{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T15:58:57Z","timestamp":1788623937449,"version":"build-2803163510"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:00:00Z","timestamp":1740182400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:00:00Z","timestamp":1740182400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"Guangxi Philosophy and Social Science Foundation Project","award":["22FSH012"],"award-info":[{"award-number":["22FSH012"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["AIDS Behav"],"published-print":{"date-parts":[[2025,6]]},"DOI":"10.1007\/s10461-025-04665-3","type":"journal-article","created":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T20:38:01Z","timestamp":1740256681000},"page":"1995-2002","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Sexual Orientation Disclosure to Parents on Sexual Risk Behaviors and HIV Infection in Chinese Gay Men: A 15-Year Longitudinal Case\u2013Control Study"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9398-9000","authenticated-orcid":false,"given":"Yong","family":"Yu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zheng","family":"Ren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shishi","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,2,22]]},"reference":[{"key":"4665_CR1","unstructured":"UNAIDS. HIV and gay men and other men who have sex with men. Available from: https:\/\/www.unaids.org\/en\/resources\/documents\/2024\/2024-unaids-global-aids-update-gay-men. Accessed 11 Nov 2024. UNAIDS, Geneva, Switzerland."},{"key":"4665_CR2","unstructured":"Centers for Disease Control and Prevention. Fast facts: HIV and gay and bisexual men. Available from: https:\/\/www.cdc.gov\/hiv\/data-research\/facts-stats\/gay-bisexual-men.html. Accessed 11 Nov 2024. Centers for Disease Control and Prevention, Atlanta, USA."},{"issue":"3","key":"4665_CR3","doi-asserted-by":"publisher","first-page":"748","DOI":"10.1007\/s10461-020-03035-5","volume":"25","author":"PM Luz","year":"2021","unstructured":"Luz PM, Torres TS, Almeida-Brasil CC, et al. High-risk sexual behavior, binge drinking and use of stimulants are key experiences on the pathway to high perceived HIV risk among men who have sex with men in Brazil. AIDS Behav. 2021;25(3):748\u201357. https:\/\/doi.org\/10.1007\/s10461-020-03035-5.","journal-title":"AIDS Behav."},{"issue":"1","key":"4665_CR4","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1007\/s10508-019-01488-x","volume":"49","author":"H Jiang","year":"2020","unstructured":"Jiang H, Li J, Tan Z, et al. Syndemic factors and HIV risk among men who have sex with men in Guangzhou, China: evidence from synergy and moderated analyses. Arch Sex Behav. 2020;49(1):311\u201320. https:\/\/doi.org\/10.1007\/s10508-019-01488-x.","journal-title":"Arch Sex Behav."},{"issue":"1","key":"4665_CR5","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1037\/ort0000117","volume":"86","author":"DM Frost","year":"2016","unstructured":"Frost DM, Meyer IH, Schwartz S. Social support networks among diverse sexual minority populations. Am J Orthopsychiatry. 2016;86(1):91\u2013102. https:\/\/doi.org\/10.1037\/ort0000117.","journal-title":"Am J Orthopsychiatry."},{"key":"4665_CR6","doi-asserted-by":"publisher","unstructured":"Singh S, Song R, Johnson AS, et al. HIV incidence, prevalence, and undiagnosed infections in U.S. men who have sex with men. Ann Intern Med. 2018;168(10):685\u2013694. https:\/\/doi.org\/10.7326\/M17-2082.","DOI":"10.7326\/M17-2082"},{"issue":"3","key":"4665_CR7","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1111\/jora.12385","volume":"28","author":"RJ Watson","year":"2018","unstructured":"Watson RJ, Wheldon CW, Puhl RM. Evidence of diverse identities in a large national sample of sexual and gender minority adolescents. J Res Adolesc. 2018;28(3):563\u201377. https:\/\/doi.org\/10.1111\/jora.12385.","journal-title":"J Res Adolesc."},{"issue":"1","key":"4665_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1037\/sgd0000265","volume":"5","author":"EA McConnell","year":"2018","unstructured":"McConnell EA, Janulis P, Phillips G 2nd, et al. Multiple minority stress and LGBT community resilience among sexual minority men. Psychol Sex Orientat Gend Divers. 2018;5(1):1\u201312. https:\/\/doi.org\/10.1037\/sgd0000265.","journal-title":"Psychol Sex Orientat Gend Divers."