Archives of Sexual Behavior

, Volume 44, Issue 2, pp 389–397 | Cite as

The Potential Role of Circuit Parties in the Spread of HIV Among Men Who Have Sex with Men in Asia: A Call for Targeted Prevention

  • Doug H. Cheung
  • Sin How Lim
  • Thomas E. Guadamuz
  • Stuart Koe
  • Chongyi WeiEmail author
Original Paper


We postulated that the growing popularity of circuit parties may play a role in the escalating HIV prevalence among men who have sex with men (MSM) in Asia. The present study is the first to characterize the sociodemographic and HIV-related behavioral factors of circuit party attendees living in Asia. We analyzed a subset of data from the Asia Internet MSM Sex Survey conducted from January 1 to February 28, 2010. Inclusion criteria included: being biologically male, aged 18 years or above, self-reported sex with another man, and reported international travel in the past 6 months (N = 6,094). From our multivariable logistic regression model, participants’ resident country with low HIV prevalence (among MSM) (AOR 1.59, 95 % CI 1.27–2.00) and country of destination with high HIV prevalence were independently associated with higher odds of circuit party attendance (AOR 1.32, 95 % CI 1.14–1.53) during international travel. Statistical interaction indicated circuit party attendees were likely to have traveled from low HIV prevalence (among MSM) countries to high HIV prevalence countries (AOR 1.40, 95 % CI 1.20–1.64). Other independent correlates included unprotected anal sex with a male casual sex partner and recreational drug use during travel. HIV and STI prevention focusing on circuit party attendees may have a pivotal role on the spread of the HIV epidemics among MSM in Asia.


HIV Men who have sex with men Circuit party Mobility Asia 



CW and TG were supported by grants from the U.S. National Institute of Mental Health (CW: R00MH093201; TG: MH085567). The authors declare no conflicts of interest.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Doug H. Cheung
    • 1
    • 2
  • Sin How Lim
    • 3
  • Thomas E. Guadamuz
    • 4
    • 5
  • Stuart Koe
    • 6
  • Chongyi Wei
    • 7
    Email author
  1. 1.Center for AIDS Prevention StudiesUniversity of California–San FranciscoSan FranciscoUSA
  2. 2.Harvard School of Public HealthBostonUSA
  3. 3.Center of Excellence for Research in AIDSUniversity of MalayaKuala LumpurMalaysia
  4. 4.Department of Behavioral and Community Health Sciences, Graduate School of Public HealthUniversity of PittsburghPittsburghUSA
  5. 5.Department of Society and Health, Faculty of Social Sciences and HumanitiesMahidol UniversityNakhon PathomThailand
  6. 6.CM Pharma Pte Ltd.SingaporeSingapore
  7. 7.Department of Epidemiology and Biostatistics & Global Health SciencesUniversity of California–San FranciscoSan FranciscoUSA

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