Homoprejudiced violence among Chinese men who have sex with men: a cross-sectional analysis in Guangzhou, China

• Type of Material: Article
• Authors: Dan Wu, London School of Hygiene & Tropical Medicine; Eileen Yang, Social Entrepreneurship to Spur Health (SESH) Global; Wenting Huang, Social Entrepreneurship to Spur Health (SESH) Global; Weiming Tang, Social Entrepreneurship to Spur Health (SESH) Global; Huifang Xu, Guangzhou Center of Diseases Control; Chunheng Liu, University of California San Diego; Stefan Baral, The Johns Hopkins School of Public Health; Suzanne Day, University of North Carolina at Chapel Hill; Joseph D Tucker, London School of Hygiene & Tropical Medicine
• Language: English
• Date: 2020-03-27
• Publisher: BMC
• Publication Version: Final Published Version
• Copyright Statement: © The Author(s) 2020
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1186/s12889-020-08540-9
• Title of Journal or Parent Work: BMC PUBLIC HEALTH
• Volume: 20
• Issue: 1
• Start Page: 400
• End Page: 400
• Grant/Funding Information: This work received funding support from Academy of Medical Sciences and the Newton Fund (Grant number NIF\R1\181020), National Institutes of Health (NIAID 1R01AI114310–01), UNC-South China STD Research Training Center (FIC 1D43TW009532–01), UNC Center for AIDS Research (NIAID 5P30AI050410), the North Carolina Translational & Clinical Sciences Institute (1UL1TR001111), and SMU Research Initiation Project (QD2017N030, C1034448). The funders played no role in study design, data collection, analysis and interpretation of data, or in the writing of the article.
• Keywords: YOUTH; Homoprejudice; Science & Technology; Epidemiology; Life Sciences & Biomedicine; GAY; China; Stigma; Public, Environmental & Occupational Health; Men who have sex with men; Violence
• Research Categories: Health Sciences, Epidemiology; Health Sciences, Medicine and Surgery

Abstract

Background: Homoprejudiced violence, defined as physical, verbal, psychological and cyber aggression against others because of their actual or perceived sexual orientation, is an important public health issue. Most homoprejudiced violence research has been conducted in high-income countries. This study examined homoprejudiced violence among men who have sex with men (MSM) in Guangzhou, China. Methods: MSM in a large Chinese city, Guangzhou, completed an online survey. Data about experiencing and initiating homoprejudiced violence was collected. Multivariable logistic regression analyses, controlling for age, residence, occupation, heterosexual marriage, education and income, were carried out to explore associated factors. Results: A total of 777 responses were analyzed and most (64.9%) men were under the age of 30. Three-hundred-ninety-nine (51.4%) men experienced homoprejudiced violence and 205 (25.9%) men perpetrated homoprejudiced violence against others. Men who identified as heterosexual were less (AOR = 0.6, 95% CI: 0.4-0.9) likely to experience homoprejudiced violence compared to men who identified as gay. Men who experienced homoprejudiced violence were more likely to initiate homoprejudiced violence (AOR = 2.44, 95% CI: 1.6-3.5). Men who disclosed their sexual orientation to other people were more likely to experience homoprejudiced violence (AOR = 1.8, 95% CI:1.3-2.5). Conclusions: These findings suggest the importance of further research and the implementation of interventions focused on preventing and mitigating the effects of homoprejudiced violence among MSM in China.