},{"issue":"2","key":"4665_CR9","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1007\/s12160-016-9822-8","volume":"51","author":"HJ Rendina","year":"2017","unstructured":"Rendina HJ, Gamarel KE, Pachankis JE, et al. Extending the minority stress model to incorporate HIV-positive gay and bisexual men\u2019s experiences: a longitudinal examination of mental health and sexual risk behavior. Ann Behav Med. 2017;51(2):147\u201358. https:\/\/doi.org\/10.1007\/s12160-016-9822-8.","journal-title":"Ann Behav Med."},{"issue":"1","key":"4665_CR10","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1007\/s11904-019-00479-w","volume":"17","author":"S Sun","year":"2020","unstructured":"Sun S, Pachankis JE, Li X, et al. Addressing minority stress and mental health among men who have sex with men (MSM) in China. Curr HIV\/AIDS Rep. 2020;17(1):35\u201362. https:\/\/doi.org\/10.1007\/s11904-019-00479-w.","journal-title":"Curr HIV\/AIDS Rep."},{"issue":"1\u20132","key":"4665_CR11","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1300\/J082v18n01_02","volume":"18","author":"EF Strommen","year":"1989","unstructured":"Strommen EF. \u201cYou\u2019re a what?\u201d: family member reactions to the disclosure of homosexuality. J Homosex. 1989;18(1\u20132):37\u201358. https:\/\/doi.org\/10.1300\/J082v18n01_02.","journal-title":"J Homosex."},{"issue":"2","key":"4665_CR12","doi-asserted-by":"publisher","first-page":"442","DOI":"10.1007\/s13178-021-00558-x","volume":"19","author":"Y Wang","year":"2022","unstructured":"Wang Y, Lao CK, Wang Q, et al. The impact of sexual minority stigma on depression: the roles of resilience and family support. Sex Res Soc Policy. 2022;19(2):442\u201352. https:\/\/doi.org\/10.1007\/s13178-021-00558-x.","journal-title":"Sex Res Soc Policy"},{"key":"4665_CR13","doi-asserted-by":"crossref","unstructured":"D\u0131nn AA, Caldwell-Harris CL. How collectivism and family control influence depressive symptoms in Asian American and European American college students. Elektronik Sosyal Bilimler Dergisi. 2016;15(57)","DOI":"10.17755\/esosder.44308"},{"key":"4665_CR14","unstructured":"Tseng WH. Chinese-American young adult children's perception of parental psychological and behavioral control and its impact on their emotional and social well-being. City University of New York; 2015"},{"issue":"4","key":"4665_CR15","doi-asserted-by":"publisher","first-page":"889","DOI":"10.1093\/geronb\/gbz021","volume":"75","author":"M Guo","year":"2020","unstructured":"Guo M, Stensland M, Li M, Dong X. Parent-adult child relations of Chinese older immigrants in the United States: is there an optimal type? J Gerontol B. 2020;75(4):889\u201398. https:\/\/doi.org\/10.1093\/geronb\/gbz021.","journal-title":"J Gerontol B."},{"issue":"2","key":"4665_CR16","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1080\/00918369.2012.648878","volume":"59","author":"EF Rothman","year":"2012","unstructured":"Rothman EF, Sullivan M, Keyes S, et al. Parents\u2019 supportive reactions to sexual orientation disclosure associated with better health: results from a population-based survey of LGB adults in Massachusetts. J Homosex. 2012;59(2):186\u2013200. https:\/\/doi.org\/10.1080\/00918369.2012.648878.","journal-title":"J Homosex."},{"key":"4665_CR17","doi-asserted-by":"publisher","first-page":"469580231166811","DOI":"10.1177\/00469580231166811","volume":"60","author":"H Liu","year":"2023","unstructured":"Liu H, Li J, Han M, et al. Optimizing respondent-driven sampling survey to identify factors associated with HIV risk behaviors among student MSM aged 15 to 19. Inquiry. 2023;60:469580231166811. https:\/\/doi.org\/10.1177\/00469580231166811.","journal-title":"Inquiry."},{"issue":"24","key":"4665_CR18","doi-asserted-by":"publisher","first-page":"539","DOI":"10.15585\/mmwr.mm7324a1","volume":"73","author":"KV Bruss","year":"2024","unstructured":"Bruss KV, Seth P, Zhao G. Loneliness, lack of social and emotional support, and mental health issues - United States, 2022. MMWR Morb Mortal Wkly Rep. 2024;73(24):539\u201345.","journal-title":"MMWR Morb Mortal Wkly Rep."},{"issue":"1","key":"4665_CR19","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1007\/s10461-019-02456-1","volume":"24","author":"T Mi","year":"2020","unstructured":"Mi T, Li X, Zhou G, et al. HIV disclosure to family members and medication adherence: role of social support and self-efficacy. AIDS Behav. 