| Title | Development of a Psychometric Tool to Measure Community Solidarity Among Sexual Minorities: Evidence From a Pay-it-Forward Randomized Controlled Trial |
| Authors | Sung, Anne Zhang, Tiange P. Huang, Wenting Tang, Weiming Alexander, Marcus Forastiere, Laura Kumar, Navin Hall, Brian J. Ransome, Yusuf Dieckhaus, Kevin D. Wu, Dan Tucker, Joseph D. Yang, Fan |
| Affiliation | Univ Connecticut, Div Infect Dis, Sch Med, Farmington, CT USA Univ N Carolina, Sch Med, UNC Project China, Guangzhou, Peoples R China Loyola Univ, Dept Med, Med Ctr, Maywood, IL USA Emory Univ, Dept Behav Social & Hlth Educ Sci, Rollins Sch Publ Hlth, Atlanta, GA 30322 USA Univ N Carolina, Sch Med, Div Infect Dis, Chapel Hill, NC 27515 USA Yale Univ, Human Nat Lab, Dept Sociol, New Haven, CT USA Yale Sch Publ Hlth, Dept Biostat, New Haven, CT USA New York Univ Shanghai, Ctr Global Hlth Equity, Shanghai, Peoples R China NYU, Sch Global Publ Hlth, New York, NY USA London Sch Hyg & Trop Med, Dept Clin Res, London, England Peking Univ, Inst Populat Res, Beijing, Peoples R China |
| Keywords | MEN GONORRHEA CHALLENGES ADULTS CHINA GAY |
| Issue Date | Sep-2022 |
| Publisher | SEXUALLY TRANSMITTED DISEASES |
| Abstract | Background Community solidarity is increasingly important in public health. However, few studies have examined solidarity in relation to health outcomes. The purpose of this study was to develop a psychometric tool to measure solidarity among Chinese men who have sex with men (MSM) and assess whether community solidarity relates to differences in sexually transmitted infection testing. Methods We used data from the pay-it-forward randomized controlled trial of 301 men from Beijing and Guangzhou, China. Men who have sex with men were randomized into pay-it-forward (participants receive free gonorrhea/chlamydia testing as gifts and choose to donate toward subsequent MSM's tests), pay-what you-want, and standard payment arms. After testing decision, participants completed a cross-sectional questionnaire to assess community solidarity. Factor analysis was conducted to identify dimensions of solidarity. The solidarity factors were compared across study arms and assessed against gonorrhea/chlamydia test uptake in multivariable logistic regression. Results Two hundred eighty-eight participants responded to the survey. We identified 3 latent community solidarity factors: engagement, social network support, and sense of belonging. Several items related to belonging were significantly greater among participants in the pay-it-forward scenario compared with those assigned to other scenarios. Higher sense of belonging was associated with higher odds of gonorrhea and chlamydia test uptake. Conclusions Community solidarity among MSM in China can be characterized by 3 factors: engagement, social network support, and sense of belonging. Sense of belonging was higher in the pay-it-forward intervention arm and may be associated with the uptake of gonorrhea/chlamydia test. Future studies are warranted to confirm the psychometric structure of community solidarity and further investigate behavioral mechanisms of pay it forward. |
| URI | http://hdl.handle.net/20.500.11897/650507 |
| ISSN | 0148-5717 |
| DOI | 10.1097/OLQ.0000000000001659 |
| Indexed | SCI(E) |
| Appears in Collections: | 人口研究所 |
