A structural equation modeling approach to investigate HIV testing willingness for men who have sex with men in China.

Han Jiang, Wei He, Haiying Pan, Xiaoni Zhong
Author Information
  1. Han Jiang: School of Public Health, Chongqing Medical University, Chongqing, 400016, China.
  2. Wei He: School of Public Health, Chongqing Medical University, Chongqing, 400016, China.
  3. Haiying Pan: School of Public Health, Chongqing Medical University, Chongqing, 400016, China.
  4. Xiaoni Zhong: School of Public Health, Chongqing Medical University, Chongqing, 400016, China. zhongxiaoni@cqmu.edu.cn.

Abstract

BACKGROUND: A substantial risk of contracting Human immunodeficiency virus (HIV) exists among men who have sex with men (MSM), and HIV infection rates have been rising. This study aimed to analyze the factors influencing the Chinese MSM population's intention to test for HIV.
METHODS: Nonprobability sampling techniques were employed in June 2022 to recruit MSM in Chongqing and Sichuan, China. The data were analyzed using structural equation modeling (SEM), which is based on the knowledge-attitude-behavior (KAB) theory.
RESULTS: Among 1687 participants, 964 (57.1%) of the MSM were willing to have an HIV test. The results of the structural equation modeling (SEM) showed that knowledge, attitude, and behavior all influenced the testing intention, with attitude having the greatest impact (total effect of 0.22).
CONCLUSION: HIV testing needs to be increased among MSM as they exhibit a moderate willingness to test. Improving education on HIV knowledge and risk behavior might enhance the willingness of MSM to test for HIV in China.

Keywords

References

  1. Cad Saude Publica. 2017 May 18;33(4):e00014716 [PMID: 28538786]
  2. PLoS One. 2019 Feb 13;14(2):e0210637 [PMID: 30759090]
  3. Lancet HIV. 2019 Oct;6(10):e705-e714 [PMID: 31578955]
  4. BMC Public Health. 2018 Nov 20;18(1):1277 [PMID: 30453923]
  5. Int J Environ Res Public Health. 2020 Jul 08;17(14): [PMID: 32650614]
  6. AIDS Care. 2018 Jan;30(1):18-26 [PMID: 28685584]
  7. BMC Infect Dis. 2020 Nov 19;20(1):865 [PMID: 33213389]
  8. MMWR Morb Mortal Wkly Rep. 2017 Aug 11;66(31):830-832 [PMID: 28796758]
  9. Risk Manag Healthc Policy. 2021 Apr 28;14:1749-1761 [PMID: 33953624]
  10. Lancet Public Health. 2018 Jul;3(7):e311 [PMID: 29976325]
  11. Sex Health. 2018 Feb;15(1):96-98 [PMID: 28927494]
  12. Prev Sci. 2015 Feb;16(2):321-9 [PMID: 24906999]
  13. Am J Mens Health. 2018 Sep;12(5):1175-1184 [PMID: 29855216]
  14. AIDS Behav. 2021 Jul;25(7):1993-2004 [PMID: 33389373]
  15. Glob Health Action. 2022 Dec 31;15(1):2021631 [PMID: 35289717]

MeSH Term

Male
Humans
Latent Class Analysis
HIV Infections
Homosexuality, Male
Sexual and Gender Minorities
China
HIV Testing

Word Cloud

Created with Highcharts 10.0.0HIVMSMmentestChinatestingwillingnessstructuralequationmodelingriskamongsexintentionSEMknowledgeattitudebehaviorBACKGROUND:substantialcontractingHumanimmunodeficiencyvirusexistsinfectionratesrisingstudyaimedanalyzefactorsinfluencingChinesepopulation'sMETHODS:NonprobabilitysamplingtechniquesemployedJune2022recruitChongqingSichuandataanalyzedusingbasedknowledge-attitude-behaviorKABtheoryRESULTS:Among1687participants964571%willingresultsshowedinfluencedgreatestimpacttotaleffect022CONCLUSION:needsincreasedexhibitmoderateImprovingeducationmightenhanceapproachinvestigate

Similar Articles

Cited By