Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective

Abstract Background China is facing big challenges to achieve the “90–90-90 targets”. The HIV prevalence of elderly (≥50 years) men have been steadily increasing in China, mainly through the sexual transmission route, but sexual behaviors of them are far from well-studied. In 2019, elderly men accou...

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Autores principales:	Yi Yang, Hua Deng, Huan He, Shuang Feng Fan, Yuan Li, Xia Wu, Na Li, Jing Xi, Jing Xu, Jie Xiao, Rui Ping Liao, Wei Xiao
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Sexual behavior Elderly men Knowledge-attitude-practice (KAP) model HIV China Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/d2dbfa6bba084b4c87afe57e8099c3df
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spelling	oai:doaj.org-article:d2dbfa6bba084b4c87afe57e8099c3df2021-11-21T12:10:18ZLifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective10.1186/s12889-021-12139-z1471-2458https://doaj.org/article/d2dbfa6bba084b4c87afe57e8099c3df2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12139-zhttps://doaj.org/toc/1471-2458Abstract Background China is facing big challenges to achieve the “90–90-90 targets”. The HIV prevalence of elderly (≥50 years) men have been steadily increasing in China, mainly through the sexual transmission route, but sexual behaviors of them are far from well-studied. In 2019, elderly men accounted for 59.2% of HIV/AIDS cases in Sichuan, China. Methods The research design is a cross-sectional study. Face-to-face interviews were conducted among 795 HIV negative elderly men from rural Chengdu, capital City of Sichuan. Bivariate and multivariate logistic regression models were applied to examine factors associated with commercial heterosexual behavior from a modified Knowledge-Attitude-Practice (KAP) perspective. Results 129 (16.23%) respondents admitted high-risk sexual behaviors, including 11.07% commercial heterosexual behavior, 6.16% extramarital, 2.89% casual and 0.25% homosexual behavior, and no one used condom consistently. 427(68.43%) had ever gotten HIV-related Health Education (HRHE), mainly through mass media (70.49%). The HIV-related knowledge awareness rate was only 31.41%. Migration history (AOR =2.46,95% CI = 1.02–5.91), age(≥60 vs. 50–59, OR = 0.41, 95% CI = 0.19–0.91), receiving HRHE from mass media (OR = 0.37, 95%CI = 0.16–0.85), marital status (married vs. never married, OR = 0.04, 95%CI = 0–0.52), and undecided (AOR =0.02, 95%CI = 0.01–0.09) and objection (AOR =0.04, 95%CI = 0.01–0.1) attitude toward commercial sex were related to lifetime commercial heterosexual behavior. Conclusions High-risk sexual behaviors are common among elderly men from rural areas in Chengdu. Receiving HRHE from mass media and undecided and objection attitude toward commercial sex prevent elderly from being involving in commercial heterosexual behavior. According to the results, health facilities should continue to conduct systematic interventions, paying more attention to 50–59 years old group. Sex and condom use need to be talked in public. Working with mass media, health facilities give elderly men education not only focusing on HIV/AIDS, but also on knowledge and skills of condom use.Yi YangHua DengHuan HeShuang Feng FanYuan LiXia WuNa LiJing XiJing XuJie XiaoRui Ping LiaoWei XiaoBMCarticleSexual behaviorElderly menKnowledge-attitude-practice (KAP) modelHIVChinaPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sexual behavior Elderly men Knowledge-attitude-practice (KAP) model HIV China Public aspects of medicine RA1-1270
spellingShingle	Sexual behavior Elderly men Knowledge-attitude-practice (KAP) model HIV China Public aspects of medicine RA1-1270 Yi Yang Hua Deng Huan He Shuang Feng Fan Yuan Li Xia Wu Na Li Jing Xi Jing Xu Jie Xiao Rui Ping Liao Wei Xiao Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective
description	Abstract Background China is facing big challenges to achieve the “90–90-90 targets”. The HIV prevalence of elderly (≥50 years) men have been steadily increasing in China, mainly through the sexual transmission route, but sexual behaviors of them are far from well-studied. In 2019, elderly men accounted for 59.2% of HIV/AIDS cases in Sichuan, China. Methods The research design is a cross-sectional study. Face-to-face interviews were conducted among 795 HIV negative elderly men from rural Chengdu, capital City of Sichuan. Bivariate and multivariate logistic regression models were applied to examine factors associated with commercial heterosexual behavior from a modified Knowledge-Attitude-Practice (KAP) perspective. Results 129 (16.23%) respondents admitted high-risk sexual behaviors, including 11.07% commercial heterosexual behavior, 6.16% extramarital, 2.89% casual and 0.25% homosexual behavior, and no one used condom consistently. 427(68.43%) had ever gotten HIV-related Health Education (HRHE), mainly through mass media (70.49%). The HIV-related knowledge awareness rate was only 31.41%. Migration history (AOR =2.46,95% CI = 1.02–5.91), age(≥60 vs. 50–59, OR = 0.41, 95% CI = 0.19–0.91), receiving HRHE from mass media (OR = 0.37, 95%CI = 0.16–0.85), marital status (married vs. never married, OR = 0.04, 95%CI = 0–0.52), and undecided (AOR =0.02, 95%CI = 0.01–0.09) and objection (AOR =0.04, 95%CI = 0.01–0.1) attitude toward commercial sex were related to lifetime commercial heterosexual behavior. Conclusions High-risk sexual behaviors are common among elderly men from rural areas in Chengdu. Receiving HRHE from mass media and undecided and objection attitude toward commercial sex prevent elderly from being involving in commercial heterosexual behavior. According to the results, health facilities should continue to conduct systematic interventions, paying more attention to 50–59 years old group. Sex and condom use need to be talked in public. Working with mass media, health facilities give elderly men education not only focusing on HIV/AIDS, but also on knowledge and skills of condom use.
format	article
author	Yi Yang Hua Deng Huan He Shuang Feng Fan Yuan Li Xia Wu Na Li Jing Xi Jing Xu Jie Xiao Rui Ping Liao Wei Xiao
author_facet	Yi Yang Hua Deng Huan He Shuang Feng Fan Yuan Li Xia Wu Na Li Jing Xi Jing Xu Jie Xiao Rui Ping Liao Wei Xiao
author_sort	Yi Yang
title	Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective
title_short	Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective
title_full	Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective
title_fullStr	Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective
title_full_unstemmed	Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective
title_sort	lifetime commercial heterosexual behavior among hiv negative elderly men from rural chengdu, china: a modified knowledge-attitude-practice perspective
publisher	BMC
publishDate	2021
url	https://doaj.org/article/d2dbfa6bba084b4c87afe57e8099c3df
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Lifetime commercial heterosexual behavior among HIV negative elderly men from rural Chengdu, China: a modified knowledge-attitude-practice perspective

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