Background
Intimate partner violence (IPV) research has primarily focused on heterosexual
couples, but has largely ignored IPV among men who have sex with men (MSM). We examined
IPV prevalence among MSM and men who have sex with men and women (MSMW) in China.
Methods
MSM over the age of 16 were recruited through three MSM-focused websites in
China. An online survey containing items on sociodemographics, risk behaviors, IPV, and
self-reported HIV or STI diagnosis was completed. Multivariate regression was used to
examine associations between IPV and risk behaviors and an HIV or STI diagnosis.
Results
Among 610 participants, 182 (29.8%) reported experiencing at least one
type of IPV. MSMW were at significantly greater risk for IPV (adjusted odds ratio (AOR)
1.65, 95% CI [1.08–2.53]) compared to MSM. Men who had experienced IPV
were more likely to have participated in group sex (AOR 1.86, 95% CI
[1.08–3.21]), to have had sex in exchange for gifts or money (AOR 5.06,
95% CI [2.47–10.35]), and to report a positive HIV diagnosis (AOR 2.59,
95% CI [1.22–5.51]).
Conclusions
There is a hidden epidemic of IPV among MSM in China, especially among MSMW.
The hidden nature of MSM and MSMW suggests the need for a clinical environment more
conducive to disclosure. Research is needed to understand the pathways linking IPV and
HIV risk among MSM in order to optimize the design of effective interventions.