Chinese culture, homosexuality stigma, social support, and condom use: A path analytic model

Hongjie Liu, Tiejian Feng, Toan Ha, Hui Liu, Yumao Cai, Xiaoli Liu, Jian Li

Abstract


Purpose: The objective of this study was to examine the interrelationships among individualism, collectivism, homosexuality-related stigma, social support, and condom use among Chinese men who have sex with men.

Methods: A cross-sectional study using the respondent-driven sampling approach was conducted among 351 eligible men who have sex with men in Shenzhen, China. Path analytic modeling was used to analyze the interrelationships.

Results: The results of path analytic modeling document the following statistically significant associations: (1) higher levels of vertical collectivism were associated with higher levels of public homosexual stigma [β (standardized coefficient) = 0.12] and self homosexual stigma (β = 0.12); (2) higher levels of vertical individualism were associated with higher levels self homosexual stigma (β = 0.18); (3) higher levels of horizontal individualism were associated with higher levels of public homosexual stigma (β = 0.12); (4) higher levels of self homosexual stigma were associated with higher levels of social support from sexual partners (β = 0.12); and (5) lower levels of public homosexual stigma were associated with consistent condom use (β = -0.19).

Conclusions: The findings enhance our understanding of how individualist and collectivist cultures influence the development of homosexuality-related stigma, which in turn may affect individuals’ decisions to engage in HIV-protective practices and seek social support. Accordingly, the development of HIV interventions for men who have sex with men in China should take the characteristics of Chinese culture into consideration.

10.5463/sra.v1i1.16


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