Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
AIDS and Behavior
Published in: AIDS and Behavior 4/2012

01-05-2012 | Original Paper

A Survey of Condom Use Behaviors and HIV/STI Prevalence Among Venue-Based Money Boys in Shenzhen, China

Authors: Shusen Liu, Jin Zhao, Keming Rou, Lin Chen, Wende Cai, Li Li, Zunyou Wu, Roger Detels

Published in: AIDS and Behavior | Issue 4/2012

Login to get access

Abstract

We examined an at-risk population in China, money boys (MBs), to evaluate their potential role for transmitting HIV and sexually transmitted infections (STIs). Data were collected from 418 MBs selected by time-location cluster sampling, using a self-administered computerized questionnaire and testing a small blood sample for HIV/STIs. One-third (32.1%) of participants self-identified as homosexual, 25.4% heterosexual, 33.5% bisexual, and 9.1% uncertain. Consistent condom use by participants was 70–80% with commercial sex partners, 43.9% with girlfriends, and 60–70% with other non-commercial partners. HIV prevalence was 3.3%; syphilis, 10.5%; and HSV-2, 11.0%; overall prevalence for any was 20.3%. Factors significantly associated with HIV/STIs included being minority (OR = 4.82), having only male partners (OR = 1.92), having more male casual partners in the last 6 months (OR = 1.28), being younger at sexual debut (OR = 1.14), and being older (OR = 1.11). This study emphasizes the importance of developing targeted interventions for MBs, particularly those who are homosexual or minority.
Literature
1.
Chinese State Council AIDS Working Committee and United Nations Theme Group on AIDS. A Joint Assessment of HIV/AIDS Prevention, Treatment and Care in China. 2007.
2.
Zhang B, Li X, Shi T. A primary estimation of the number of population and HIV prevalence in homosexual and bisexual men in China. J China AIDS/STD Prevent Control. 2002;8:197.
3.
Zhong F, Lin P, Xu H, et al. Possible increase in HIV and syphilis prevalence among men who have sex with men in Guangzhou, China: results from a respondent-driven sampling survey. AIDS Behav. 2009;36(10):647–56.
4.
Wong FY, Huang ZJ, Wang W, et al. STIs and HIV among men having sex with men in China: a ticking time bomb? AIDS Educ Prev. 2009;21(5):430–46.PubMedCrossRef
5.
Lau JT, Wang M, Wong HN, et al. Prevalence of bisexual behaviors among men who have sex with men (MSM) in China and associations between condom use in MSM and heterosexual behaviors. Sex Transm Dis. 2008;35(4):406–13.PubMedCrossRef
6.
Ma X, Zhang Q, He X, et al. Trends in prevalence of HIV, syphilis, hepatitis C, hepatitis B, 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.PubMedCrossRef
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.PubMedCrossRef
8.
Zhang D, Bi P, Lv F, Zhang J, Hiller JE. Changes in HIV prevalence and sexual behavior among men who have sex with men in a northern Chinese city: 2002–2006. J Infect. 2007;55(5):456–63.PubMedCrossRef
9.
Chemnasiri T, Netwong T, Visarutratana S, et al. Inconsistent condom use among young men who have sex with men, male sex workers, and transgenders in Thailand. AIDS Educ Prev. 2010;22(2):100–9.PubMedCrossRef
10.
Baral S, Kizub D, Masenior NF, et al. Male sex workers in Moscow, Russia: a pilot study of demographics, substance use patterns, and prevalence of HIV-1 and sexually transmitted infections. AIDS Care. 2010;22(1):112–8.PubMedCrossRef
11.
Shinde S, Setia MS, Row-Kavi A, Anand V, Jerajani H. Male sex workers: are we ignoring a risk group in Mumbai, India? Indian J Dermatol Venereol Leprol. 2009;75(1):41–6.PubMedCrossRef
12.
Tun W, de Mello M, Pinho A, Chinaglia M, Diaz J. Sexual risk behaviours and HIV seroprevalence among male sex workers who have sex with men and non-sex workers in Campinas, Brazil. Sex Transm Infect. 2008;84(6):455–7.PubMedCrossRef
13.
Sethi G, Holden BM, Gaffney J, Greene L, Ghani AC, Ward H. HIV, sexually transmitted infections, and risk behaviours in male sex workers in London over a 10 year period. Sex Transm Infect. 2006;82(5):359–63.PubMedCrossRef
14.
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.PubMedCrossRef
15.
Lau JT, Cai WD, Tsui HY, Chen L, Cheng JQ. Psychosocial factors in association with condom use during commercial sex among migrant male sex workers living in Shenzhen, mainland China who serve cross-border Hong Kong male clients. AIDS Behav. 2009;13(5):939–48.PubMedCrossRef
16.
Geibel S, Luchters S, King’Ola N, Esu-Williams E, Rinyiru A, Tun W. Factors associated with self-reported unprotected anal sex among male sex workers in Mombasa, Kenya. Sex Transm Dis. 2008;35(8):746–52.PubMedCrossRef
17.
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.PubMedCrossRef
18.
Wong FY, Huang ZJ, He N, et al. HIV risks among gay- and non-gay-identified migrant money boys in Shanghai, China. AIDS Care. 2008;20(2):170–80.PubMedCrossRef
19.
Liu H, Liu H, Cai Y, Rhodes AG, Hong F. Money boys, HIV risks, and the associations between norms and safer sex: a respondent-driven sampling study in Shenzhen, China. AIDS Behav. 2009;13(4):652–62.PubMedCrossRef