2020;24(1):45\u201354. https:\/\/doi.org\/10.1007\/s10461-019-02456-1.","journal-title":"AIDS Behav."},{"key":"4665_CR20","unstructured":"17 Chinese cities have a population of over 10 million in 2021. ECNS. https:\/\/www.ecns.cn. Published 2021. Archived August 12, 2022. Accessed 20 Jan 2025"},{"issue":"2","key":"4665_CR21","doi-asserted-by":"publisher","first-page":"148","DOI":"10.3760\/cma.j.issn.0253-9624.2016.02.009","volume":"50","author":"Y Lei","year":"2016","unstructured":"Lei Y, Wang H, Xiao X, et al. Status and influencing factors of rush poppers use and HIV infection among men who have sex with men in Changsha. Chin J Prev Med. 2016;50(2):148\u201352. https:\/\/doi.org\/10.3760\/cma.j.issn.0253-9624.2016.02.009.","journal-title":"Chin J Prev Med"},{"issue":"2","key":"4665_CR22","doi-asserted-by":"publisher","first-page":"174","DOI":"10.2174\/1570162X16666180711101643","volume":"16","author":"Y Lei","year":"2018","unstructured":"Lei Y, Zhang K, Xiao X, et al. Sexual roles, risk sexual behaviours, and HIV prevalence among men who have sex with men seeking HIV testing in Changsha, China. Curr HIV Res. 2018;16(2):174\u201381. https:\/\/doi.org\/10.2174\/1570162X16666180711101643.","journal-title":"Curr HIV Res."},{"issue":"4","key":"4665_CR23","doi-asserted-by":"publisher","first-page":"66","DOI":"10.17645\/mac.v10i4.5894","volume":"10","author":"Z Tai","year":"2022","unstructured":"Tai Z. Social media and contentious action: the use and users of QQ groups in China. Media Commun. 2022;10(4):66\u201376. https:\/\/doi.org\/10.17645\/mac.v10i4.5894.","journal-title":"Media Commun."},{"issue":"Suppl 2","key":"4665_CR24","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1186\/s12911-017-0470-0","volume":"17","author":"X Zhang","year":"2017","unstructured":"Zhang X, Wen D, Liang J, et al. How the public uses social media WeChat to obtain health information in China: a survey study. BMC Med Inform Decis Mak. 2017;17(Suppl 2):66. https:\/\/doi.org\/10.1186\/s12911-017-0470-0.","journal-title":"BMC Med Inform Decis Mak."},{"issue":"5\u20136","key":"4665_CR25","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1007\/s10935-010-0229-1","volume":"31","author":"A Bouris","year":"2010","unstructured":"Bouris A, Guilamo-Ramos V, Pickard A, et al. A systematic review of parental influences on the health and well-being of lesbian, gay, and bisexual youth: time for a new public health research and practice agenda. J Prim Prev. 2010;31(5\u20136):273\u2013309. https:\/\/doi.org\/10.1007\/s10935-010-0229-1.","journal-title":"J Prim Prev."},{"key":"4665_CR26","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.adolescence.2016.12.007","volume":"55","author":"JT Goldbach","year":"2017","unstructured":"Goldbach JT, Gibbs JJ. A developmentally informed adaptation of minority stress for sexual minority adolescents. J Adolesc. 2017;55:36\u201350. https:\/\/doi.org\/10.1016\/j.adolescence.2016.12.007.","journal-title":"J Adolesc."},{"issue":"Suppl 2","key":"4665_CR27","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1111\/jora.12488","volume":"30","author":"RJ Watson","year":"2020","unstructured":"Watson RJ, Wheldon CW, Puhl RM. Evidence of diverse identities in a large national sample of sexual and gender minority adolescents. J Res Adolesc. 2020;30(Suppl 2):431\u201342. https:\/\/doi.org\/10.1111\/jora.12488.","journal-title":"J Res Adolesc."},{"issue":"2","key":"4665_CR28","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1080\/00918369.2018.1538407","volume":"67","author":"C Ryan","year":"2020","unstructured":"Ryan C, Toomey RB, Diaz RM, et al. Parent-initiated sexual orientation change efforts with LGBT adolescents: implications for young adult mental health and adjustment. J Homosex. 2020;67(2):159\u201373. https:\/\/doi.org\/10.1080\/00918369.2018.1538407.","journal-title":"J Homosex."},{"issue":"5","key":"4665_CR29","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1080\/15298868.2015.1029516","volume":"14","author":"WS Ryan","year":"2015","unstructured":"Ryan WS, Legate N, Weinstein N. Coming out as lesbian, gay, or bisexual: the lasting impact of initial disclosure experiences. Self Identity. 2015;14(5):549\u201369. https:\/\/doi.org\/10.1080\/15298868.2015.1029516.","journal-title":"Self Identity."