Association between perceived social norm and condom use among people living with HIV/AIDS in Guangzhou, China

Qian Zhou, Yan Wu, Yan Alicia Hong, Cui Yang, Weiping Cai, Yajing Zhu, Zihan Guo, Yan Guo

Research output: Contribution to journalArticle

Abstract

The number of people living with HIV/AIDS (PLWHA) has been increasing in China. Previous studies have examined the association between social norms and risk behaviors among high-risk populations for HIV infection. However, little is known about social norms and condom use among people living with HIV/AIDS (PLWHA). This study sought to investigate the relationship between perceived social norms on condom use and inconsistent condom use among PLWHA. A cross-sectional survey was conducted through convenience sampling among 412 PLWHA between March and June 2013 in Guangzhou, China. Descriptive norm of condom use was measured as perception of number of friends thinking it necessary to use condoms when having sex. About three-fourths (n = 301, 73.1%) of the PLWHA were sexually active since HIV diagnosis. Among the sexually active PLWHA, the average age was 36.5 years; about two-thirds were male; the majority was Han ethnic (92.7%); 55.5% discussed condom use with their friends and the rate of inconsistent condom use in the last three sexual encounters was 29.2%. In the multivariate logistic regression, PLWHA who perceived more of their friends’ approval of condom use were less likely to engage in unprotected sex than their counterparts (aOR = 0.25, p = .001). Those whose family members were aware of their HIV infection status were less likely to engage in unprotected sex than their counterparts (aOR = 0.17, p 

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
DOIs
StateAccepted/In press - Jun 22 2016

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social norm
Condoms
China
Acquired Immunodeficiency Syndrome
AIDS
HIV
Social Norms
Unsafe Sex
HIV Infections
risk behavior
Risk-Taking
family member
logistics
Cross-Sectional Studies
Logistic Models
regression

Keywords

  • China
  • condom use
  • HIV disclosure
  • people living with HIV/AIDS
  • Social norms

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Social Psychology

Cite this

Association between perceived social norm and condom use among people living with HIV/AIDS in Guangzhou, China. / Zhou, Qian; Wu, Yan; Hong, Yan Alicia; Yang, Cui; Cai, Weiping; Zhu, Yajing; Guo, Zihan; Guo, Yan.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 22.06.2016, p. 1-7.

Research output: Contribution to journalArticle

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abstract = "The number of people living with HIV/AIDS (PLWHA) has been increasing in China. Previous studies have examined the association between social norms and risk behaviors among high-risk populations for HIV infection. However, little is known about social norms and condom use among people living with HIV/AIDS (PLWHA). This study sought to investigate the relationship between perceived social norms on condom use and inconsistent condom use among PLWHA. A cross-sectional survey was conducted through convenience sampling among 412 PLWHA between March and June 2013 in Guangzhou, China. Descriptive norm of condom use was measured as perception of number of friends thinking it necessary to use condoms when having sex. About three-fourths (n = 301, 73.1{\%}) of the PLWHA were sexually active since HIV diagnosis. Among the sexually active PLWHA, the average age was 36.5 years; about two-thirds were male; the majority was Han ethnic (92.7{\%}); 55.5{\%} discussed condom use with their friends and the rate of inconsistent condom use in the last three sexual encounters was 29.2{\%}. In the multivariate logistic regression, PLWHA who perceived more of their friends’ approval of condom use were less likely to engage in unprotected sex than their counterparts (aOR = 0.25, p = .001). Those whose family members were aware of their HIV infection status were less likely to engage in unprotected sex than their counterparts (aOR = 0.17, p ",
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