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BioMed Research International
Volume 2016, Article ID 2987472, 8 pages
Research Article

Early Sexual Debut and HIV Infection among Men Who Have Sex with Men in Shenzhen, China

1Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Hunan 410008, China
2Shenzhen Center for Chronic Disease Control, Guangdong 518021, China
3Graduate School, Shenzhen University, Guangdong 518060, China
4Department of Mathematics, Mzuzu University, Private Bag 201, Mzuzu 2, Malawi

Received 15 July 2016; Revised 12 September 2016; Accepted 6 November 2016

Academic Editor: Huachun Zou

Copyright © 2016 Ruiwei Xu 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.


Studies investigating the association between early sexual debut and human immunodeficiency virus (HIV) infection have mainly focused on Africans or females but rarely on men who have sex with men (MSM) in China. This study, therefore, mainly aimed at exploring the association between early sexual debut and HIV infection among MSM in Shenzhen, China. A total of 533 MSM were enrolled in this study using a convenience sampling method. Information about sociodemographic characteristics and risky sexual behaviors was collected. It was found that the prevalence of HIV infection was 24.2% among this study population and 66.4% of the MSM reported having had vaginal sexual intercourse with females. The mean ages at first vaginal sexual intercourse, first anal sexual intercourse, and first sexual intercourse were 21.38, 22.43, and 19.87 years, respectively. Multivariable logistic regression analyses showed that the MSM who experienced early anal sexual debut were more likely to be infected with HIV than those who did not. The results indicate that HIV infection is quite prevalent among MSM in Shenzhen. Early and efficient intervention strategies should be taken, and the MSM experiencing early anal sexual debut should be given special attention.