title: HIV risk perception among HIV negative or status-unknown men who have sex with men in China.
abstract: OBJECTIVE
  To evaluate HIV risk perception and its associated factors among Chinese MSM.
  
  
  METHODS
  A cross-sectional study was conducted among MSM with an HIV negative or unknown status in Beijing, China, between 2011 and 2012. A questionnaire interview was conducted and a blood sample was collected for HIV and syphilis testing.
  
  
  RESULTS
  Of 887 MSM who reported they were HIV negative or did not know their HIV status before recruitment, only 7.3% reported a high risk of HIV infection, 28.0% medium risk, 52.2% low risk, and 12.5% no risk. In multivariate logistic regression models using those who reported a medium self-perceived risk as a reference group, self-reported high risk of HIV perception was associated with minority ethnicity (odds ratio [OR]: 2.91; 95% confidence interval [CI]: 1.03-8.19), self-reported history of sexually transmitted diseases (OR: 2.27; 95% CI: 1.25-4.10), and HIV testing times since the last HIV testing (OR: 0.47; 95% CI: 0.26-0.84); low self-perceived risk of HIV infection was related to full-time employment (OR: 1.58; 95% CI: 1.15-2.18) and illicit drug use (OR: 0.28; 95% CI: 0.10-0.75).
  
  
  CONCLUSIONS
  The HIV/AIDS epidemic is rapidly rising among Beijing MSM, but more than half MSM did not perceive this risk.
authors.affiliation: Department of Public Health, College of Health and Human Services, Western Kentucky University, Bowling Green, KY 42101, USA.
authors.forename: Wensheng
authors.initials: W
authors.lastname: Fan
authors.affiliation: Vanderbilt Institute for Global Health, Vanderbilt University School of Medicine, Nashville, TN 37203, USA.
authors.forename: Lu
authors.initials: L
authors.lastname: Yin
authors.affiliation: Vanderbilt Institute for Global Health, Vanderbilt University School of Medicine, Nashville, TN 37203, USA ; Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN 37203, USA.
authors.forename: Han-Zhu
authors.identifier: 0000-0003-2785-2628
authors.initials: HZ
authors.lastname: Qian
authors.affiliation: Chaoyang Center for Disease Control and Prevention, 25 Huaweili, Panjiayuan, Chaoyang District, Beijing 100021, China.
authors.forename: Dongliang
authors.initials: D
authors.lastname: Li
authors.affiliation: State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, Beijing 102206, China.
authors.forename: Yiming
authors.initials: Y
authors.lastname: Shao
authors.affiliation: Vanderbilt Institute for Global Health, Vanderbilt University School of Medicine, Nashville, TN 37203, USA ; Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN 37203, USA.
authors.forename: Sten H
authors.initials: SH
authors.lastname: Vermund
authors.affiliation: State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, Beijing 102206, China.
authors.forename: Yuhua
authors.initials: Y
authors.lastname: Ruan
authors.affiliation: Chaoyang Center for Disease Control and Prevention, 25 Huaweili, Panjiayuan, Chaoyang District, Beijing 100021, China.
authors.forename: Zheng
authors.initials: Z
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D002681:China / Q000453:epidemiology; D015897:Comorbidity; D015658:HIV Infections / Q000453:epidemiology* / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D054526:Men's Health / Q000706:statistics & numerical data; D008875:Middle Aged; D018570:Risk Assessment; D012647:Self-Assessment; D012747:Sexual Partners / Q000145:classification / Q000523:psychology; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000523:psychology; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult