Article

A Survey of condom use behaviors and HIV/STI prevalence among venue-based money boys in Shenzhen, China

National Center for AIDS/STD Control and Prevention, Beijing, China.
AIDS and Behavior (Impact Factor: 3.49). 07/2011; 16(4):835-46. DOI: 10.1007/s10461-011-9978-y
Source: PubMed

ABSTRACT We examined an at-risk population in China, money boys (MBs), to evaluate their potential role for transmitting HIV and sexually transmitted infections (STIs). Data were collected from 418 MBs selected by time-location cluster sampling, using a self-administered computerized questionnaire and testing a small blood sample for HIV/STIs. One-third (32.1%) of participants self-identified as homosexual, 25.4% heterosexual, 33.5% bisexual, and 9.1% uncertain. Consistent condom use by participants was 70-80% with commercial sex partners, 43.9% with girlfriends, and 60-70% with other non-commercial partners. HIV prevalence was 3.3%; syphilis, 10.5%; and HSV-2, 11.0%; overall prevalence for any was 20.3%. Factors significantly associated with HIV/STIs included being minority (OR = 4.82), having only male partners (OR = 1.92), having more male casual partners in the last 6 months (OR = 1.28), being younger at sexual debut (OR = 1.14), and being older (OR = 1.11). This study emphasizes the importance of developing targeted interventions for MBs, particularly those who are homosexual or minority.

