1. Understanding the influence of Social Determinants of Health (SDH) on suicidal behaviors among HIV-positive men who have sex with men (MSM) in China: A population-based study.
- Author
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Wang Z, Xu L, Xu H, Wang Y, Hu F, Zou H, and Cai Y
- Subjects
- Humans, Male, Adult, China epidemiology, Risk Factors, HIV Infections epidemiology, HIV Infections psychology, Surveys and Questionnaires, Depression epidemiology, Depression psychology, Young Adult, Suicide, Attempted statistics & numerical data, Sexual and Gender Minorities statistics & numerical data, Sexual and Gender Minorities psychology, Suicide statistics & numerical data, Suicide psychology, Sexual Behavior statistics & numerical data, Sexual Behavior psychology, Homosexuality, Male statistics & numerical data, Homosexuality, Male psychology, Social Determinants of Health, Suicidal Ideation, Social Stigma
- Abstract
Background: HIV-positive men who have sex with men (MSM) are at high risk of suicide and experience intersectional inequalities. The Social Determinants of Health (SDH) framework provides valuable insights into how inequalities can lead to adverse outcomes. This study aimed to employ the SDH framework to identify factors that contribute to suicidal behaviors among this population., Methods: 1410 HIV-positive MSM were recruited using a web-based questionnaire, whose mean age was 30.77 ± 6.92 years old. Participants completed questionnaires including baseline information and psychological measurements, such as Suicidal Behaviors Questionnaire-Revised (SBQ-R). Logistic regression analysis was conducted to screen for risk factors associated with suicidal behaviors., Results: More than half of the participants (53.3 %, 752/1410) had an SBQ score of 7 or higher. Binary logistic regression analysis of structural and intermediary determinants (Model 3) revealed that sexual orientation, stigma (ORs: 1.018, 95 % CI: 1.005-1.032), interpersonal needs (ORs: 1.021, 95 % CI: 1.010-1.031), depression (ORs: 1.037, 95 % CI: 1.001-1.074) and entrapment (ORs: 1.018, 95 % CI: 1.004-1.032) were positively correlated with suicidal behaviors. Individuals with other or unknown sexual orientation had significantly higher rates of suicidal behaviors compared to those with a heterosexual sexual orientation (ORs: 5.021, 95 % CI: 1.529-17.640)., Limitations: Sampling of HIV-positive MSM posed challenges in data collection. It may introduce selection bias and affect generalizability., Conclusion: This study identified that sexual orientation, stigma, interpersonal needs, depression, and entrapment were significantly associated with suicidal behaviors among HIV-positive MSM. Additionally, these factors can be social determinants of health that contribute to suicidal behaviors., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. During the preparation of this work the authors used ChatGPT in order to improve the readability of a few sentences. After using this tool/service, the authors reviewed and edited the content as needed and take full responsibility for the content of the publication., (Copyright © 2024 Elsevier B.V. All rights reserved.)
- Published
- 2024
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