to other countries. Qualitative data showed that inconsistent terminology used among physicians may contribute to the perception of HIV as curable. The belief that HIV is curable among some physicians in China may be related to the influence of traditional Chinese medicine beliefs. Rather than seeking elimination of pathogens, traditional Chinese medicine aims to achieve harmony between organs and a vital life force. In this context, HIV infection can be seen as a temporary state of imbalance rather than an irreversible change. There is a wide range of physician perceptions about HIV cure in China. Conflicting information about HIV cure from physicians and other sources could thwart the progress of HIV cure research. Enhancing patient-physician communication about ongoing HIV cure research trials will be important for developing an HIV cure.

Full textAsian Pacific Journal of Tropical Disease5(9), 687-690. DOI: 10.1016/S2222-1808(15)60913-6.