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    • "p=0.009). This result further supported the need to increase interventions targeting this group, including introducing VCT to MBs and increasing condom use not only with male clients but also with male casual sex partners and boyfriends [23, 24]. "
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    ABSTRACT: Introduction Little is known about HIV testing, HIV infection and sexual behaviour among bathhouse patrons in China. This study aims to assess differences in HIV prevalence and high-risk sexual behaviours between repeat and first-time testers among men who have sex with men (MSM) attending bathhouse in Tianjin, China. Methods Between March 2011 and September 2012, a HIV voluntary counselling and testing station was established in a gay bathhouse, which provided HIV testing and conducted a survey among participants recruited through snowball sampling. Differences in demographic and high-risk sexual behaviours between repeat and first-time testers were assessed using the chi-square test. Univariate and multivariate logistic regression analyses were conducted to identify predictors for HIV infection. Results Of the 1642 respondents, 699 (42.6%) were repeat testers and 943 (57.4%) were first-time testers. Among repeat testers, a higher proportion were men aged 18 to 25, single, better educated, had a history of STIs and worked as male sex workers or “money boys” (MBs). Repeat testers were less likely to report having unprotected anal intercourse in the past six months. The overall HIV prevalence was 12.4% (203/1642). There was no difference in HIV prevalence between repeat (11.2%, 78/699) and first-time (13.3%, 125/943) testers. The HIV prevalence increased with age among first-time testers (χtrend2=9.816, p=0.002). First-time MB testers had the highest HIV prevalence of 34.5%. Conclusions MSM attending bathhouse had an alarmingly high HIV infection rate, particularly in MB. Targeted interventions are urgently needed especially focusing on older MSM and MBs.
    Journal of the International AIDS Society 07/2014; 17(1):18848. DOI:10.7448/IAS.17.1.18848 · 4.21 Impact Factor
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    • "English language publications Chinese language publications Principal author Reference Year Principal author Reference Year Feng 14 2010 Feng 12 2007 Zhang 20 2011 Wang 6 2008 Feng 21 2008 Xu 7 2009 Ma 22 2007 Gu 8 2007 Zou 32 2010 Ou 9 2009 Hao 37 2011 Cheng 10 2010 Zhong 41 2011 Ni 11 2011 Jiang 49 2006 Cai 13 2008 Xu 54 2010 Zhang 15 2008 He 67 2006 Hu 16 2008 Liu 75 2011 Chen 18 2010 Cai 78 2010 Lu 19 2009 Tao 85 2010 Lin 36 2007 Guo 87 2011 Zhou 38 2010 Ruan 90 2007 Zhang 39 2010 Ruan 91 2009 Feng 40 2009 Cao 42 2007 Lan 43 2009 Liu 44 2007 Zeng 45 2006 Wang 46 2008 Cai 47 2010 Lu 48 2008 Wu 50 2008 Xu 51 2007 Zhou 52 2008 Shi 53 2010 Zhu 55 2007 Chen 56 2010 Chen 57 2007 Qu 58 2009 Tang 59 2006 Wang 60 2010 Feng 61 2008 Fu 62 2007 Li 63 2010 Liao 64 2006 Shen 65 2010 Liu 66 2009 He 68 2005 Wang 69 2009 Zhang 70 2011 Wei 71 2009 Chen 72 2007 Chen 73 2009 Chen 74 2010 Wang 76 2010 Guo 77 2008 Cai 79 2010 Cai 80 2007 Wang 81 2011 Zhao 82 2010 Wang 83 2009 Wen 84 2010 Guo 86 2009 Wang 88 2009 Zhang 89 2009 Weng 92 2009 Table 1. (continued ) English language publications Chinese language publications Principal author Reference Year Principal author Reference Year Qian 93 2007 Zhu 94 2007 Miao 95 2009 Zhou 96 2010 Tao 97 2010 Jiang 98 2009 Sun 99 2007 Cai 100 2005 Zhu 101 2008 "
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    ABSTRACT: Background: The year-by-year trend of HIV prevalence among men who have sex with men (MSM) in China is not well documented. Methods: Published studies on HIV prevalence among MSM in China were reviewed and grouped by year, region and age group. Meta-analysis was used to summarise the estimates of national and regional HIV prevalence rates and trends among MSM from 2003 to 2009. HIV prevalence among MSM in different age groups (<25 years old vs ≥25 years old) was also calculated. Results: Eighty three publications were included in the meta-analysis. The pooled HIV prevalence among MSM in China increased from 0.6% (95%CI: 0.0%-2.1%) in 2003 to 7.4% (95%CI: 5.7%-9.2%) in 2009. A yearly increase in HIV prevalence of 1.1% (95% CI: 0.7-1.4%, p<0.001) was detected. The pooled regional HIV prevalence among MSM ranged from 2.3% (95% CI: 1.7%—2.9%) in East China to 11.4% (95% CI: 9.2%—13.6%) in Southwest China. No difference was detected (χ2=0.5160, P =0.4726) between HIV prevalence in the <25 years age group (3.1%, 95%CI: 1.6%—4.6%) vs the ≥25 years age group (4.0%, 95%CI: 1.8%—6.3%). Conclusion: The HIV prevalence among MSM in China is high and still increasing. Effective strategies are required to prevent the epidemic from continuing to spread.
    Sexual Health 12/2012; DOI:10.1071/SH12093 · 1.58 Impact Factor
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    • "From a qualitative perspective, if we rank condom use with various types of partners, MBs use condoms with most male clients and FSWs, a little less frequently with female clients and male casual sex partners, less frequently with boyfriend and female casual sex partners, and least frequently with girlfriends. This information is consistent with the findings in our quantitative survey: consistent condom use was 70–80% with commercial sex partners, 43.9% with girlfriends, and 60–70% with other noncommercial partners (Liu et al., 2011). "
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    ABSTRACT: Money boys (MBs) who typically sell sex to males have not yet been extensively studied in China. In this 2009 study, 28 venue-based MBs were interviewed. We analyzed their condom use behaviors with various partners, including male and female clients, male and female casual partners, other MBs and female sex workers, and boyfriends and girlfriends. All participants were aware of the need for using condoms; however, usage with different partner types varied. The longer a relationship with a partner, the less frequent was condom use. A major reason for not using condoms was that they or their partners did not like the loss of sensation due to condom use. Other factors included sexual orientation, age, duration in commercial sex, concerns about HIV/AIDS, attractiveness of partners, and support of "mommies" (brothel supervisors). Both individual- and venue-level interventions are needed to promote condom use, and mommies need to be included in intervention strategies.
    AIDS education and prevention: official publication of the International Society for AIDS Education 04/2012; 24(2):163-78. DOI:10.1521/aeap.2012.24.2.163 · 1.51 Impact Factor
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