Investigating HIV Infection and HIV Incidence Among Chinese Men Who Have Sex with Men with Recent Sexual Debut, Chongqing, China, 2011

Abstract

HIV among men who have sex with men (MSM) with recent male-male sexual debut, such as within the past five years, may be a proxy for recent HIV infection. Using this definition, we explored factors associated with HIV infection in this group to understand the evolving HIV epidemic among MSM in Chongqing. We conducted a cross-sectional respondent-driven sampling (RDS) survey among Chongqing MSM in 2011. Computer-assisted, self-administered questionnaires were used and blood specimens were collected for HIV and syphilis testing. Three hundred and ninety-one unique MSM were recruited of which 65.7% (257) had their sexual debut with another man in the past five years. HIV prevalence among men with recent sexual debut was 18.7% suggesting a possible HIV incidence of 3.7%. Multivariable analysis among men with recent sexual debut suggests that lower education, having more than one male partner, and currently being infected with syphilis are associated with HIV among men with recent sexual debut. HIV prevalence is high among MSM with recent sexual debut in Chongqing, which may be a proxy a high incidence rate. HIV prevention efforts should focus on STD reduction among those MSM with lower educational attainment.

Subsequent Sexual Risks Among Men Who Have Sex with Men May Differ by Sex of First Partner and Age at Sexual Debut: A Cross-Sectional Study in Beijing, China

“…Regardless of sex of first partner, we also found that earlier age of sexual debut was associated with an increased likelihood of having more frequent condomless sex, having more lifetime sexual partners and being infected with HIV or syphilis. Our observation of the associations between earlier age of sexual debut and later risky sexual behaviors are consistent with other studies among both MSM and general populations [19, 21, 27, 28]. …”

Online HIV prevention intervention on condomless sex among men who have sex with men: a web-based randomized controlled trial

“…More prominent efficacy was found among participants who had higher educational attainment, were single, and had less income. Past studies suggested that lower socioeconomic status MSM were disproportionately affected by HIV [6, 34]. Meanwhile, same-sex marriage isn’t legal in China, MSM who are marred to women may have less access to HIV care services [6, 35].…”

Circumcision to prevent HIV and other sexually transmitted infections in men who have sex with men: a systematic review and meta-analysis of global data

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