title: Prevalence of bisexual behaviors among men who have sex with men (MSM) in China and associations between condom use in MSM and heterosexual behaviors.
abstract: OBJECTIVE
  This study investigated the prevalence of bisexual behaviors and marital status among Chinese men who have sex with men (MSM) and the associations between MSM's condom use and their heterosexual behaviors.
  
  
  METHODS
  Eight hundred ninety-six adult males in Yunnan Province, China, who reported to ever have engaged in MSM behaviors were interviewed. Data were acquired through the China-UK HIV/AIDS Prevention and Care Project from 2003 to 2006.
  
  
  RESULTS
  Of all respondents, one-third had ever been married, 59% had ever engaged in bisexual behaviors, and 31% had done so in the past 6 months. High prevalence of inconsistent condom use was reported in heterosexual behaviors (71.9%), as well as with those who had engaged in MSM sexual behaviors in the past 6 months (30.8% with commercial sex workers and 54.7% with noncommercial sex partners) in the past 6 months. Those who did not use condoms with MSM partners were also more likely than others to not use condoms with their female sex partners (FSP). Those who had voluntary counseling and testing services were more likely than others to have used a condom in the last episode of sex with their FSP (multivariate odds ratio = 1.66).
  
  
  CONCLUSIONS
  The clustering of unprotected sexual behaviors with male and FSP among bisexual MSM is revealed. The bridging effects of the risk for human immunodeficiency virus transmission from the MSM population to the female population are evident.
authors: Centre for Epidemiology and Biostatistics, School of Public Health, Faculty of Medicine, The Chinese University of Hong Kong. jlau@cuhk.edu.hk
authors: Joseph T F
authors: JT
authors: Lau
authors: Ming
authors: M
authors: Wang
authors: Hong Nei
authors: HN
authors: Wong
authors: Hi Yi
authors: HY
authors: Tsui
authors: Manhong
authors: M
authors: Jia
authors: Feng
authors: F
authors: Cheng
authors: Yun
authors: Y
authors: Zhang
authors: Xiaoyou
authors: X
authors: Su
authors: Ning
authors: N
authors: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001727:Bisexuality / Q000706:statistics & numerical data*; D002681:China; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D020010:Heterosexuality / Q000706:statistics & numerical data*; D018451:Homosexuality, Male; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D015999:Multivariate Analysis; D015995:Prevalence; D012725:Sexual Behavior; D012747:Sexual Partners