title: Patterns of condom use among men who have sex with men in China: a systematic review and meta-analysis.
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.
authors.affiliation: 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.
authors.forename: Eric P F
authors.initials: EP
authors.lastname: Chow
authors.forename: David P
authors.initials: DP
authors.lastname: Wilson
authors.forename: Lei
authors.initials: L
authors.lastname: Zhang
mesh_terms: D002681:China / Q000453:epidemiology; D017280:Condoms / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000453:epidemiology / Q000635:transmission; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners