Men who have sex with men and human immunodeficiency virus/sexually transmitted disease control in China
ABSTRACT To address the role of men who have sex with men (MSM) in the human immunodeficiency virus (HIV)/sexually transmitted disease (STD) epidemic in China.
To explore the prevalence of risky sexual behaviors and the existing prevention efforts among men who have sex with men (MSM) in China.
Review of behavioral and STD/HIV prevention studies addressing MSM in China.
Sexual risk behaviors including unprotected group sex, anal sex, casual sex, and commercial sex were prevalent among Chinese MSM. Many Chinese MSM also engaged in unprotected sex with both men and women. Most MSM either did not perceive that they were at risk of HIV/AIDS or underestimated their risk of infection. Surveillance and intervention research among these men are still in the preliminary stages.
Chinese MSM are at risk for HIV/STD infection and potential transmission of HIV to the general population. In addition to sexual risk reduction among MSM, reduction of homosexuality- related stigma should be part of effective intervention efforts. Volunteers from the MSM community and health care workers in primary health care system may serve as valuable resources for HIV/STD prevention and control among MSM.
- SourceAvailable from: Sheila M Hillier[Show abstract] [Hide abstract]
ABSTRACT: The paper explores the HIV risk context of migrant men who have sex with men, or tongzhi, in Shenzhen, China. Findings from 42 qualitative interviews indicate that respondents are living within a complex risk environment, characterised by the realities of migration and a 'weak ties', virtual men who have sex with men community, which offers little emotional support but many opportunities for sexual engagement. Male sex work has proliferated in Shenzhen, with respondents informally participating in a type of buy-sell circuit. Respondents' portrayal of their environment and conflicts were underscored by three interacting elements: sexual freedom, migration and traditional Chinese values. The confluence of these factors, and how they may influence risk prioritisation in a multi-risk environment, is explored.Culture Health & Sexuality 07/2009; 11(7):689-702. DOI:10.1080/13691050902977562 · 1.55 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: To estimate the prevalence of HIV and syphilis and to assess the predictors of unprotected anal intercourse (UAI) among men who have sex with men (MSM) in Beijing, a community-based survey recruited MSM in 2005 through internet advertisement, community outreach, and peer referral. Demographic, sexual, and HIV risk behavioral information were collected. Serospecimens were tested for HIV and syphilis infections. Of the 526 participants, 3.2% were HIV-positive, 11.2% syphilis-positive, 50% and 43.3% had UAI with regular and casual sex partners, respectively. Participants practicing UAI with regular male partners were independently associated with lower monthly income (adjusted odds ratio-AOR, 1.7; 95% CI, 1.0-3.0) and encountering male sex partners at bathhouses, public washrooms, and parks (AOR, 2.2; 95% CI, 1.0-4.9). Participants practicing UAI with casual male partners were associated with encountering male sex partners at bathhouses, publics washrooms, and park (AOR, 3.0; 95% CI, 1.8-5.2) and more male sex partners having receptive anal intercourse (AOR, 1.8; 95% CI, 1.1-2.9), and was inversely associated with receiving money for sex with men (AOR, 0.3; 95% CI, 0.2-0.7). Professional male sex workers were less likely to practice UAI in Beijing, suggesting the benefits of educational outreach to date. Further education, condom promotion, and prevention of sexually transmitted infections should be intensified urgently to combat the rising HIV epidemic among MSM in Beijing.The Southeast Asian journal of tropical medicine and public health 02/2008; 39(1):99-108. · 0.55 Impact Factor