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Disclosure of HIV Serostatus and Sexual Orientation Among HIV-Positive Men Who Have Sex with Men in China
Lin,Xiuyun1; Chi,Peilian2; Zhang,Liying3; Zhang,Yan4; Fang,Xiaoyi1; Qiao,Shan3; Li,Xiaoming3
Source PublicationCommunity Mental Health Journal
ISSN15732789 00103853

This study addressed the issue of disclosing HIV status and sexual orientation, and explored the consequences of such disclosures among HIV-positive men who have sex with men (MSM) in China. In-depth individual interviews were conducted with 37 HIV-positive MSM. Of these participants, 3 (8.1 %) disclosed neither their HIV status nor their sexual orientation to anyone; 24 (64.9 %) voluntarily disclosed both their HIV-positive status and their sexual orientation; 7 (18.9 %) voluntarily disclosed their HIV status only, and 3 (8.1 %) involuntarily disclosed their HIV status and sexual orientation. Parents, partners, siblings and close friends were the most common disclosure targets. HIV-positive MSM were less likely to disclose their sexual orientation than their HIV status. The positive consequences of disclosure included receiving support, acquiring family care, reducing stress, improving mood and developing more positive values and beliefs. The negative consequences included the participants’ perception of rejection and stigma toward themselves and their families. However, the stigma mainly comes from “outsiders” rather than family members and close friends. We did not find any differences with respect to consequences between participants who disclosed their HIV status only and those who disclosed both their HIV status and sexual orientation. In conclusion, partners, siblings and friends were main disclosure targets, and HIV positive MSM preferred to disclose their HIV serostatus than their sexual orientation. Voluntarily disclosing one’s HIV status to significant others resulted in more positive consequences than negative consequences. Theses results were informative for developing mental health and coping interventions.

KeywordConsequences Disclosure Hiv Status Hiv-positive Msm Sexual Orientation
URLView the original
Indexed BySSCI
WOS Research AreaPublic, Environmental & Occupational Health ; Health Care Sciences & Services ; Psychiatry
WOS SubjectHealth Policy & Services ; Public, Environmental & Occupational Health ; Psychiatry
WOS IDWOS:000374411900011
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Cited Times [WOS]:15   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
Corresponding AuthorFang,Xiaoyi
Affiliation1.Beijing Key Laboratory of Applied Experimental PsychologySchool of PsychologyBeijing Normal University,Beijing,China
2.Department of PsychologyUniversity of Macau,Macau,Macao
3.Department of PediatricsWayne State University,Detroit,United States
4.Department of Medical PsychologyPeking University,Beijing,China
Recommended Citation
GB/T 7714
Lin,Xiuyun,Chi,Peilian,Zhang,Liying,et al. Disclosure of HIV Serostatus and Sexual Orientation Among HIV-Positive Men Who Have Sex with Men in China[J]. Community Mental Health Journal,2019,52(4):457-465.
APA Lin,Xiuyun,Chi,Peilian,Zhang,Liying,Zhang,Yan,Fang,Xiaoyi,Qiao,Shan,&Li,Xiaoming.(2019).Disclosure of HIV Serostatus and Sexual Orientation Among HIV-Positive Men Who Have Sex with Men in China.Community Mental Health Journal,52(4),457-465.
MLA Lin,Xiuyun,et al."Disclosure of HIV Serostatus and Sexual Orientation Among HIV-Positive Men Who Have Sex with Men in China".Community Mental Health Journal 52.4(2019):457-465.
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