243594 HIV risk among migrant men who have sex with men (MSM) in China: Does it differ by origin of residence and venue of employment

Wednesday, November 2, 2011

Xiaoming Li , Department of Pediatrics, Wayne State University, Detroit, MI
Bo Wang, PhD , Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI
Bonita Stanton, MD , Department of Pediatrics, Wayne State University, Detroit, MI
Lei Zhang, PhD MBA , Office of Health Data and Research, Mississippi Department of Health, Jackson, MS
Changhong Wen, MPH , Department of Community Health Sciences, The University of Southern Mississippi, Hattiesburg, MS
Background and objective: China's HIV epidemic has been shifting towards predominantly sexual transmission and emerging data suggest potential increases in HIV prevalence among men who have sex with men (MSM). Few studies have examined possible roles of origin of residence and venue of employment in HIV risk among MSM.

Methods: A community sample of 307 migrant MSM 18-29 years of age was recruited in Beijing, China. Self-administered survey was conducted to collect information on demographics, sexual and other risk behaviors. Blood specimens were collected to test for HIV and syphilis infections. Multiple logistic regression analyses were performed.

Results: HIV and syphilis prevalence rates were 5.9% and 20.2%, respectively. The median number of lifetime male sexual partners was 15. Approximately 60% of the MSM self-identified as gay. Nearly half grew up in rural areas. One-third worked at entertainment establishment, 45.6% at factories or construction sites, 22% were self-employed. MSM who grew up in rural areas were more likely to be infected with syphilis than MSM grew up in urban areas (OR=2.56, 95%CI: 1.33-4.94). Self-employed MSM and MSM worked at entertainment establishments were more likely to have three or more sexual partners in the last week, and to sell sex to men. Higher proportion of MSM who worked at entertainment establishments used condoms consistently in anal sexual intercourse.

Conclusion: MSM who grew up in rural areas or self-employed MSM and MSM who work at entertainment establishments are at increased risk for HIV/STI. Future HIV prevention efforts should target these subgroups of MSM.

Learning Areas:
Advocacy for health and health education
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Social and behavioral sciences

Learning Objectives:
1) Describe the pattern of HIV/STI related sexual risk behaviors among migrant MSM in Beijing, China. 2) Explain the roles of origin of residence and venue of employment of MSM in HIV risk in China.

Keywords: Gay Men, HIV Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am fully involved in the study design, implementation, and data analysis.
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.