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Posted by / 10-Oct-2019 04:25

To find out more about cookies and how we use them, please see our privacy policy.Men who have sex with men (MSM) are at high risk of HIV and sexually transmitted infections (STIs) in China and globally.These large cities represent different geographical locations, social and economic development, and HIV epidemics across China.MSM participants were recruited using multiple approaches, including advertising on gay websites and online chat rooms, outreach to gay-gathering venues (e.g., gay bars, parks, public bathhouses), and peer referrals.A blood sample was collected from each participant for testing antibodies to HIV, syphilis and HSV-2.HIV-1 antibody was detected by enzyme-linked immunosorbent assay [ELISA] (Vironostika® HIV-1Microelisa System; bio Merieux, Durham, NC, USA), and positive tests were confirmed by Western blot test (HIV Blot 2.2 WBTM, Genelabs Diagnostics, Singapore).Engaging in commercial sex put them at even greater risk.This study estimated the prevalence of HIV/STIs among three subgroups of MSM: MSM who sold sex (MSM-selling), MSM who bought sex (MSM-buying), and non-commercial MSM (NC-MSM) and evaluated the relationship between commercial sex and HIV/STIs.

Along with the inconsistent data on HIV risk among MSM-selling, there are few studies among Chinese MSM who buy sex (MSM-buying).

The aim of this study was to estimate the prevalence of HIV, syphilis and HSV-2 infections among MSM-selling, MSM-buying and NC-MSM, and assess the relationship between commercial sex engagement (either selling or buying sex) and HIV/STIs among Chinese MSM.

From June 2012 to June 2013, a cross-sectional study was conducted among MSM who were living in six large Chinese cities: Shenyang, Ji’nan, Changsha, Zhengzhou, Nanjing and Kunming.

The pooled data from seven low- and middle-income Asian countries including China showed that MSM were 18.7 times more likely to have HIV infection than other reproductive-age men [2].

The risk factors associated with HIV infection among MSM include both biological and behavioral factors such as unprotected anal intercourse (UAI), substance abuse, and co-infection with other sexually transmitted infections (STIs) like syphilis and herpes simplex virus type 2 (HSV-2) [1, 3–6].

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