Condom Use and Related Factors among Rural and Urban Men Who Have Sex With Men in Western China: Based on Information-Motivation-Behavioral Skills Model

This study aimed to determine the differences in condom use and related factors among rural–urban men who have sex with men (MSM) in Western China. A cross-sectional survey was conducted in Chongqing, Sichuan, and Guangxi, which recruited MSM by non-probability sampling. Data were collected through...

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Bibliographic Details
Published in:American journal of men's health 2020-01, Vol.14 (1), p.1557988319899799
Main Authors: Hu, Ling, Luo, Yetao, Zhong, Xiaoni, Lu, Rongrong, Wang, Yang, Sharma, Manoj, Ye, Mengliang
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
China
Condoms
Cross-Sectional Studies
Health Knowledge, Attitudes, Practice
HIV Infections - prevention & control
HIV/AIDS/STIs
Homosexuality, Male
Humans
Male
Mens health
Models, Theoretical
Risk-Taking
Rural areas
Rural Population
Self Report
Sexual behavior
Structural equation modeling
Urban areas
Urban Population
Young Adult
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Summary:This study aimed to determine the differences in condom use and related factors among rural–urban men who have sex with men (MSM) in Western China. A cross-sectional survey was conducted in Chongqing, Sichuan, and Guangxi, which recruited MSM by non-probability sampling. Data were collected through an anonymous, standardized, and self-reported questionnaire guided by an information–motivation–behavioral skills model. Structural equation model was applied to analyze the related factors. Out of the 1141 MSM included in this analysis, 856 (75%) and 285 (25%) were from urban and rural areas, respectively. The median age was 27 years for both groups. Self-reported consistent condom use for anal sex in the past 6 months was 57.58%. The rate of consistent condom use was lower in rural MSM than in urban MSM (50.88% vs. 59.81%, p = .008). Behavioral skills, HIV/AIDS intervention services, and response costs had direct positive and negative influences on condom use, respectively. By contrast, motivation and information exhibited indirect influence. All the factors were mediated by behavioral skills in rural and urban MSM, except for the information that had no effect among urban MSM but had an indirect effect among rural MSM. These findings suggest that service providers should pay attention to substantial rural–urban differences and design different AIDS prevention and intervention strategies targeting rural and urban MSM.
ISSN:1557-9883
1557-9891
DOI:10.1177/1557988319899799