Prevalence and risk behaviors of Hong Kong males who seek cross-border same-sex partners in mainland China.
BACKGROUND
Little is known about cross-border sex-networking behaviors among men who have sex with men (MSM) GOAL: The goal of this study was to determine the prevalence of cross-border sex-networking in mainland China among MSM in Hong Kong and the associated risk behaviors


METHODS
A telephone survey was conducted. A total of 15,230 Hong Kong Chinese men aged 18 to 60 participated in the study.


RESULTS
Of the 283 MSM engaged in some MSM behaviors in the last 6 months, 15.2% had engaged in sexual activity with a man in mainland China in the 6 months before the survey. These "cross-border MSM" were more likely than others to have practiced risk behaviors such as having patronized male commercial sex workers, having contracted a sexually transmitted disease (STD), having had > or = 3 MSM partners, and having higher prevalence of HIV testing in the last 6 months (adjusted odds ratio, 3.32-43.83).


CONCLUSIONS
There is an urgent need for a regional approach to HIV/STD prevention for MSM in southern China.
Centre for Epidemiology & Biostatistics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, NT, Hong Kong. jlau@cuhk.edu.hk
Joseph T F
JT
Lau
Jean H
JH
Kim
Mason
M
Lau
H Y
HY
Tsui
D000293:Adolescent; D000328:Adult; D018451:Homosexuality, Male; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control*