title: Bisexual behavior among Chinese young migrant men who have sex with men: implications for HIV prevention and intervention.
abstract: Data from 307 young migrant men who have sex with men (MSM) in Beijing were analyzed to examine bisexual behavior and the associated sociodemographic and behavioral factors among Chinese young migrant MSM. More than one-fourth (27%) of the MSM were also concurrently engaged in sexual behavior with women (MSMW). Among MSMW, 8.4% were infected with HIV, and 10.8% with Syphilis, compared to 4.9% and 23.7%, respectively, among men who have sex with men only (MSM-only). Various HIV-related risk behaviors among MSMW were similar to those of MSM-only, such as unprotected anal sex, multiple sexual partners, involvement in commercial sex, and substance use. Compared with MSM-only, MSMW were less likely to have tested for HIV, to participate in HIV prevention activities, and were less knowledgeable about condom use and HIV/AIDS. MSMW also had a higher rate of unprotected sex with female stable sexual partners than with male stable sexual partners (79.5% vs. 59.5%). Results indicated that MSMW were at a very high risk for both HIV infection and transmission. Intervention efforts are needed to target this subgroup of MSM and promote AIDS knowledge and HIV/STD testing among MSMW, and to reduce HIV transmission through MSM's bisexual behavior.
authors.affiliation: Carman and Ann Adams Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, Detroit, MI, USA. runningy@hotmail.com
authors.forename: Yan
authors.initials: Y
authors.lastname: Guo
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Li
authors.forename: Yan
authors.initials: Y
authors.lastname: Song
authors.forename: Yingjie
authors.initials: Y
authors.lastname: Liu
mesh_terms: D000328:Adult; D001294:Attitude to Health; D001727:Bisexuality / Q000523:psychology*; D002681:China / Q000453:epidemiology; D060085:Coinfection; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000458:organization & administration*; D010353:Patient Education as Topic / Q000458:organization & administration*; D012309:Risk-Taking; D012747:Sexual Partners / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology; D013587:Syphilis / Q000453:epidemiology; D014171:Transients and Migrants; D047568:Unsafe Sex / Q000517:prevention & control* / Q000706:statistics & numerical data
references.citation: Sex Transm Dis. 2008 Apr;35(4):406-13
references.pmid: 18362864
references.citation: Sex Transm Dis. 2009 May;36(5):325-9
references.pmid: 19295470
references.citation: AIDS Behav. 2007 Sep;11(5):778-88
references.pmid: 17347877
references.citation: J Infect. 2007 Nov;55(5):456-63
references.pmid: 17714786
references.citation: Psychol Addict Behav. 2010 Jun;24(2):311-21
references.pmid: 20565157
references.citation: Sex Transm Dis. 2006 Oct;33(10):585-93
references.pmid: 16641826
references.citation: AIDS Care. 2011 Nov;23(11):1400-9
references.pmid: 21711162
references.citation: AIDS Behav. 2009 Apr;13(2):318-27
references.pmid: 18758936
references.citation: AIDS Care. 1992;4(2):165-75
references.pmid: 1606212
references.citation: J Acquir Immune Defic Syndr. 2007 May 1;45(1):77-84
references.pmid: 17325608
references.citation: AIDS Behav. 2008 Jul;12(4 Suppl):S71-7
references.pmid: 18427972
references.citation: J Urban Health. 2009 Jul;86 Suppl 1:48-62
references.pmid: 19513854
references.citation: Sex Transm Dis. 2000 Jul;27(6):327-8
references.pmid: 10907907
references.citation: Int J STD AIDS. 1999 Mar;10(3):182-5
references.pmid: 10340199
references.citation: Sex Transm Infect. 2009 Sep;85(5):383-90
references.pmid: 19357129
references.citation: Sex Transm Dis. 2010 Aug;37(8):506-11
references.pmid: 20453721
references.citation: Sex Transm Infect. 2010 Aug;86(4):323-7
references.pmid: 20410078
references.citation: AIDS Behav. 2009 Aug;13(4):671-6
references.pmid: 19440833
references.citation: AIDS Educ Prev. 2004 Feb;16(1):19-30
references.pmid: 15058708
references.citation: AIDS Educ Prev. 1996 Jun;8(3):205-25
references.pmid: 8806950
references.citation: AIDS Educ Prev. 2006 Feb;18(1):33-43
references.pmid: 16539574
references.citation: Sex Transm Dis. 2006 Feb;33(2):118-23
references.pmid: 16432484
references.citation: Sex Transm Dis. 2005 May;32(5):270-80
references.pmid: 15849527
references.citation: AIDS Educ Prev. 2006 Jun;18(3):227-42
references.pmid: 16774465
references.citation: AIDS Behav. 2011 Apr;15(3):521-34
references.pmid: 21053064