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Tang W, Tang S, Qin Y, Zhang Y, Zhang W, Liu C, Tso LS, Wei C, Yang L, Huang S, Yang B, Tucker J. Will Gay Sex-Seeking Mobile Phone Applications Facilitate Group Sex? A Cross-Sectional Online Survey among Men Who Have Sex with Men in China. PLoS One 2016; 11:e0167238. [PMID: 27880823 PMCID: PMC5120867 DOI: 10.1371/journal.pone.0167238] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2016] [Accepted: 11/10/2016] [Indexed: 12/20/2022] Open
Abstract
Introduction China is amidst a sexual revolution, with changing sexual practices and behaviors. Sex–seeking mobile phone applications (gay apps) that allow multiple people to meet up quickly may facilitate group sex. This study was therefore undertaken to evaluate group sex among Chinese MSM and to better understand factors associated with group sex. Methods An online survey was conducted from September-October 2014, collecting data on socio-demographics, sexual behaviors, use of gay apps and occurrence of group sex among Chinese MSM. Univariate and multivariable logistic regressions were used to compare group sex and non-group sex participants. Results Of the 1,424 MSM, the majority were under 30 years old (77.5%), unmarried (83.9%), and were gay apps users (57.9%). Overall, 141 (9.9%) participants engaged in group sex in the last 12 months. Multivariate analyses showed that men living with HIV, engaged in condomless anal intercourse with men, and used gay apps were more likely to engage in group sex, with adjusted ORs of 3.74 (95% CI 1.92–7.28), 2.88 (95% CI 2.00–4.16) and 1.46 (95% CI: 1.00–2.13), respectively. Among gay app users, the likelihood of group sex increases with the number of sex partners and the number of sex acts with partners met through a gay app. Conclusions Chinese MSM who engage in group sex are also more likely to engage in other risky sexual behaviors, and gay app use may facilitate group sex. Further research is needed among MSM who engage in group sex in order to target interventions and surveillance.
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Affiliation(s)
- Weiming Tang
- University of North Carolina Project-China, Guangzhou, China
- Guangdong Provincial Center for Skin Diseases and STI Control, Guangzhou, China
- SESH Global, Guangzhou, China
- * E-mail:
| | - Songyuan Tang
- University of North Carolina Project-China, Guangzhou, China
- Guangdong Provincial Center for Skin Diseases and STI Control, Guangzhou, China
- SESH Global, Guangzhou, China
- School of Public Health, Kunming Medical University, Kunming, China
| | - Yilu Qin
- University of North Carolina Project-China, Guangzhou, China
- SESH Global, Guangzhou, China
| | - Ye Zhang
- University of North Carolina Project-China, Guangzhou, China
- Guangdong Provincial Center for Skin Diseases and STI Control, Guangzhou, China
- SESH Global, Guangzhou, China
| | - Wei Zhang
- University of North Carolina Project-China, Guangzhou, China
- SESH Global, Guangzhou, China
| | - Chuncheng Liu
- University of North Carolina Project-China, Guangzhou, China
- SESH Global, Guangzhou, China
| | - Lai Sze Tso
- Guangdong Provincial Center for Skin Diseases and STI Control, Guangzhou, China
| | - Chongyi Wei
- Department of Epidemiology and Biostatistics & Global Health Sciences, University of California, San Francisco, California, United States of America
| | - Ligang Yang
- Guangdong Provincial Center for Skin Diseases and STI Control, Guangzhou, China
| | - Shujie Huang
- Guangdong Provincial Center for Skin Diseases and STI Control, Guangzhou, China
| | - Bin Yang
- Guangdong Provincial Center for Skin Diseases and STI Control, Guangzhou, China
| | - Joseph Tucker
- University of North Carolina Project-China, Guangzhou, China
- Guangdong Provincial Center for Skin Diseases and STI Control, Guangzhou, China
- SESH Global, Guangzhou, China
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HIV epidemiology and responses among men who have sex with men and transgender individuals in China: a scoping review. BMC Infect Dis 2016; 16:588. [PMID: 27765021 PMCID: PMC5073436 DOI: 10.1186/s12879-016-1904-5] [Citation(s) in RCA: 77] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2016] [Accepted: 10/06/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Despite global efforts to control HIV among key populations, new infections among men who have sex with men (MSM) and transgender (TG) individuals are still increasing. The increasing HIV epidemic among MSM/TG in China indicates that more effective services are urgently needed. However, policymakers and program managers must have a clear understanding of MSM/TG sexual health in China to improve service delivery. To meet this need, we undertook a scoping review to summarize HIV epidemiology and responses among MSM and TG individuals in China. METHODS We searched MEDLINE, EMBASE and the Cochrane Library for recent studies on MSM/TG HIV epidemiology and responses. We also included supplemental articles, grey literature, government reports, policy documents, and best practice guidelines. RESULTS Overall, HIV prevalence among Chinese MSM was approximately 8 % in 2015 with a higher prevalence observed in Southwest China. TG are not captured in national HIV, STD, or other sexual health surveillance systems. There is limited data sharing between the public health authorities and community-based organizations (CBOs). Like other low and middle income countries, China is challenged by low rates of HIV testing, linkage, and retention. Several pilot interventions have been shown to be effective to increase HIV testing among MSM and TG individuals, but have not been widely scaled up. Data from two randomized controlled trials suggests that crowdsourcing contests can increase HIV testing, creating demand for services while engaging communities. CONCLUSION Improving HIV surveillance and expanding HIV interventions for Chinese MSM and TG individuals are essential. Further implementation research is needed to ensure high-quality HIV services for MSM and TG individuals in China.
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Shen Y, Yu VL, Lu H. Editorial Commentary: Control of HIV for Men Who Have Sex With Men in China: A Role for the Internet? Clin Infect Dis 2016; 62:1448-9. [DOI: 10.1093/cid/ciw172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2016] [Accepted: 03/09/2016] [Indexed: 11/14/2022] Open
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Tucker JD, Cao B, Li H, Tang S, Tang W, Wong NS, Wei C. Social Media Interventions to Promote HIV Testing. Clin Infect Dis 2016; 63:282-3. [PMID: 27161778 DOI: 10.1093/cid/ciw297] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Affiliation(s)
| | - Bolin Cao
- University of North Carolina Project-China SESH Global Guangdong Provincial Centres for Skin Diseases and STI Control, Guangzhou
| | - Haochu Li
- University of North Carolina Project-China SESH Global Department of Epidemiology, Shandong University School of Public Health, Jinan, China
| | - Songyuan Tang
- University of North Carolina Project-China SESH Global Guangdong Provincial Centres for Skin Diseases and STI Control, Guangzhou
| | - Weiming Tang
- University of North Carolina Project-China SESH Global Guangdong Provincial Centres for Skin Diseases and STI Control, Guangzhou
| | - Ngai Sze Wong
- University of North Carolina Project-China SESH Global
| | - Chongyi Wei
- School of Medicine, University of California, San Francisco
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