},{"issue":"2","key":"4665_CR30","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1300\/J082v35n02_03","volume":"35","author":"KM Jordan","year":"1998","unstructured":"Jordan KM, Deluty RH. Coming out for lesbian women: Its relation to anxiety, positive affectivity, self-esteem, and social support. J Homosex. 1998;35(2):41\u201363. https:\/\/doi.org\/10.1300\/J082v35n02_03.","journal-title":"J Homosex."},{"issue":"1","key":"4665_CR31","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1111\/j.1532-7795.2010.00727.x","volume":"21","author":"EM Saewyc","year":"2011","unstructured":"Saewyc EM. Research on adolescent sexual orientation: development, health disparities, stigma, and resilience. J Res Adolesc. 2011;21(1):256\u201372. https:\/\/doi.org\/10.1111\/j.1532-7795.2010.00727.x.","journal-title":"J Res Adolesc."},{"key":"4665_CR32","doi-asserted-by":"publisher","DOI":"10.2196\/publichealth.5824","author":"S Stahlman","year":"2016","unstructured":"Stahlman S, Sanchez TH, Sullivan PS, et al. The prevalence of sexual behavior stigma affecting gay men and other men who have sex with men across sub-Saharan Africa and in the United States. JMIR Public Health Surveill. 2016. https:\/\/doi.org\/10.2196\/publichealth.5824.","journal-title":"JMIR Public Health Surveill."},{"issue":"2\u20133","key":"4665_CR33","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1080\/00224499.2011.558645","volume":"48","author":"BS Mustanski","year":"2011","unstructured":"Mustanski BS, Newcomb ME, Du Bois SN, et al. HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions. J Sex Res. 2011;48(2\u20133):218\u201353. https:\/\/doi.org\/10.1080\/00224499.2011.558645.","journal-title":"J Sex Res."},{"issue":"1","key":"4665_CR34","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1080\/15295190701830680","volume":"8","author":"BLB Willoughby","year":"2008","unstructured":"Willoughby BLB, Doty ND, Malik NM. Parental reactions to their child\u2019s sexual orientation disclosure: a family stress perspective. Parenting. 2008;8(1):70\u201391. https:\/\/doi.org\/10.1080\/15295190701830680.","journal-title":"Parenting."},{"issue":"1","key":"4665_CR35","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1136\/sti.2008.032714","volume":"85","author":"H Liu","year":"2009","unstructured":"Liu H, Feng T, Rhodes AG, et al. Assessment of the Chinese version of HIV and homosexuality related stigma scales. Sex Transm Infect. 2009;85(1):65\u20139. https:\/\/doi.org\/10.1136\/sti.2008.032714.","journal-title":"Sex Transm Infect."},{"issue":"6","key":"4665_CR36","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1080\/10911359.2017.1313149","volume":"27","author":"TM Coakley","year":"2017","unstructured":"Coakley TM, Randolph S, Shears J, et al. Parent-youth communication to reduce at-risk sexual behavior: a systematic literature review. J Hum Behav Soc Environ. 2017;27(6):609\u201324. https:\/\/doi.org\/10.1080\/10911359.2017.1313149.","journal-title":"J Hum Behav Soc Environ."}],"container-title":["AIDS and Behavior"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10461-025-04665-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10461-025-04665-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10461-025-04665-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:26:26Z","timestamp":1747185986000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10461-025-04665-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,22]]},"references-count":36,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["4665"],"URL":"https:\/\/doi.org\/10.1007\/s10461-025-04665-3","relation":{},"ISSN":["1090-7165","1573-3254"],"issn-type":[{"value":"1090-7165","type":"print"},{"value":"1573-3254","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,22]]},"assertion":[{"value":"14 February 2025","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 February 2025","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no conflicts of interest to declare that are relevant to the content of this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Guangxi Normal University (NO.20240309001). Informed consent was obtained from all individual participants included in this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"Consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}}]}}