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AIDS Care. 2018 Jan;30(1):86-94. doi: 10.1080/09540121.2017.1381331. Epub 2017 Sep 25.

HIV testing and sexual risks among migrant men who have sex with men: findings from a large cross-sectional study in Beijing, China.

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a Department of Public Health Sciences, School of Medicine and Dentistry , University of Rochester , Rochester , NY , USA.
b School of Public Health , Yale University , New Haven , CT , USA.
c State Key Laboratory of Infectious Disease Prevention and Control (SKLID), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases , Chinese Center for Disease Control and Prevention , Beijing , People's Republic of China.
d Department of Epidemiology and Biostatistics, School of Public Health , University of Maryland , College Park , MD , USA.
e School of Nursing , University of Rochester , Rochester , NY , USA.
f Vanderbilt Institute for Global Health , Vanderbilt University School of Medicine , Nashville , TN , USA.
g Division of Global HIV and TB , Centers for Disease Control and Prevention (CDC) , Atlanta , GA , USA.


Despite the exacerbating HIV transmission among migrant men who have sex with men (MSM) in China, few epidemiological studies explore their HIV testing/risk profiles. We sought to explore sociodemographic/behavioral correlates of HIV/syphilis and HIV testing among migrant MSM. A study was conducted among 3,588 HIV-uninfected MSM. Participants were recruited via short message services, peer referral, web-advertisement and community outreach. HIV/syphilis infections were lab-confirmed. Migrant MSM were more likely to be HIV-infected compared to local MSM. Among 2,699 migrant MSM, HIV testing was associated with older age, living longer in Beijing, having ≥10 lifetime male sexual partners (LMSPs), having insertive anal sex; while being unemployed/retired and having condomless receptive anal sex (CRAS) were associated with a lower odds of HIV testing. Being married, living longer in Beijing, ever testing for HIV and having sex with women were associated with lower HIV odds; while being unemployed/retired, having higher HIV perception, having ≥ 10 LMSPs and having CRAS were associated a higher HIV odds. Increased likelihood of syphilis was associated with older age, being employed, higher HIV perception, having ≥10 LMSPs and having CRAS. Our study provides implications for targeted interventions to tackle HIV/STI risks and improve HIV testing among migrant Chinese MSM.


China; HIV; HIV testing; men who have sex with men; migrant; syphilis

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