Abstract
INTRODUCTION: Liangshan is one of the areas severely affected by both HIV and poverty in China. Casual sex is extremely prevalent among Yi minority people in Liangshan. Social norms can be viewed as products of cultural values, customs or traditions, which are informal understanding that reflect common expectation of a certain behaviour. This study was to investigate prevalence of casual sex in lifetime and social norms associated with occurrence of casual sex. METHODS: A cross-sectional survey was conducted among a representative sample of sexually active Yi minority people between October 2017 and February 2018. 1616 individuals were recruited for participation in this study. RESULTS: Of the participants, 11.8% were confirmed to be HIV positive. About half of the participants (46.6%) had ever engaged in casual sex in their lifetime, 34.2% reported their first sexual intercourse occurred below 18 years old. The lifetime prevalence of condom-less sex and multiple sex partnerships was 92.5% and 56.7%; 9.4% reported injective drug use. All six perceptions of social norms were significantly associated with presence of casual sex in lifetime after adjusted for the background variables. Perceptions that casual sex was acceptable among Yi minority people (ORm: 11.20) and Yi man can have more than one sex partner (ORm: 1.66) remained statistically significant in the multivariate logistic regression model. CONCLUSIONS: Casual sex may play an important role in facilitating HIV transmission among Yi minority people. Future interventions should consider making use of Yi clan system to change perceptions of social norm related to casual sex.
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@proceedings{APCPH-2019-77,
title = {Perceptions of Social Norm Played an Important Role on the Occurrence Casual Sex Among Yi Minority Residents in China: A Population-Based Study},
author = {Shujuan Yang},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Liangshan is one of the areas severely affected by both HIV and poverty in China. Casual sex is extremely prevalent among Yi minority people in Liangshan. Social norms can be viewed as products of cultural values, customs or traditions, which are informal understanding that reflect common expectation of a certain behaviour. This study was to investigate prevalence of casual sex in lifetime and social norms associated with occurrence of casual sex. METHODS: A cross-sectional survey was conducted among a representative sample of sexually active Yi minority people between October 2017 and February 2018. 1616 individuals were recruited for participation in this study. RESULTS: Of the participants, 11.8% were confirmed to be HIV positive. About half of the participants (46.6%) had ever engaged in casual sex in their lifetime, 34.2% reported their first sexual intercourse occurred below 18 years old. The lifetime prevalence of condom-less sex and multiple sex partnerships was 92.5% and 56.7%; 9.4% reported injective drug use. All six perceptions of social norms were significantly associated with presence of casual sex in lifetime after adjusted for the background variables. Perceptions that casual sex was acceptable among Yi minority people (ORm: 11.20) and Yi man can have more than one sex partner (ORm: 1.66) remained statistically significant in the multivariate logistic regression model. CONCLUSIONS: Casual sex may play an important role in facilitating HIV transmission among Yi minority people. Future interventions should consider making use of Yi clan system to change perceptions of social norm related to casual sex.},
note = {Type: ORAL PRESENTATION; Organisation: West China School of Public Health and West China Fourth Hospital, Sichuan University},
keywords = {social norm; casual sex; HIV transmission},
pubstate = {published},
tppubtype = {proceedings}
}