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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 .
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].