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 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
AIDS and Behavior
Published in: AIDS and Behavior 10/2017

01-10-2017 | Original Paper

Subsequent Sexual Risks Among Men Who Have Sex with Men May Differ by Sex of First Partner and Age at Sexual Debut: A Cross-Sectional Study in Beijing, China

Authors: Yu Liu, Han-Zhu Qian, K. Rivet Amico, Hongjie Liu, Lu Yin, Yuhua Ruan, Yiming Shao, Chen Zhang, Sten H. Vermund

Published in: AIDS and Behavior | Issue 10/2017

Login to get access

Abstract

Sexual debut experience may influence HIV/sexual risks among men who have sex with men (MSM). We assessed associations between age of sexual debut and sex of debut partner with recent (past-3-month) sexual/HIV/syphilis risks among 3588 community-based Chinese MSM. Sexual debut with women was associated with more recent (condomless) insertive anal sex with men, more recent (condomless) vaginal sex, and more lifetime female partners. Sexual debut with men was associated with more recent (condomless) receptive anal sex with men and more lifetime male partners. All associations were strongest among those having first sex ≤18 years in both groups. Earlier sexual debut was associated with higher HIV/syphilis risk; HIV risk was higher with first sex with a man, but syphilis was higher with first sex with a woman. Earlier age of sexual debut is associated with greater HIV/syphilis and sexual risks, but MSM risk differs with first sex with women versus men.
Literature
1.
2.
Zhang W, Xu JJ, Zou H, Zhang J, Wang N, Shang H. HIV incidence and associated risk factors in men who have sex with men in Mainland China: an updated systematic review and meta-analysis. Sex Health. 2016;. doi:10.​1071/​SH16001.
3.
4.
Liu Y, Osborn CY, Qian HZ, et al. Barriers and facilitators of linkage to and engagement in HIV care among HIV-positive men who have sex with men in China: a qualitative study. AIDS Patient Care STDS. 2016;30(2):70–7.CrossRefPubMedPubMedCentral
5.
Liu Y, Sun X, Qian HZ, et al. Qualitative assessment of barriers and facilitators of access to HIV testing among men who have sex with men in China. AIDS Patient Care STDS. 2015;29(9):481–9.CrossRefPubMedPubMedCentral
6.
Wei C, Yan H, Yang C, et al. Accessing HIV testing and treatment among men who have sex with men in China: a qualitative study. AIDS Care. 2014;26(3):372–8.CrossRefPubMed
7.
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.CrossRefPubMed
8.
Liao M, Kang D, Tao X, et al. Alcohol use, stigmatizing/discriminatory attitudes, and HIV high-risk sexual behaviors among men who have sex with men in China. Biomed Res Int. 2014;2014:143738.PubMedPubMedCentral
9.
Steward WT, Miege P, Choi KH. Charting a moral life: the influence of stigma and filial duties on marital decisions among Chinese men who have sex with men. PLoS ONE. 2013;8(8):e71778.CrossRefPubMedPubMedCentral
10.
Wang S, Song D, Huang W, et al. Heterosexual partnerships and the need for HIV prevention and testing for men who have sex with men and women in China: a qualitative study. AIDS Educ Prev. 2015;27(2):126–38.CrossRefPubMedPubMedCentral
11.
Liu Y, Li D, Vermund SH, et al. Associations of current marital status and living arrangements with HIV and syphilis risk: findings from a community-based sample of men who have sex with men in China. AIDS Care. 2016;28:1–6.
12.
Bowring AL, Veronese V, Doyle JS, Stoove M, Hellard M. HIV and sexual risk among men who have sex with men and women in Asia: a systematic review and meta-analysis. AIDS Behav. 2016;20(10):2243–65.CrossRefPubMed
13.
Yun K, Xu JJ, Reilly KH, et al. Prevalence of bisexual behaviour among bridge population of men who have sex with men in China: a meta-analysis of observational studies. Sex Transm Infect. 2011;87(7):563–70.CrossRefPubMed
14.
Wang HY, Xu JJ, Zou HC, et al. Sexual risk behaviors and HIV infection among men who have sex with men and women in China: evidence from a systematic review and meta-analysis. Biomed Res Int. 2015;2015:850132.PubMedPubMedCentral
