241991 Correlates of consistent condom use among young migrant MSM in China

Monday, October 31, 2011

Xiaoming Li, PhD , Department of Pediatrics, Wayne State University, Detroit, MI
Liying Zhang, PhD , Department of Pediatrics, Wayne State University, Detroit, MI
Xiaoyi Fang, PhD , Institute of Developmental Psychology, Beijing Normal University, Beijing, China
Xiuyun Lin, PhD , Institute of Developmental Psychology, Beijing Normal University, Beijing, China
Shuming Li, MD , HIV/AIDS prevention, Chaoyang District Center for Disease Control and Prevention, Beijing, China
Shulin Jiang, MD , HIV/AIDS prevention, Chaoyang District Center for Disease Control and Prevention, Beijing, China
Bonita Stanton, MD , Department of Pediatrics, Wayne State University, Detroit, MI
Background: The prevalence of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) infection among men who have sex with men (MSM) has been increased rapidly in China. This increase was mainly due to the inconsistent condom use among MSM. Migrant MSM might be especially vulnerable to risk for HIV due to their migratory lifestyle in the destination. Limited data were available on correlates of consistent condom use among young migrant MSM in China. This study aimed to explore the correlates of consistent condom use among young migrant MSM using the baseline data from a longitudinal assessment of a STIs/HIV intervention program among MSM in Beijing. Methods: Multivariate logistic regression statistic analysis was used to examine the correlates of consistent condom use. Results: Of 307 migrant MSM, 65.1% reported that they did not use condoms consistently. The main reasons included: “My sexual partner and I had a faithful relationship” (60.5%), “My sexual partner had no STDs” (58.5%). Multivariate logistic regression analysis showed that MSM who did not use a condom at the first sex, who had more number of lifetime male sexual partner, who did not properly use condoms, who had suicidal ideation, who used drugs, and who sought sex online were less likely to use condoms consistently. Conclusions: Consistent condoms use among MSM was negatively associated with other sexual risk behaviors, mental problems and substance use. The results suggest that the exiting HIV prevention programs should strengthen education on using condoms properly and providing psychological counseling among MSM.

Learning Areas:
Epidemiology
Implementation of health education strategies, interventions and programs
Social and behavioral sciences

Learning Objectives:
1. Describe the prevalence of consistent condom use and the reasons of not use a condom among MSM in China. 2. Explain factors influence consistent condom use among MSM in China. 3. Discuss issues associated with design and analysis of research among MSM and the improvement of the existing HIV prevention programs.

Keywords: HIV Risk Behavior, Gay Men

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the PI of the program.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: International Issues in HIV/AIDS Research
See more of: HIV/AIDS