Abstract
Different risks of HIV infection have been reported among different types of male sex workers (MSW). In order to compare the prevalence of HIV infection and related risk behaviors of MSW in different venues in Shenzhen, China, a time-location sampling survey was conducted in 2008. 5.1% of the 394 MSWs were tested positive for HIV, with 6.9% in those working in parks (PMSW), 11.3% in small family clubs (FMSW) and 1.7% in entertainment venues. PMSWs and FMSWs reported a higher proportion of self-identified homosexual/gay. Moreover, FMSWs reported a lower coverage of HIV-related education and services and were more likely to self-report coming from provinces with higher HIV prevalence. The results indicated that MSWs in small venues and parks were comparatively at higher risk of being infected and suggested that current HIV preventive intervention needs to be expanded to the small venues in Shenzhen.
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References
Ruan S, Yang H, Zhu Y, et al. HIV prevalence and correlates of unprotected anal intercourse among men who have sex with men, Jinan, China. AIDS Behav. 2008;12(3):469–75.
He Q, Wang Y, Li Y, et al. Accessing men who have sex with men through long-chain referral recruitment, Guangzhou, China. AIDS Behav. 2008;12(4 Suppl):S93–6.
Choi KH, Hudes ES, Steward WT. Social discrimination, concurrent sexual partnerships, and HIV risk among men who have sex with men in Shanghai, China. AIDS Behav. 2008;12(4 Suppl):S71–7.
Zhang X, Wang C, Hengwei W, et al. Risk factors of HIV infection and prevalence of co-infections among men who have sex with men in Beijing, China. AIDS. 2007;21(Suppl 8):S53–7.
Jiang J, Cao N, Zhang J, et al. High prevalence of sexually transmitted diseases among men who have sex with men in Jiangsu Province, China. Sex Transm Dis. 2006;33(2):118–23.
Ma X, Zhang Q, He X, et al. Trends in prevalence of HIV, syphilis, hepatitis C, hepatitis B, and sexual risk behavior among men who have sex with men. Results of 3 consecutive respondent-driven sampling surveys in Beijing, 2004 through 2006. J Acquir Immune Defic Syndr. 2007;45(5):581–7.
Kong TS. Risk factors affecting condom use among male sex workers who serve men in China: a qualitative study. Sex Transm Infect. 2008;84(6):444–8.
Mi G, Wu Z, Zhang B, Zhang H. Survey on HIV/AIDS-related high risk behaviors among male sex workers in two cities in China. AIDS. 2007;21(Suppl 8):S67–72.
Mimiaga MJ, Reisner SL, Tinsley JP, Mayer KH, Safren SA. Street workers and internet escorts: contextual and psychosocial factors surrounding HIV risk behavior among men who engage in sex work with other men. J Urban Health. 2009;86(1):54–66.
Morse EV, Simon PM, Osofsky HJ, Balson PM, Gaumer HR. The male street prostitute: a vector for transmission of HIV infection into the heterosexual world. Soc Sci Med. 1991;32(5):535–9.
Smith MD, Grov C, Seal DW. Agency-based male sex work: a descriptive focus on physical, personal, and social space. J Mens Stud. 2008;16(2):193–210.
Aynalem G, Smith L, Bemis C, Taylor M, Hawkins K, Kerndt P. Commercial sex venues: a closer look at their impact on the syphilis and HIV epidemics among men who have sex with men. Sex Transm Infect. 2006;82(6):439–43.
de Graaf R, Vanwesenbeeck I, van Zessen G, Straver CJ, Visser JH. Male prostitutes and safe sex: different settings, different risks. AIDS Care. 1994;6(3):277–88.
Zha ZX. Shenzhen population’s present situation, problem and countermeasure research. Special zone economy. 2006;10:12–5.
Chen L, Feng TJ, Tan JG, et al. Estimate the male homosexual population in Shenzhen by Capture-Mark-Recapture Method in 2006. J Trop Med. 2008;8(2):175–6.
Lau JT, Kim JH, Lau M, Tsui HY. Prevalence and risk behaviors of Hong Kong males who seek cross-border same-sex partners in mainland China. Sex Transm Dis. 2004;31(9):568–74.
Ruan Y, Luo F, Jia Y, et al. Risk factors for syphilis and prevalence of HIV, hepatitis B and C among men who have sex with men in Beijing, China: implications for HIV prevention. AIDS Behav. 2009;13(4):663–70.
Hong FC, Zhou H, Cai YM, et al. Prevalence of syphilis and HIV infections among men who have sex with men from different settings in Shenzhen, China: implications for HIV/STD surveillance. Sex Transm Infec. 2009;85(1):42–4.
Lau JT, Wang M, Tse YK, et al. HIV-related behaviors among men who have sex with men in China: 2005–2006. AIDS Educ Prev. 2009;21(4):325–39.
van Griensven F, van Wijngaarden JW, Baral S, Grulich A. The global epidemic of HIV infection among men who have sex with men. Curr Opin HIV AIDS. 2009;4(4):300–7.
Hao Y. Update on the AIDS epidemic in China. In: The ninth international conference on HIV/AIDS in the Asia-Pacific (ICAAP). Aug; Bali, Indonesia; 2009.
Cai WD, Zhao J, Zhao JK, et al. HIV prevalence and related risk factors among male sex workers in Shenzhen, China: results from a time-location sampling survey. Sex Transm Infect. 2010;86(1):15–20.
van Griensven F, Thanprasertsuk S, Jommaroeng R, et al. Evidence of a previously undocumented epidemic of HIV infection among men who have sex with men in Bangkok, Thailand. AIDS. 2005;19(5):521–6.
China State Council AIDS Working Committee Office. Monitoring and Evaluation Framework for China’s HIV/AIDS Prevention, Treatment and Care Program. Beijing: People’s Health Publishing House; 2007.
Acknowledgments
The authors thank all participants, MSM volunteers and peer researchers, and the staff of the medical key laboratory of Shenzhen for sample preparation. We are also grateful to Dr. Willi McFarland and Henry Fisher Raymond, from San Francisco Department of Public health, San Francisco, CA, USA for their help in designing the program. This study was partially supported by National Nature Science Foundation of China (30901224), the Supporting Program of the “Eleventh Five-year Plan”for Sci & Tech Research of China (2008ZX10001-004), the Shenzhen Technology and Research Fund (200902082) and a special grant from the Medical Key Laboratory of Shenzhen.
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Zhao, J., Cai, WD., Chen, L. et al. A Comparison of HIV Infection and Related Risks Among Male Sex Workers in Different Venues in Shenzhen, China. AIDS Behav 15, 635–642 (2011). https://doi.org/10.1007/s10461-010-9786-9
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DOI: https://doi.org/10.1007/s10461-010-9786-9