15.
Wu Z, Xu J, Liu E, et al. HIV and syphilis prevalence among men who have sex with men: a cross-sectional survey of 61 cities in China. Clin Infect Dis. 2013;57(2):298–309.CrossRefPubMedPubMedCentral
16.
Chen JP, Han MM, Liao ZJ, et al. HIV-related behaviors, social support and health-related quality of life among men who have sex with men and women (MSMW): a cross-sectional study in Chongqing, China. PLoS ONE. 2015;10(2):e0118651.CrossRefPubMedPubMedCentral
17.
Cai R, Zhao J, Cai W, Chen L, Richardus JH, de Vlas SJ. HIV risk and prevention behaviors in men who have sex with men and women: a respondent-driven sampling study in Shenzhen, China. AIDS Behav. 2014;18(8):1560–8.PubMed
18.
He Q, Wang Y, Lin P, et al. Potential bridges for HIV infection to men who have sex with men in Guangzhou, China. AIDS Behav. 2006;10(4 Suppl):S17–23.CrossRefPubMed
19.
Outlaw AY, Phillips G 2nd, Hightow-Weidman LB, et al. Age of MSM sexual debut and risk factors: results from a multisite study of racial/ethnic minority YMSM living with HIV. AIDS Patient Care STDS. 2011;25(Suppl 1):S23–9.CrossRefPubMed
20.
Shrestha R, Karki P, Copenhaver M. Early sexual debut: a risk factor for STIs/HIV acquisition among a nationally representative sample of adults in Nepal. J Community Health. 2016;41(1):70–7.CrossRefPubMed
21.
Nelson KM, Gamarel KE, Pantalone DW, Carey MP, Simoni JM. Sexual debut and HIV-related sexual risk-taking by birth cohort among men who have sex with men in the United States. AIDS Behav. 2016;20(10):2286–95.CrossRefPubMedPubMedCentral
22.
Coburn BJ, Blower S. A major HIV risk factor for young men who have sex with men is sex with older partners. J Acquir Immune Defic Syndr. 2010;54(2):113–4.PubMed
23.
Liu Y, Qian HZ, Ruan Y, et al. Frequent HIV testing: impact on HIV risk among Chinese men who have sex with men. J Acquir Immune Defic Syndr. 2016;72(4):452–61.CrossRefPubMedPubMedCentral
24.
Liu Y, Wang J, Qian HZ, et al. Seeking male sexual partners via internet and traditional venues among Chinese men who have sex with men: implications for HIV risk reduction interventions. AIDS Behav. 2016;. doi:10.​1007/​s10461-016-1371-4.
25.
Lu H, Han Y, He X, et al. Alcohol use and HIV risk taking among Chinese MSM in Beijing. Drug Alcohol Depend. 2013;133(2):317–23.CrossRefPubMed
26.
Zhang H, Teng T, Lu H, et al. Poppers use and risky sexual behaviors among men who have sex with men in Beijing, China. Drug Alcohol Depend. 2016;160:42–8.CrossRefPubMed
27.
Baldwin P, Shrestha R, Potrepka J, Copenhaver M. The age of initiation of drug use and sexual behavior may influence subsequent HIV risk behavior: a systematic review. ISRN AIDS. 2013;2013:976035.CrossRefPubMedPubMedCentral
28.
Wang N, Wu G, Lu R, et al. Investigating HIV infection and HIV incidence among Chinese men who have sex with men with recent sexual debut, Chongqing, China, 2011. AIDS Behav. 2016;20(12):2976–82.CrossRefPubMed
29.
Reissing ED, Andruff HL, Wentland JJ. Looking back: the experience of first sexual intercourse and current sexual adjustment in young heterosexual adults. J Sex Res. 2012;49(1):27–35.CrossRefPubMed
30.
31.
Wei C, Raymond HF. Preference for and maintenance of anal sex roles among men who have sex with men: sociodemographic and behavioral correlates. Arch Sex Behav. 2011;40(4):829–34.CrossRefPubMed
32.
Zhou C, Raymond HF, Ding X, et al. Anal sex role, circumcision status, and HIV infection among men who have sex with men in Chongqing, China. Arch Sex Behav. 2013;42(7):1275–83.CrossRefPubMed
33.
34.
Ellen JM, Greenberg L, Willard N, Stines S, Korelitz J, Boyer CB. Cross-sectional survey comparing HIV risk behaviours of adolescent and young adult men who have sex with men only and men who have sex with men and women in the U.S. and Puerto Rico. Sex Transm Infect. 2015;91(6):458–61.CrossRefPubMedPubMedCentral