20.
He N, Wong FY, Huang ZJ, Thompson EE, Fu C. Substance use and HIV risks among male heterosexual and ‘money boy’ migrants in Shanghai, China. AIDS Care. 2007;19(1):109–15.PubMedCrossRef
21.
He N, Wong FY, Huang ZJ, et al. HIV risks among two types of male migrants in Shanghai, China: money boys vs. general male migrants. AIDS. 2007;21(Suppl 8):S73–9.PubMedCrossRef
22.
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.PubMedCrossRef
23.
Dare OO, Cleland JG. Reliability and validity of survey data on sexual behaviour. Hlth Transit Rev. 1994;4(Suppl):93–110.
24.
25.
Geary C, Tchupo J, Johnson L, Cheta C, Nyiama T. Respondent perspectives on self-report measures of condom use. AIDS Educ Prev. 2003;15(6):499–515.PubMedCrossRef
26.
Paulhus D. Measures of personality and social psychological attitudes. In: Robinson J, Shaver P, Wrightsman L, editors. Measurement and control of response bias. New York: Academic Press; 1991. p. 17–59.
27.
Guest G, Bunce A, Johnson L, Akumatey B, Adeokun L. Fear, hope and social desirability bias among women at high risk for HIV in West Africa. J Fam Plan Reprod Health Care. 2005;31(4):285–7.CrossRef
28.
Schopper D, Doussantousse S, Orav J. Sexual behaviours relevant to HIV transmission in a rural African population: How much can a KAP survey tell us? Soc Sci Med. 1993;37:401–12.PubMedCrossRef
29.
Des Jarlais DC, Paone D, Milliken J, et al. Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users: a quasi-randomised trial. Lancet. 1999;353(9165):1657–61.PubMedCrossRef
30.
Kissinger P, Rice J, Farley T, et al. Application of computer-assisted interviews to sexual behavior research. Am J Epidemiol. 1999;149(10):950–4.PubMedCrossRef
31.
Macalino GE, Celentano DD, Latkin C, Strathdee SA, Vlahov D. Risk behaviors by audio computer-assisted self-interviews among HIV-seropositive and HIV-seronegative injection drug users. AIDS Educ Prev. 2002;14(5):367–78.PubMedCrossRef
32.
Navaline HA, Snider EC, Petro CJ, et al. Preparations for AIDS vaccine trials. An automated version of the risk assessment battery (RAB): enhancing the assessment of risk behaviors. AIDS Res Hum Retroviruses. 1994;10(Suppl 2):S281–3.PubMed
33.
Reichmann WM, Losina E, Seage GR, et al. Does modality of survey administration impact data quality: audio computer assisted self interview (ACASI) versus self-administered pen and paper? PLoS One. 2010;5(1):e8728.PubMedCrossRef
34.
Rogers SM, Willis G, Al-Tayyib A, et al. Audio computer assisted interviewing to measure HIV risk behaviours in a clinic population. Sex Transm Infect. 2005;81(6):501–7.PubMedCrossRef
35.
van der Elst EM, Okuku HS, Nakamya P, et al. Is audio computer-assisted self-interview (ACASI) useful in risk behaviour assessment of female and male sex workers, Mombasa, Kenya? PLoS One. 2009;4(5):e5340.PubMedCrossRef
36.
Williams ML, Freeman RC, Bowen AM, et al. A comparison of the reliability of self-reported drug use and sexual behaviors using computer-assisted versus face-to-face interviewing. AIDS Educ Prev. 2000;12(3):199–213.PubMed
37.
Wang L, Ding ZW, Ding GW, et al. Data analysis of national HIV comprehensive surveillance sites among female sex workers from 2004 to 2008. Zhonghua Yu Fang Yi Xue Za Zhi. 2009;43(11):1009–15.PubMed
38.
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 Infect. 2009;85(1):42–4.PubMedCrossRef
39.
Xiao Y, Sun J, Li C, et al. Prevalence and correlates of HIV and syphilis infections among men who have sex with men in seven provinces in China with historically low HIV prevalence. J Acquir Immune Defic Syndr. 2010;53(Suppl 1):S66–73.PubMed
Metadata
Title
A Survey of Condom Use Behaviors and HIV/STI Prevalence Among Venue-Based Money Boys in Shenzhen, China
Authors
Shusen Liu
Jin Zhao
Keming Rou
Lin Chen
Wende Cai
Li Li
Zunyou Wu
Roger Detels
Publication date
01-05-2012
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-9978-y

Other articles of this Issue 4/2012

AIDS and Behavior 4/2012 Go to the issue

Original Paper

A Multilevel Analysis of the Impact of Socio-Structural and Environmental Influences on Condom Use Among Female Sex Workers

Original Paper

Victimization and Sexual Risk Behavior in Young, HIV Positive Women: Exploration of Mediators

Original Paper

Difference in Risk Behaviors and STD Prevalence Between Street-Based and Establishment-Based FSWs in Guangdong Province, China

Original Paper

Sexual Risk Behaviors for HIV Infection in Spanish Male Sex Workers: Differences According to Educational Level, Country of Origin and Sexual Orientation

Original Paper

Intimate Partner Violence and Condom Use Among Women: Does the Information–Motivation–Behavioral Skills Model Explain Sexual Risk Behavior?

Original Paper

Social Network and Other Correlates of HIV Testing: Findings from Male Sex Workers and Other MSM in Shanghai, China
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits