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HIV Risk and Prevention Behaviors in Men Who Have Sex With Men and Women: A Respondent-Driven Sampling Study in Shenzhen, China

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Abstract

Men who have sex with men and women (MSMW) may expand the HIV epidemic from men who have sex with men to the female population. From a respondent-driven sampling survey in Shenzhen, China, we quantified the burden of HIV/syphilis and studied patterns of risk and prevention behaviors in 107 MSMW, and compared these with those of 542 men who have sex with men only (MSM-only). HIV prevention behaviors and consistent condom use with male partners did not differ between the two groups. However, HIV risk behaviors were more common among MSMW than MSM-only. Moreover, among MSMW, the HIV prevalence was as high as 6 % and consistent condom use was extremely low with female partners in MSMW. We conclude that there is risk of HIV transmission from MSMW to the female population. Special efforts are needed to convince MSMW they should refrain from HIV risk behaviors.

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Acknowledgments

The authors thank all participants, MSM volunteers and peer researchers, and the staff of the HIV control and prevention division in Shenzhen Center for Disease Control and Prevention. This study was partially supported by National Nature Science Foundation of China (30901224 and 81270043), Shenzhen Science Technology Foundation (201202093), and a special grant from the Medical Key Laboratory of Guangdong and Shenzhen.

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Authors and Affiliations

  1. Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands

    Rui Cai, Jan Hendrik Richardus & Sake J. de Vlas

  2. Shenzhen Center for Disease Control and Prevention, No. 8 Longyuan Road, Longzhu Avenue, Nanshan District, Shenzhen, 518055, China

    Rui Cai, Jin Zhao, Wende Cai & Lin Chen

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  1. Rui Cai
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  2. Jin Zhao
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  3. Wende Cai
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  4. Lin Chen
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Correspondence to Jin Zhao.

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Cai, R., Zhao, J., Cai, W. et al. HIV Risk and Prevention Behaviors in Men Who Have Sex With Men and Women: A Respondent-Driven Sampling Study in Shenzhen, China. AIDS Behav 18, 1560–1568 (2014). https://doi.org/10.1007/s10461-014-0735-x

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  • DOI: https://doi.org/10.1007/s10461-014-0735-x

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