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Homoprejudiced violence among Chinese men who have sex with men: a cross-sectional analysis in Guangzhou, China

  • Wu, Dan1, 2
  • Yang, Eileen2, 3
  • Huang, Wenting2, 4
  • Tang, Weiming2, 5, 6
  • Xu, Huifang7
  • Liu, Chuncheng8
  • Baral, Stefan9
  • Day, Suzanne3
  • Tucker, Joseph D.1, 2, 5
  • 1 International Diagnostics Centre, London School of Hygiene and Tropical Medicine, Keppel Street, Bloomsbury, London, WC1E 7HT, UK , London (United Kingdom)
  • 2 Social Entrepreneurship to Spur Health (SESH) Global, Guangzhou, China , Guangzhou (China)
  • 3 Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA , Chapel Hill (United States)
  • 4 Emory University, Atlanta, GA, USA , Atlanta (United States)
  • 5 University North Carolina at Chapel Hill, Project-China, Guangzhou, China , Guangzhou (China)
  • 6 Dermatology Hospital of Southern Medical University, Guangzhou, China , Guangzhou (China)
  • 7 Guangzhou Center of Diseases Control, Guangzhou, China , Guangzhou (China)
  • 8 University of California San Diego, San Diego, USA , San Diego (United States)
  • 9 The Johns Hopkins School of Public Health, Baltimore, MD, USA , Baltimore (United States)
Published Article
BMC Public Health
Springer (Biomed Central Ltd.)
Publication Date
Mar 27, 2020
DOI: 10.1186/s12889-020-08540-9
Springer Nature


BackgroundHomoprejudiced violence, defined as physical, verbal, psychological and cyber aggression against others because of their actual or perceived sexual orientation, is an important public health issue. Most homoprejudiced violence research has been conducted in high-income countries. This study examined homoprejudiced violence among men who have sex with men (MSM) in Guangzhou, China.MethodsMSM in a large Chinese city, Guangzhou, completed an online survey. Data about experiencing and initiating homoprejudiced violence was collected. Multivariable logistic regression analyses, controlling for age, residence, occupation, heterosexual marriage, education and income, were carried out to explore associated factors.ResultsA total of 777 responses were analyzed and most (64.9%) men were under the age of 30. Three-hundred-ninety-nine (51.4%) men experienced homoprejudiced violence and 205 (25.9%) men perpetrated homoprejudiced violence against others. Men who identified as heterosexual were less (AOR = 0.6, 95% CI: 0.4–0.9) likely to experience homoprejudiced violence compared to men who identified as gay. Men who experienced homoprejudiced violence were more likely to initiate homoprejudiced violence (AOR = 2.44, 95% CI: 1.6–3.5). Men who disclosed their sexual orientation to other people were more likely to experience homoprejudiced violence (AOR = 1.8, 95% CI:1.3–2.5).ConclusionsThese findings suggest the importance of further research and the implementation of interventions focused on preventing and mitigating the effects of homoprejudiced violence among MSM in China.

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