HIV-related behaviors among men who have sex with men in China: 2005-2006

Abstract

Respectively, 387 and 316 men who have ever had anal or oral sex with men (MSM) in Kunming, China, were interviewed in 2005 and 2006. In both surveys, over 85% reported having had anal sex with noncommercial male sex partners; around 60% had ever had female sex partners; and about 16% engaged in commercial anal sex in the last 6 months. The prevalence of unprotected anal sex decreased over time (last episode of anal sex with noncommercial MSM partner: 37.7% (2005) versus 21.9% (2006) (Adjusted odds ratio [OR] = 0.43); last episode of anal sex with commercial MSM partner, 20.8% (2005) versus 10.8% (2006) (Adjusted OR = 0.50). Some behavioral changes may have occurred. Multivariate analyses showed that study year (OR = 2.24), age (OR = 1.64), marital status (OR = 2.07), and perceived infectivity related to unprotected sex with people living with HIV/AIDS (OR = 0.3) were associated with condom use in the last episode of anal sex with noncommercial MSM partners.