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Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

Condom use peer norms and self-efficacy as mediators between community engagement and condom use among Chinese men who have sex with men

Authors: Haochu Li, Li Xue, Joseph D. Tucker, Chongyi Wei, Maya Durvasula, Wenqi Hu, Dianming Kang, Meizhen Liao, Weiming Tang, Wei Ma

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

Community engagement strategies are often integrated in public health interventions designed to promote condom use among men who have sex with men (MSM), a key population for HIV prevention. However, the ways in which condom use peer norms and self-efficacy play a role in the association between community engagement and condom use is unclear. This study examines the potential mediating roles of peer norms and self-efficacy in this association.

Methods

A nationwide cross-sectional online survey was conducted among Chinese MSM in 2015. Recruitment criteria included being born biologically male, being older than 16 years, having had anal sex with a man at least once during their lifetime, and having had condomless anal or vaginal sex in the past three months. Mplus 6.11 was used to conduct confirmatory factor analysis and path modeling analysis to examine the structural relationships between HIV/sexual health community engagement (e.g., joining social media and community events related to HIV and sexual health services), condom use peer norms, condom use self-efficacy, and frequency of condom use.

Results

The study found that HIV/sexual health community engagement, condom use peer norms, condom use self-efficacy, and frequency of condom use were mutually correlated. A good data model was achieved with fit index: CFI = 0.988, TLI = 0.987, RMSEA = 0.032, 90% CI (0.028, 0.036). HIV/sexual health community engagement was associated with frequency of condom use, which was directly mediated by condom use peer norms and indirectly through self-efficacy.

Conclusion

The study suggests that condom use peer norms and self-efficacy may be mediators in the pathway between community engagement and condom use, and suggests the importance of peer-based interventions to improve condom use.
Appendix
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Metadata
Title
Condom use peer norms and self-efficacy as mediators between community engagement and condom use among Chinese men who have sex with men
Authors
Haochu Li
Li Xue
Joseph D. Tucker
Chongyi Wei
Maya Durvasula
Wenqi Hu
Dianming Kang
Meizhen Liao
Weiming Tang
Wei Ma
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4662-4

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