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BioMed Research International
Volume 2014 (2014), Article ID 498987, 9 pages
http://dx.doi.org/10.1155/2014/498987
Research Article

Risk Factors for HIV/Syphilis Infection and Male Circumcision Practices and Preferences among Men Who Have Sex with Men in China

1Sichuan Provincial Center of Disease Control and Prevention, Chengdu 610041, China
2Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, TN 37027, USA
3School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
4Chengdu Gay Community Care Organization, Chengdu 610021, China
5Chengdu Center of Disease Control and Prevention, Chengdu 610041, China
6Sichuan Construction Workers Hospital, Chengdu 610081, China
7National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
8Medical School, Tulane University, New Orleans, LA 70112, USA

Received 18 October 2013; Accepted 25 December 2013; Published 30 March 2014

Academic Editor: Z. Jennifer Huang

Copyright © 2014 Yali Zeng et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To investigate factors associated with HIV infection and the frequency and willingness of male circumcision among men who have sex with men (MSM) in Chengdu city, China. Methods. A cross-sectional survey provided information on participants' demographics, risk behaviors, circumcision, and uptake of HIV prevention services. Results. Of 570 participants, 13.3% were infected with HIV and 15.9% with syphilis. An estimated 43.0% of respondents reported having unprotected receptive anal intercourse, and 58.9% reported having ≥2 male sexual partners in the past 6 months. Multivariable logistic regression revealed that syphilis, more male sex partners, predominantly receptive anal intercourse, and exclusively receptive male sex were associated with HIV infection. Higher level of education and peer education service were inversely associated with HIV infection. Nearly a fifth (18.0%) of participants were circumcised. More than half of uncircumcised participants expressed willingness to be circumcised. Conclusion. This study reveals a high prevalence of HIV and syphilis among MSM in Chengdu province of China. The frequency of unprotected receptive anal intercourse and multiple male sexual partnerships highlight the urgency for an effective comprehensive HIV prevention strategy. Although the willingness to accept male circumcision (MC) is high, further research is needed to assess the protective effective of MC among MSM.