35.
Guo Y, Li X, Song Y, Liu Y. Bisexual behavior among Chinese young migrant men who have sex with men: implications for HIV prevention and intervention. AIDS Care. 2012;24(4):451–8.PubMed
36.
Liu Y, Li X, Zhang L, Li S, Jiang S, Stanton B. Correlates of consistent condom use among young migrant men who have sex with men (MSM) in Beijing, China. Eur J Contracept Reprod Health Care. 2012;17(3):219–28.CrossRefPubMed
37.
Tao J, Ruan Y, Yin L, et al. Sex with women among men who have sex with men in China: prevalence and sexual practices. AIDS Patient Care STDS. 2013;27(9):524–8.CrossRefPubMedPubMedCentral
38.
Qian HZ, Ruan Y, Liu Y, et al. Lower HIV risk among circumcised men who have sex with men in China: interaction with anal sex role in a cross-sectional study. J Acquir Immune Defic Syndr. 2016;71(4):444–51.CrossRefPubMedPubMedCentral
39.
Mao H, Ma W, Lu H, et al. High incidence of HIV and syphilis among migrant men who have sex with men in Beijing, China: a prospective cohort study. BMJ Open. 2014;4(9):e005351.CrossRefPubMedPubMedCentral
40.
Weinhardt LS, Kelly JA, Brondino MJ, et al. HIV transmission risk behavior among men and women living with HIV in 4 cities in the United States. J Acquir Immune Defic Syndr. 2004;36(5):1057–66.CrossRefPubMed
41.
Jeffries WLT. Sociodemographic, sexual, and HIV and other sexually transmitted disease risk profiles of nonhomosexual-identified men who have sex with men. Am J Public Health. 2009;99(6):1042–5.CrossRefPubMedPubMedCentral
42.
Yang HT, Tang W, Xiao ZP, et al. Worsening epidemic of HIV and syphilis among men who have sex with men in Jiangsu Province, China. Clin Infect Dis. 2014;58(12):1753–9.CrossRefPubMedPubMedCentral
43.
Fan W, Lu R, Wu G, et al. Alcohol drinking and HIV-related risk among men who have sex with men in Chongqing, China. Alcohol. 2016;50:1–7.CrossRefPubMed
44.
Shen H, Tang S, Mahapatra T, et al. Condomless vaginal intercourse and its associates among men who have sex with men in China. PLoS ONE. 2016;11(4):e0154132.CrossRefPubMedPubMedCentral
45.
Zheng C, Xu JJ, Hu QH, et al. Commercial sex and risk of HIV, syphilis, and herpes simplex virus-2 among men who have sex with men in six Chinese cities. BMC Infect Dis. 2016;16(1):765.CrossRefPubMedPubMedCentral
46.
Tang S, Tang W, Meyers K, Chan P, Chen Z, Tucker JD. HIV and syphilis among men who have sex with men and transgender individuals in China: a scoping review. Lancet. 2016;388(Suppl 1):S74.CrossRef
Metadata
Title
Subsequent Sexual Risks Among Men Who Have Sex with Men May Differ by Sex of First Partner and Age at Sexual Debut: A Cross-Sectional Study in Beijing, China
Authors
Yu Liu
Han-Zhu Qian
K. Rivet Amico
Hongjie Liu
Lu Yin
Yuhua Ruan
Yiming Shao
Chen Zhang
Sten H. Vermund
Publication date
01-10-2017
Publisher
Springer US
Published in
AIDS and Behavior / Issue 10/2017
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-1677-x

Other articles of this Issue 10/2017

AIDS and Behavior 10/2017 Go to the issue

Original Paper

Quantifying the Harms and Benefits from Serosorting Among HIV-Negative Gay and Bisexual Men: A Systematic Review and Meta-analysis

Original Paper

Number of Psychosocial Strengths Predicts Reduced HIV Sexual Risk Behaviors Above and Beyond Syndemic Problems Among Gay and Bisexual Men

Original Paper

A Longitudinal Analysis of Treatment Optimism and HIV Acquisition and Transmission Risk Behaviors Among Black Men Who Have Sex with Men in HPTN 061

Original Paper

Predictors of HIV Risk Behaviors Among a National Sample of Russian Men Who Have Sex with Men

Original Paper

HIV Prevention in Gay Family and House Networks: Fostering Self-Determination and Sexual Safety

Commentary

And the Band Played on: Before and After

ACC 2024 Congress Coverage

Heart Failure Video

Year in Review: Heart failure and cardiomyopathies

Watch now

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

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