Prevalence of Bisexual Behaviors Among Men Who Have Sex With Men (MSM) in China and Associations Between Condom Use in MSM and Heterosexual Behaviors
April 8, 2008
The researchers undertook the current study to examine the prevalence of bisexual behaviors and marital status among MSM in China and the associations between their condom use and their heterosexual behaviors. The subjects of the study were 896 adult males in Yunnan Province, China, who reported ever having engaged in MSM behaviors. The men were interviewed, and data were acquired through the China-UK HIV/AIDS Prevention and Care Project from 2003 to 2006.
One-third of respondents had ever been married; 59 percent reported having engaged in bisexual activities; 31 percent had done so in the previous six months. Inconsistent condom use was reported in 71.9 percent of heterosexual behaviors. Of those who reported MSM activity in the previous six months, 30.8 percent reported inconsistent condom use with commercial sex workers, and 54.7 percent reported inconsistent condom use with noncommercial sex partners. Those who did not use condoms with MSM sex partners were more likely than others not to use condoms with female sex partners (FSP). Those who had participated in voluntary counseling and testing services were more likely than others to have used a condom in their last sex with FSP (multivariate odds ratio = 1.66).
The authors concluded, "The clustering of unprotected sexual behaviors with male and FSP among MSM is revealed. The bridging effects of the risk for [HIV] transmission among the MSM population to the female population are evident."
Sexually Transmitted Diseases
4.2008; Vol. 35; No. 4: P. 406-413; Joseph T.F. Lau, PhD; Ming Wang; Hong Nei Wong; Hi Yi Tsui, MPhil; Manhong Jia, MD; Feng Cheng, PhD; Yun Zhang, MD, MBA; Xiaoyou Su, MSc; Ning Wang, PhD
This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.