Evidence map›Paper›PMID 34781900›Full record

ArticleBMC public health2021

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

Yi Yang, Hua Deng, Huan He, Shuang Feng Fan, Yuan Li, Xia Wu, Na Li, Jing Xi, Jing Xu, Jie Xiao and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Yi YangDepartment of Social Medicine and Health Administration, School of Administration, Chengdu University of Traditional Chinese Medicine, 1166 Liutai Avenue, Wenjiang District, Chengdu, 611137, China. thehanyang@163.com.
Hua DengDepartment of Urology, Chengdu Second Peoples' Hospital, 10 Qingyunnan Road, Chengdu, 610017, China.
Huan HeSchool of Public Administration, Southwestern University of Finance and Economics, 555 Liutai Avenue, Wenjiang District, Chengdu, China.
Shuang Feng FanDepartment of HIV/AIDS prevention, Chengdu Center for Disease Control and Prevention, No.4, Longxiang Road, Wuhou District, Chengdu, 610000, China.
Yuan LiDepartment of Epidemiology and Health Statistics, School of Public Health, Chengdu University of Traditional Chinese Medicine, 1166 Liutai Avenue, Wenjiang District, Chengdu, 611137, China.
Xia WuDepartment of HIV/AIDS prevention, Pengzhou Center for Disease Control and Prevention, 331 Longta Road, Pengzhou District, Chengdu, 610000, China.
Na LiDepartment of HIV/AIDS prevention, Pengzhou Center for Disease Control and Prevention, 331 Longta Road, Pengzhou District, Chengdu, 610000, China.
Jing XiDepartment of HIV/AIDS prevention, Chengdu Center for Disease Control and Prevention, No.4, Longxiang Road, Wuhou District, Chengdu, 610000, China.
Jing XuDepartment of Social Medicine and Health Administration, School of Administration, Chengdu University of Traditional Chinese Medicine, 1166 Liutai Avenue, Wenjiang District, Chengdu, 611137, China.
Jie XiaoDepartment of Social Medicine and Health Administration, School of Administration, Chengdu University of Traditional Chinese Medicine, 1166 Liutai Avenue, Wenjiang District, Chengdu, 611137, China.
Rui Ping LiaoDepartment of HIV/AIDS prevention, Pengzhou Center for Disease Control and Prevention, 331 Longta Road, Pengzhou District, Chengdu, 610000, China.
Wei XiaoDepartment of HIV/AIDS prevention, Pengzhou Center for Disease Control and Prevention, 331 Longta Road, Pengzhou District, Chengdu, 610000, China.
Chengdu University of Traditional Chinese Medicine · CNChengdu Center for Disease Control and Prevention · CNChengdu Second People's Hospital · CNSouthwestern University of Finance and Economics · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChina 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.

methodsThe 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.

results129 (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.

conclusionsHigh-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.

Indexed as

HeterosexualityHIV InfectionsAgedChinaCondomsCross-Sectional StudiesHumansMaleSexual BehaviorSex WorkChinaElderly menHIVKnowledge-attitude-practice (KAP) modelSexual behavior

Identifiers

PMID34781900
PMCPMC8594087
OpenAlexW3213457489

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.