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Patterns of Condom Use Among Men Who Have Sex with Men in China: A Systematic Review and Meta-Analysis

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Abstract

HIV is rapidly spreading among men who have sex with men (MSM) in China. We estimate and compare rates of condom use among MSM in different regions of China through a systematic literature review. Meta-analyses were conducted over a final set of 66 studies to estimate national and regional condom use rates among MSM with different types of male sex partners. Country-wide, there has been a modest increase in reported condom use at last sex among MSM, from 56.1% (95% CI: 53.4–58.7%) in 2003–2005 to 61.6% (95% CI: 58.4–64.8%) in 2006–2008. Consistent condom use has also increased, from 32.5% (95% CI: 28.6–36.7%) in 2003–2005 to 36.3% (95% CI: 33.7–38.9%) in 2006–2008. Condom use was greatest and increasing among commercial sex partners, from 49.8 to 75.2% at last anal sex. Further condom promotion is still required to reduce the incidence of HIV infection among MSM in China.

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Acknowledgements

This study was funded from the following sources: the Australian Government Department of Health and Ageing; the University of New South Wales; the World Bank Global HIV/AIDS Program; grant no 2008ZX10001-003 from the Ministry of Science and Technology in China; and grant no FT0991990 from the Australian Research Council. The views expressed in this publication do not necessarily represent the position of the Australian Government. NCHECR is affiliated with the Faculty of Medicine, University of New South Wales.

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  1. National Centre in HIV Epidemiology and Clinical Research, The University of New South Wales, CFI Building, Corner of West and Boundary Streets, Darlinghurst, Sydney, NSW, 2010, Australia

    Eric P. F. Chow, David P. Wilson & Lei Zhang

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  1. Eric P. F. Chow
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Chow, E.P.F., Wilson, D.P. & Zhang, L. Patterns of Condom Use Among Men Who Have Sex with Men in China: A Systematic Review and Meta-Analysis. AIDS Behav 16, 653–663 (2012). https://doi.org/10.1007/s10461-011-9935-9

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