ArticleBMC public health2016
Relationship between quality of life and unprotected anal intercourse among Chinese men who have sex with men: a cross-sectional study.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Systematic review of the factor structure of WHOQOL-bref in adult population.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Pooled it
- Positive Coping as a Mediator of Mobile Health Intervention Effects on Quality of Life Among People Living With HIV: Secondary Analysis of the Randomized Controlled Trial Run4Love.Journal of medical Internet research · 2022Trial
- Clinical study on auricular point pressing beans combined with quetiapine in the treatment of alcohol-induced psychotic disorders.American journal of translational research · 2025Article
- Assessing the Determinants of Quality of Life and the Impact on HIV Prevention Measures among HIV-Negative and Status-Unknown Young Men Who Have Sex with Men: A Study in Two U.S. Metropolitan Areas.International journal of environmental research and public health · 2022Article
- Chemsex Practices and Health-Related Quality of Life in Spanish Men with HIV Who Have Sex with Men.Journal of clinical medicine · 2021Article
- Identification of Self-Management Behavior Clusters Among People Living with HIV in China: A Latent Class Profile Analysis.Patient preference and adherence · 2021Article
- The Holistic Health Status of Chinese Homosexual and Bisexual Adults: A Scoping Review.Frontiers in public health · 2021Article
- Psychosocial Factors Associated with Quality of Life in Young Men Who Have Sex with Men Living with HIV/AIDS in Zhejiang, China.International journal of environmental research and public health · 2019Article
- Individual and family level factors associated with physical and mental health-related quality of life among people living with HIV in rural China.BMC public health · 2019Article
- Quality of life of gay and bisexual men during emerging adulthood in Taiwan: Roles of traditional and cyber harassment victimization.PloS one · 2019Article
- Article
- The Influence of Internalized Homophobia on Health-Related Quality of Life and Life Satisfaction Among Gay and Bisexual Men in China.American journal of men's healthArticle
- The Impact of Symptoms Multidimensionality, Social Support, and Self-Efficacy on Quality of Life in People Living With HIV Based on the Least Absolute Shrinkage Selection Operator Algorithm: A Cross-Sectional Study in China.The Journal of the Association of Nurses in AIDS Care : JANACArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe prevalence of unprotected anal intercourse (UAI) is high among Chinese men who have sex with men (MSM). As important aspects of quality of life (QOL), psychological health and social relationships have been found to be associated with UAI among MSM, which was of great concern for intervening on UAI.
methodsWe conducted a cross-sectional study in Zhengzhou, Henan province, and in Huludao, Liaoning province, China, to measure quality of life (QOL) using the brief version of the World Health Organization Quality of Life (WHOQOL-BREF). Cronbach's α coefficient was used to test the internal consistency of the questionnaire items, and construction validity was assessed by exploratory factor analysis. T-test, chi-square test and multivariate logistic analysis were carried out to test the relationship between quality of life and unprotected anal intercourse.
resultsThe questionnaires of 320 of the 373 men who have sex with men that were surveyed met our validity criteria (response rate: 85.8 %). A total of 161 subjects (50.3 %) reported having unprotected anal sex in the last 6 months. The results of univariate analysis indicated that having unprotected anal sex was significantly associated with psychological health (PSYCH), social relationships (SOCIL), age, and marital status (P-value <0.05). The 3 items ("Negative feelings", "Hopeness on your life", and "Be able to concentrate") in the PSYCH subscale were associated with UAI significantly (P-value <0.05). Multivariate analysis showed that psychological health (adjusted odd ratio (AOR) 0.979, 95 % confidence interval (CI) 0.961-0.998) was independent factor affecting the likelihood of having UAI in the population of Chinese MSM, and participants who aged 45 or more had higher odds of UAI (AOR 3.986, 95 % CI 1.199-13.255).
conclusionsWHOQOL-BREF was acceptable for evaluating the quality of life of MSM. Psychological health, as one important aspect of quality of life, was negatively associated with unprotected anal intercourse. The finding underscored the needs to incorporate the strategies on improving psychological health into the UAI intervention to reduce the HIV transmission among MSM.
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