title: Drug use and sexual behaviors among MSM in China.
abstract: BACKGROUND
  This study explores patterns of drug use and related correlates among a sample of men who have sex with men (MSM) and men who sell sex to other men (aka "money boys") in China.
  
  
  OBJECTIVE
  Data were collected from MSM and money boys (MBs) in Shanghai, China using a Community Popular Opinion Leader (CPOL) research design with a self-administered cross-sectional survey to: (1) describe drug use and drug use correlates and (2) examine relationships between drug use and sexual behaviors in general MSM and MBs.
  
  
  METHODS
  The sample consisted of 402 MSM (203 MBs) who live in Shanghai, China. Descriptive statistics and regression analyses were used to explore associations between drug use and sexual behaviors and make comparisons between MBs and general MSM.
  
  
  RESULTS
  MBs reported using more drugs in the last week, 3 months and ever; sex after using drugs, and unprotected sex after using drugs more frequently than general MSM. Additionally, many MBs reported receiving free drugs from their clients and those who did receive free drugs were very likely to report having unprotected sex.
  
  
  CONCLUSIONS
  It is crucial to increase research and include Chinese MSM and their drug use in the Chinese policy conversation. These data suggest that drug use and sexual behaviors after drug use among Chinese MSM differ widely based upon selling sex and separate intervention strategies may be appropriate.
authors.affiliation: 1Department of Behavioral Sciences & Health Education, Rollins School of Public Health, Emory University , Atlanta, Georgia , USA.
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Nehl
authors.forename: Na
authors.initials: N
authors.lastname: He
authors.forename: Lavinia
authors.initials: L
authors.lastname: Lin
authors.forename: Tony
authors.initials: T
authors.lastname: Zheng
authors.forename: Jessica A
authors.initials: JA
authors.lastname: Harnisch
authors.forename: Yingying
authors.initials: Y
authors.lastname: Ding
authors.forename: Frank Y
authors.initials: FY
authors.lastname: Wong
mesh_terms: D000328:Adult; D001294:Attitude to Health; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D060386:Sex Workers / Q000523:psychology / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
keywords: CPOL recruitment; China; Drug use; MSM; money boys; psychosocial variables; sexual behaviors; unprotected sex