title: Mutual HIV disclosure among HIV-negative men who have sex with men in Beijing, China, 2010.
abstract: HIV is rising rapidly among Chinese men who have sex with men (MSM). Discussion of HIV status between sexual partners is potentially a key prevention behavior. It is unclear if HIV-negative Chinese MSM talk about HIV and disclose their HIV status with sexual partners. Understanding the correlates of disclosure among this population could provide insight into developing disclosure-based interventions. We conducted a respondent driven sampling based study of 500 MSM in Beijing. A total of 332 men had a previous HIV-negative test result and thus considered themselves to be HIV-negative and were included in our analysis of disclosure. Equal numbers of these men reported talking about HIV and disclosing their HIV status to at least one sexual partner. MSM who disclosed were more likely to be living with a main partner. No other demographic characteristics were associated with disclosure in bivariate analysis. We also used data on up to three sexual partners per participant to examine disclosure on the partnership level. Main partnerships, meeting partners at bars/clubs, sometimes using alcohol before sex in a partnership, and usually having sex at home compared to other venues were associated with disclosure. Using generalized estimating equation analysis to characterize individuals from their partnership data, we found only having at least one main partnership and knowing people who were infected with HIV to be associated with a participant being a discloser. Interventions that wish to harness discussion of HIV and HIV status among Chinese MSM will need to focus on moving these discussions towards having them with casual partners.
authors.affiliation: Beijing Center for Disease Control and Prevention, Beijing, People's Republic of China.
authors.forename: Guiying
authors.initials: G
authors.lastname: Li
authors.forename: Hongyan
authors.initials: H
authors.lastname: Lu
authors.forename: Xuefeng
authors.initials: X
authors.lastname: Li
authors.forename: Yanming
authors.initials: Y
authors.lastname: Sun
authors.forename: Xiong
authors.initials: X
authors.lastname: He
authors.forename: Song
authors.initials: S
authors.lastname: Fan
authors.forename: Willi
authors.initials: W
authors.lastname: McFarland
authors.forename: Yujiang
authors.initials: Y
authors.lastname: Jia
authors.forename: H F
authors.initials: HF
authors.lastname: Raymond
authors.forename: Yan
authors.initials: Y
authors.lastname: Xiao
authors.forename: Yuhua
authors.initials: Y
authors.lastname: Ruan
authors.forename: Yiming
authors.initials: Y
authors.lastname: Shao
mesh_terms: D000293:Adolescent; D000328:Adult; D001727:Bisexuality; D002681:China; D018023:HIV Seronegativity; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D014342:Truth Disclosure; D055815:Young Adult