title: The potential role of circuit parties in the spread of HIV among men who have sex with men in Asia: a call for targeted prevention.
abstract: We postulated that the growing popularity of circuit parties may play a role in the escalating HIV prevalence among men who have sex with men (MSM) in Asia. The present study is the first to characterize the sociodemographic and HIV-related behavioral factors of circuit party attendees living in Asia. We analyzed a subset of data from the Asia Internet MSM Sex Survey conducted from January 1 to February 28, 2010. Inclusion criteria included: being biologically male, aged 18 years or above, self-reported sex with another man, and reported international travel in the past 6 months (N = 6,094). From our multivariable logistic regression model, participants' resident country with low HIV prevalence (among MSM) (AOR 1.59, 95 % CI 1.27-2.00) and country of destination with high HIV prevalence were independently associated with higher odds of circuit party attendance (AOR 1.32, 95 % CI 1.14-1.53) during international travel. Statistical interaction indicated circuit party attendees were likely to have traveled from low HIV prevalence (among MSM) countries to high HIV prevalence countries (AOR 1.40, 95 % CI 1.20-1.64). Other independent correlates included unprotected anal sex with a male casual sex partner and recreational drug use during travel. HIV and STI prevention focusing on circuit party attendees may have a pivotal role on the spread of the HIV epidemics among MSM in Asia.
authors.affiliation: Center for AIDS Prevention Studies, University of California-San Francisco, San Francisco, CA, USA.
authors.forename: Doug H
authors.initials: DH
authors.lastname: Cheung
authors.forename: Sin How
authors.initials: SH
authors.lastname: Lim
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Guadamuz
authors.forename: Stuart
authors.initials: S
authors.lastname: Koe
authors.forename: Chongyi
authors.initials: C
authors.lastname: Wei
mesh_terms: D000293:Adolescent; D000328:Adult; D001208:Asia / Q000453:epidemiology; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000453:epidemiology / Q000635:transmission*; D018451:Homosexuality, Male / Q000706:statistics & numerical data; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D015995:Prevalence; D011998:Recreation; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000453:epidemiology; D014195:Travel; D047568:Unsafe Sex / Q000706:statistics & numerical data; D055815:Young Adult
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