Abstract
In China, the HIV prevalence among men who have sex with men (MSM) has been increasing sharply. A total of 195 Hong Kong MSM
having had sex with men in Shenzhen, a mainland China city separated from Hong Kong by a border, were recruited from some
randomly selected gay venues in Shenzhen. Participants were face-to-face and anonymously interviewed. The results showed that
in the last six months, respectively 62.1, 84.6, and 31.3 % of the participants from Hong Kong had had sex with commercial
sex partners (CSP), non-regular partners (NRP) and regular partners (RP) in Shenzhen. The prevalence of unprotected anal intercourse
(UAI) with these three types of sex partners was respectively 29.8, 27.9, and 78.7 %. Factors associated with UAI with any
MSM in Shenzhen in the last six months included perceived chances of contracting HIV, perceived non-availability of condoms,
giving money/gifts to Shenzhen MSM sex partners, and perception that MSM partners in Shenzhen would not always insist on condom
use (multivariate OR = 2.9–13.90, p < 0.05), whilst factors of inverse associations included university education, having had sex with NRP but not with CSP and
RP in Shenzhen and self-efficacy of insisting on condom use (multivariate OR = 0.04–0.22, p < 0.05). In sum, the prevalence of having multiple types of male sex partners and UAI was high. This was especially true
when anal sex with RP was involved. Cross-border HIV prevention is greatly warranted. It should ensure condom availability
and modify perceptions toward UAI.
having had sex with men in Shenzhen, a mainland China city separated from Hong Kong by a border, were recruited from some
randomly selected gay venues in Shenzhen. Participants were face-to-face and anonymously interviewed. The results showed that
in the last six months, respectively 62.1, 84.6, and 31.3 % of the participants from Hong Kong had had sex with commercial
sex partners (CSP), non-regular partners (NRP) and regular partners (RP) in Shenzhen. The prevalence of unprotected anal intercourse
(UAI) with these three types of sex partners was respectively 29.8, 27.9, and 78.7 %. Factors associated with UAI with any
MSM in Shenzhen in the last six months included perceived chances of contracting HIV, perceived non-availability of condoms,
giving money/gifts to Shenzhen MSM sex partners, and perception that MSM partners in Shenzhen would not always insist on condom
use (multivariate OR = 2.9–13.90, p < 0.05), whilst factors of inverse associations included university education, having had sex with NRP but not with CSP and
RP in Shenzhen and self-efficacy of insisting on condom use (multivariate OR = 0.04–0.22, p < 0.05). In sum, the prevalence of having multiple types of male sex partners and UAI was high. This was especially true
when anal sex with RP was involved. Cross-border HIV prevention is greatly warranted. It should ensure condom availability
and modify perceptions toward UAI.
- Content Type Journal Article
- Category Original Research
- Pages 1-11
- DOI 10.1007/s10461-012-0244-8
- Authors
- Joseph T. F. Lau, Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, 5/F, School of Public Health, Prince of Wales Hospital, Shatin, NT, Hong Kong
- Wende Cai, Shenzhen Center for Disease Control and Prevention, Shenzhen, China
- Hi Yi Tsui, Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, 5/F, School of Public Health, Prince of Wales Hospital, Shatin, NT, Hong Kong
- Jinquan Cheng, Shenzhen Center for Disease Control and Prevention, Shenzhen, China
- Lin Chen, Shenzhen Center for Disease Control and Prevention, Shenzhen, China
- Kai C. Choi, The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
- Chunqing Lin, Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, 5/F, School of Public Health, Prince of Wales Hospital, Shatin, NT, Hong Kong
- Journal AIDS and Behavior
- Online ISSN 1573-3254
- Print ISSN 1090-7165