caa a22 4500 606232826 CHVBK 20210128101229.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10508-014-0450-8 doi (NATIONALLICENCE)springer-10.1007/s10508-014-0450-8 Homosexuality-Related Stigma and Sexual Risk Behaviors Among Men Who Have Sex With Men in Hanoi, Vietnam [Elektronische Daten] [Huy Ha, Jan Risser, Michael Ross, Nhung Huynh, Huong Nguyen] This article examined the associations between three forms of homosexuality-related stigma (enacted, perceived, and internalized homosexual stigmas) with risky sexual behaviors, and to describe the mechanisms of these associations, among men who have sex with men (MSM) in Hanoi, Vietnam. We used respondent-driven sampling (RDS) to recruit 451 MSM into a cross-sectional study conducted from August 2010 to January 2011. Data were adjusted for recruitment patterns due to the RDS approach; logistic regression and path analyses were performed. Participants were young and single; most had attended at least some college. Nine out of ten participants engaged in sexual behaviors at moderate to high risk levels. Compared to those who had no enacted homosexual stigma, men having low and high levels of enacted homosexual stigma, respectively, were 2.23 times (95% CI 1.35-3.69) and 2.20 times (95% CI 1.04-4.76) more likely to engage in high levels of sexual risk behaviors. In addition, there was an indirect effect of perceived homosexual stigma and internalized homosexual stigma on sexual risk behaviors through depression and drug and alcohol use. Our study provides valuable information to our understanding of homosexual stigma in Vietnam, highlighting the need for provision of coping skills against stigma to the gay community and addressing drinking and drug use among MSM, to improve the current HIV prevention interventions in Vietnam. Springer Science+Business Media New York, 2015 Homosexuality-related stigma nationallicence Sexual risk behavior nationallicence MSM nationallicence Ha Huy The Institute of Population, Health and Development, 18 Alley 132 Hoa Bang Street, Cau Giay District, 10000, Hanoi, Vietnam aut Risser Jan School of Public Health, The University of Texas, Houston, TX, USA aut Ross Michael School of Public Health, The University of Texas, Houston, TX, USA aut Huynh Nhung School of Medicine and Pharmacy, Vietnam National University-Hanoi, Hanoi, Vietnam aut Nguyen Huong Center for Community Health Research and Development, Hanoi, Vietnam aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 349-356 0004-0002 44:2<349 2015 44 10508 https://doi.org/10.1007/s10508-014-0450-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0450-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ha Huy The Institute of Population, Health and Development, 18 Alley 132 Hoa Bang Street, Cau Giay District, 10000, Hanoi, Vietnam aut NATIONALLICENCE 700 1- Risser Jan School of Public Health, The University of Texas, Houston, TX, USA aut NATIONALLICENCE 700 1- Ross Michael School of Public Health, The University of Texas, Houston, TX, USA aut NATIONALLICENCE 700 1- Huynh Nhung School of Medicine and Pharmacy, Vietnam National University-Hanoi, Hanoi, Vietnam aut NATIONALLICENCE 700 1- Nguyen Huong Center for Community Health Research and Development, Hanoi, Vietnam aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 349-356 0004-0002 44:2<349 2015 44 10508