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Men who have sex with men(MSM) and HIV epidemic in China: a web-based study on MSM

Background

To explore MSM population's contribution to HIV epidemic in China through learning AIDS-related knowledge, attitude and behavior among the hidden population-MSM.

Methods

A web-based cross-sectional study on MSM population, recruiting Men who had sex with men in the previous 3 years in mainland of China through a variety of available ways, such as Internet, mass media etc. and collecting data by online questionnaires and in-depth interview through chat-software QQ or MSN.

Results

A total of 5710 eligible participants from 30 provinces (municipalities and autonomous regions) except Tibet, and 97.2% aged between 18 and 44 yrs, 63.3% thinking that they are likely to be infected by HIV, and 88.7% knowing counseling hotline on HIV whereas only 8.1% of them dialed, and 59.8% knowing at least one site for HIV test whereas of which 40.1% did, and the number increasing year by year, and in the past 6 months,90.3% dating male partners via Internet, and 87.3% having sex with men and 18.1% with both men and women and 12.8% reporting STD-related symptoms. Of 5442 participants, 99.6% told one could be infected HIV through anal sex with HIV cases and 90.3% through oral sex, and 95.0% knew it was more easily infected HIV having unprotected sex with more men. Among 4916 participants who had sex with men, 67.2% had more than one male partner. The proportions of 100% condom use when having anal sex with fixed partners, occasional partners, Money-Boys and customers in the past 6 months were 30.0%, 42.7%, 66.7%, 57.9%, respectively; when having oral sex were 7.0%, 8.8%, 6.2%, 4.4%, respectively. The proportion of 100% using waterbased lubricants was 45.8%.

Discussion

Most of MSM are at risk for HIV/STD infection. With increasing HIV prevalence in MSM population, MSM population would make a strong impact on HIV epidemic in China.

Author information

Correspondence to Jianmin Xing.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Keywords

  • Male Partner
  • Autonomous Region
  • Online Questionnaire
  • Occasional Partner
  • Counseling Hotline