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Abstract



Unraveling risk and protective factors affecting sexual behaviors among Chinese MSM in Hong Kong: a qualitative exploration

K.M.C. Lo1, C.O.B. Ho2, B.T.H. Wong1, B.M.W. Lee1, C.H. Li1

Background: Limited research has been conducted on sexual risk-taking behaviors among Chinese MSM in Hong Kong. This study explored the interaction of socio-cultural, psychological, contextual and interpersonal domains that affect sexual behaviors within a homosexual relationship.
Methods: Thirty MSM aged 14 to 62 in Hong Kong were invited for face-to-face interviews with a semi-structured guide. The taped interviews were coded for themes extraction based on the Grounded Theory.
Results: Preliminary results show that sexual risk behavior among Chinese MSM in Hong Kong may be explained by partner selection in terms of physical attraction, “unconditional sacrifice” in a relationship, perceived sexual attitude in gay community, socialization of masculine gender role, condom unavailability, unrealistic sexual risk assessments, negative condom attitude, low self-esteem and loneliness, and drugs and alcohol use. Factors for protective behavior namely, having competent sexual communication and negotiation skills, responsibility for protecting partner from HIV/STD infection, perceived negative consequences of HIV infection, high self-efficacy in condom use, preference of sexual practices, and supportive peer influence on condom use were identified.
Conclusions: Given the complex nature of sexual interaction and behavior, it is imperative to take a multidimensional view on conceptualizing the risk and protective factors underlying sexual behaviors of MSM. The present behavioral study has practical implications on the future design of culturally-sensitive HIV prevention for Chinese MSM in Hong Kong.





AIDS 2008 - XVII International AIDS Conference
Abstract no. TUPE0748


Suggested Citation
"K.M.C.Lo, et al. Unraveling risk and protective factors affecting sexual behaviors among Chinese MSM in Hong Kong: a qualitative exploration. : AIDS 2008 - XVII International AIDS Conference: Abstract no. TUPE0748"