Chinese Culture, Homosexuality Stigma, Social Support and Condom Use: A Path Analytic Model.
Chinese Culture, Homosexuality Stigma, Social Support and Condom Use: A Path Analytic Model.
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DOI：
10.5463/sra.v1i1.16
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Li J
中科院分区：
文献类型：
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作者：
Liu H;Feng T;Ha T;Liu H;Cai Y;Liu X;Li J
本研究的目的是探讨中国男同性恋者的个人主义、集体主义、同性恋相关耻辱、社会支持和安全套使用之间的相互关系。使用受访者驱动抽样方法对中国深圳的 351 名参与者进行了一项横断面研究。路径分析模型用于分析相互关系。路径分析模型的结果记录了与同性恋有关的以下统计上显着的关联：（1）较高水平的垂直集体主义与较高水平的公共耻辱[β（标准化系数）= 0.12]和自我耻辱（β= 0.12）相关； （2）较高水平的垂直个人主义与较高水平的自我耻辱相关（β=0.18）； (3) 水平个人主义水平越高，公众耻辱程度越高（β = 0.12）； (4) 较高水平的自我耻辱与较高水平的性伴侣社会支持相关（β = 0.12）； (5) 较低水平的公众耻辱与持续使用安全套有关 (β = -0.19)。这些发现增强了我们对个人主义和集体主义文化如何影响同性恋相关耻辱感的理解，这反过来又可能影响个人采取艾滋病毒保护措施和寻求社会支持的决定。因此，中国针对男同性恋者的艾滋病干预措施的制定应考虑中国文化的特点。
The objective of this study was to examine the interrelationships among individualism, collectivism, homosexuality-related stigma, social support, and condom use among Chinese homosexual men. A cross-sectional study using the respondent-driven sampling approach was conducted among 351 participants in Shenzhen, China. Path analytic modeling was used to analyze the interrelationships. The results of path analytic modeling document the following statistically significant associations with regard to homosexuality: (1) higher levels of vertical collectivism were associated with higher levels of public stigma [β (standardized coefficient) = 0.12] and self stigma (β = 0.12); (2) higher levels of vertical individualism were associated with higher levels self stigma (β = 0.18); (3) higher levels of horizontal individualism were associated with higher levels of public stigma (β = 0.12); (4) higher levels of self stigma were associated with higher levels of social support from sexual partners (β = 0.12); and (5) lower levels of public stigma were associated with consistent condom use (β = −0.19). 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 homosexual men in China should take the characteristics of Chinese culture into consideration.