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
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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.
KeywordsHIV 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.
- Chadeyron, J. (2013). GCircuit Songkran in Bangkok, Asia’s biggest gay circuit party. Retrieved from http://www.mygaytrip.com/en/headlines-gay/gay-life/951-gcircuit-songkran-in-bangkok-asia-s-biggest-gay-circuit-party.
- Cohen, M. S., Chen, Y. Q., McCauley, M., Gamble, T., Hosseinipour, M. C., Kumarasamy, N., … Fleming, T. R. (2011). Prevention of HIV-1 infection with early antiretroviral therapy. New England Journal of Medicine, 365, 493–505. doi: 10.1056/NEJMoa1105243.
- Joint United Nations Programme on HIV/AIDS (UNAIDS). (2012). Global report: UNAIDS Report on the Global AIDS Epidemic 2012 (UNAIDS Report No. JC2417E). Retrieved from http://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2012/gr2012/20121120_UNAIDS_Global_Report_2012_en.pdf.
- Kondo, M., Lemey, P., Sano, T., Itoda, I., Yoshimura, Y., Sagara, H., … Takebe, Y. (2013). Emergence in Japan of an HIV-1 variant associated with transmission among men who have sex with men (MSM) in China: First indication of the international dissemination of the Chinese MSM lineage. Journal of Virology, 87, 5351–5361. doi: 10.1128/JVI.02370-12.
- Lee, E., Holt, M., Mao, L., McKenzie, T., Batrouney, C., Kennedy, M., & de Wit, J. (2011). Gay Community Periodic Survey: Melbourne 2011. Sydney: National Centre in HIV Social Research, The University of New South Wales.Google Scholar
- Lim, S. H., Guadamuz, T. E., Wei, C., Chan, R., & Koe, S. (2012). Factors associated with unprotected receptive anal intercourse with internal ejaculation among men who have sex with men in a large internet sample from Asia. AIDS and Behavior, 16, 1979–1987. doi: 10.1007/s10461-012-0233-y.PubMedCentralCrossRefPubMedGoogle Scholar
- Taylor, K. D., Raymond, H. F., Truong, H. M., Ick, T., Le, B., Rive, J., et al. (2011). International travel among HIV-positive and HIV-negative men who have sex with men, San Francisco, USA. International Journal of STD and AIDS, 22, 568–570. doi: 10.1258/ijsa.2011.010397.CrossRefPubMedGoogle Scholar
- Travel Gay Asia. (2013). Gay Asia parties and events. Retrieved from http://www.travelgayasia.com/gay-asia-events/.
- Truong, H. M., Kellogg, T., Schwarcz, S., Delgado, V., Grant, R. M., Louie, B., … McFarland, W. (2008). Frequent international travel by men who have sex with men recently diagnosed with HIV-1: Potential for transmission of primary HIV-1 drug resistance. Journal of Travel Medicine, 15, 454–456. doi: 10.1111/j.1708-8305.2008.00245.x.