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BioMed Research International
Volume 2014, Article ID 607261, 19 pages
Review Article

HIV Prevalence Trends, Risky Behaviours, and Governmental and Community Responses to the Epidemic among Men Who Have Sex with Men in China

1The Kirby Institute, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052, Australia
2Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3800, Australia
3Melbourne Sexual Health Centre, Alfred Health, Carlton, VIC 3053, Australia
4Comprehensive AIDS Research Center, School of Medicine, Tsinghua University, Beijing 100084, China
5Centre for Health Behaviors Research, School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
6School of Public Health, Nantong University, Nantong, Jiangsu 226019, China
7Department of Sociology, Tsinghua University, Beijing 100084, China
8China Food and Drug Administration Institute of Executive Development, Beijing 100073, China

Received 26 September 2013; Revised 6 December 2013; Accepted 3 January 2014; Published 14 April 2014

Academic Editor: Yujiang Jia

Copyright © 2014 Eric P. F. Chow 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.


Purpose of Review. Numerous studies reported the rapid spread of HIV/AIDS epidemic among men who have sex with men (MSM) in China. This paper aims to investigate the overall epidemic trend and associated high-risk behaviours among Chinese MSM and to explore the governmental and community responses to the epidemic. Recent Findings. HIV prevalence among Chinese MSM increased rapidly in all Chinese regions in the past decade and disproportionally affected the Southwest China. In addition to the high-risk homosexual behaviours, overlapping bisexual, commercial, and drug use behaviours are commonly observed among Chinese MSM. The Chinese government has significantly expanded the surveillance efforts among MSM over the past decade. Community responses against HIV have been substantially strengthened with the support of international aid. However, lack of enabling legal and financial environment undermines the role of community-based organisations (CBOs) in HIV surveillance and prevention. Conclusion. HIV continues to spread rapidly among MSM in China. The hidden nature of MSM and the overlapping homosexual, bisexual, and commercial behaviours remain a challenge for HIV prevention among MSM. Strong collaboration between the government and CBOs and innovative intervention approaches are essential for effective HIV surveillance and prevention among MSM in China.