HIV vulnerabilities and coercive sex at same-sex sexual debut among men who have sex with men in Beijing,China |
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| Authors: | Stephen W. Pan Yuhua Ruan Patricia M. Spittal Margo E. Pearce Han-zhu Qian Dongliang Li |
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| Affiliation: | 1. School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada;2. State Key Laboratory for Infectious Disease Prevention and Control, and National Center for AIDS/STD Control and Prevention (NCAIDS), Chinese Center for Disease Control and Prevention (China CDC), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Beijing, China;3. Department of Medicine, Division of Epidemiology, Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA;4. Chaoyang Center for Disease Control and Prevention, Beijing, China |
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| Abstract: | Few studies have examined coercive sex and HIV vulnerabilities among men who have sex with men (MSM) in China. The present study seeks to compare individual characteristics between MSM who did and did not experience coercive sex at their MSM sexual debut and to identify HIV risk factors correlated with coercive sex at MSM sexual debut. In 2007, we recruited 167 MSM in Beijing, China by peer-referred social network sampling. Each participant then completed self-administered questionnaires regarding their sexual experiences and practices. Results show that 14% of participants reported coercive sex at MSM sexual debut, of whom 48% reported recent unprotected anal intercourse (UAI). Coercive sex at MSM sexual debut was significantly associated with UAI [adjusted odds ratio (AOR): 5.38, 95% confidence interval: 1.95–14.87] and lifetime number of male sex partners (AOR: 7.25, 95% CI: 2.39–22.01). Coercive sex is harming MSM in China and should be immediately addressed by researchers, public health officials, and MSM community stakeholders. |
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| Keywords: | China HIV men who have sex with men coercive sex |
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