HIV Infection and Sexual Behaviors Among Non-Commercial Men Who Have Sex with Men at Different Venues

Zhao, Jin; Chen, Lin; Wen-de, Cai; Tan, Jie; Tan, Wenfeng; Zheng, Chenli; Cheng, Jinquan; Yang, Zhengrong; He, Ming‐Liang; Wang, Xiaorong

doi:10.1007/s10508-013-0167-0

Cited by 22 publications

(23 citation statements)

References 22 publications

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“…MSM-selling had higher prevalence of unprotected anal intercourse and recreational drug use. As suggested by Zhao et al, sexual risk behaviors among MSM may be influenced by venue-specific characteristics [28]. MSM-selling might use different websites to seek male sex partners and have different perception of online seeking, which might increase their HIV risk or facilitate HIV/STIs transmission.…”

Section: Discussionmentioning

confidence: 99%

Commercial sex and risk of HIV, syphilis, and herpes simplex virus-2 among men who have sex with men in six Chinese cities

Zheng

et al. 2016

BMC Infect Dis

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Background: Men who have sex with men (MSM) are at high risk of HIV and sexually transmitted infections (STIs) in China and globally. Engaging in commercial sex put them at even greater risk. This study estimated the prevalence of HIV/STIs among three subgroups of MSM: MSM who sold sex (MSM-selling), MSM who bought sex (MSM-buying), and non-commercial MSM (NC-MSM) and evaluated the relationship between commercial sex and HIV/STIs. Methods: We conducted a cross-sectional survey among MSM in six Chinese cities (Shenyang, Ji'nan, Changsha, Zhengzhou, Nanjing, and Kunming) from 2012 to 2013. Data on socio-demographics and sexual behaviors were collected. Serological tests were conducted to detect HIV, syphilis, and human simplex virus type 2 (HSV-2). Results: Of 3717 MSM, 6.8% were engaged in commercial sex. The overall prevalence of HIV, syphilis and HSV-2 infections was 11.1, 8.8 and 12.1%, respectively. MSM-selling had higher prevalence of HIV (13.4%), syphilis (12.1%) and HSV-2 (17.9%) than NC-MSM (10.9, 8.7 and 11.9% for HIV, syphilis and HSV-2, respectively), though the differences are not statistically significant. Among MSM-selling, HIV prevalence was significantly higher for those who found sex partners via Internet than those did not (19.4% vs. 8.1%, P = 0.04). Compared to NC-MSM, MSM-selling were more likely to use recreation drugs (59.3% vs. 26.3%), have unprotected anal intercourse (77.9% vs. 61.7%), and have ≥10 male sex partners (46.2% vs. 6.2%) in the past 6 months (each P < 0.05). Conclusions: All three subgroups of MSM in six large Chinese cities have high prevalence of HIV/STIs. Those who sell sex only have a particularly high risk of acquiring and transmitting disease, and therefore, they should be considered as a priority group in HIV/STIs surveillance and intervention programs.

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Section: Discussionmentioning

confidence: 99%

Commercial sex and risk of HIV, syphilis, and herpes simplex virus-2 among men who have sex with men in six Chinese cities

Zheng

et al. 2016

BMC Infect Dis

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“…In our TLS survey, the majority of MSM were recruited from low-end venues (parks, recreational centers or saunas) where quick and unsafe sex often occurs. Previous studies of Chinese MSM have revealed that MSM who attend these lowend venues are often more marginalized, e.g., who tend to be older, less educated and more likely to be married and identify themselves as non-gay (Zhao et al, 2013). Finally, different from TLS, RDS uses social networking in the recruitment process.…”

Section: Discussionmentioning

confidence: 99%

A Comparison Between Respondent-Driven Sampling and Time-Location Sampling Among Men Who Have Sex with Men in Shenzhen, China

et al. 2014

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Men who have sex with men (MSM) are a key population for HIV control and prevention in China. It is difficult to acquire representative samples of this hidden population. Respondent-driven sampling (RDS), based on peer referral, and time-location sampling (TLS) based on random selection of venue-day-time periods, are among the most commonly used sampling methods. However, differences in HIV-related characteristics of MSM recruited by these two methods have not been fully evaluated. We compared sociodemographics, risk behaviors, utilization of HIV-related intervention services, and HIV/syphilis infection rates between samples of 621 RDS MSM and 533 TLS MSM in Shenzhen, China in 2010. We found that the HIV prevalence was comparable in RDS and TLS MSM. TLS recruited larger proportions of more marginalized MSM than RDS: MSM recruited by TLS were older, less educated and more likely to be migrants (without Shenzhen hukou registration), to be non-gay identified and to engage in risky sexual behaviors. On the other hand, MSM recruited by TLS were more likely to have been covered by HIV-related intervention services. To conclude, in Shenzhen, TLS is more effective to reach the marginalized population of MSM. But because TLS can only reach MSM who physically attend venues and HIV-related intervention services are already commonly available at gay venues in Shenzhen, RDS is more informative for allocating prevention efforts than TLS. Furthermore, researchers and public health authorities should take into account the different sample compositions of RDS and TLS and apply sampling methods consistently when evaluating trends over time.

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“…In a variety of countries, MSM who were recruited via Internet were younger, better educated, had more sexual partners, and/or engaged in more condomless anal sex [22][23][24], while those recruited from traditional venues were less likely to use illicit drugs and were more likely to know the HIV status of their sexual partners [25]. However, findings vary by geographic location and source of sampling.…”

Section: Introductionmentioning

confidence: 99%

Seeking Male Sexual Partners via Internet and Traditional Venues among Chinese Men Who Have Sex with Men: Implications for HIV Risk Reduction Interventions

et al. 2016

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The dynamic nature of finding male sexual partners (sex-finding) among Chinese men who have sex with men (MSM) may play a substantial role in the HIV epidemic. We compared characteristics and behaviors of MSM who mostly sought sex via the Internet versus traditional venues in a cross-sectional survey among 3588 Chinese MSM. We assessed the sociodemographic predictors and compared high-risk behaviors of using Internet versus traditional venues for sex-finding. Compared to non-Internet MSM, Internet-user MSM were more likely to have been: younger, currently single, better educated, health-insured, with higher income, with Beijing residency ('Hukou'), living longer in the city, HIV-positive, ever using drug and engaging in condomless receptive anal sex. Internet sex-finding users were less likely to be sexually active for longer duration, drink alcohol, drink alcohol before sex, or ever have sex with women. Knowledge of differential characteristics of various sex-finding MSM can help design targeted interventions.

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HIV Infection and Sexual Behaviors Among Non-Commercial Men Who Have Sex with Men at Different Venues

Cited by 22 publications

References 22 publications

Commercial sex and risk of HIV, syphilis, and herpes simplex virus-2 among men who have sex with men in six Chinese cities

Commercial sex and risk of HIV, syphilis, and herpes simplex virus-2 among men who have sex with men in six Chinese cities

A Comparison Between Respondent-Driven Sampling and Time-Location Sampling Among Men Who Have Sex with Men in Shenzhen, China

Seeking Male Sexual Partners via Internet and Traditional Venues among Chinese Men Who Have Sex with Men: Implications for HIV Risk Reduction Interventions

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