Changes in HIV prevalence and sexual behavior among men who have sex with men in a northern Chinese city: 2002-2006

J Infect. 2007 Nov;55(5):456-63. doi: 10.1016/j.jinf.2007.06.015. Epub 2007 Aug 22.


Objective: To examine HIV prevalence and sexual behavior changes among MSM in Harbin.

Methods: Three community-based cross-sectional surveys among MSM were conducted based on the same protocol and methodology in 2002, 2004 and 2006 in Harbin, China. Men who were eligible were interviewed with a standard questionnaire. Urine samples were collected to screen their HIV status.

Results: Among the MSM in Harbin, an increased trend was observed towards more self-identifying as homosexual (from 58% to 80%) and more living with a male partner (from 12% to 41%) over the study period. Although there was a trend towards a reduction in the rate of never using a condom and an increase in the rate of always using condoms during anal sex in the past six months, the prevalence of unprotected anal intercourse (UAI) was still at a high level (from 90% in 2002 to 72% in 2006). The HIV prevalence in 2006 (2.2%, 15/674) was higher than that in other study years, but no statistically significant change was detected.

Conclusions: Although an increase in condom use and a decline in drug use, STD infection and commercial sex have been monitored under current HIV prevention strategies, the MSM in Harbin is still highly vulnerable to HIV transmission given a high level of UAI and an increasing number of male sexual partners over the study period.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • China / epidemiology
  • Condoms / statistics & numerical data
  • Cross-Sectional Studies
  • HIV Infections / epidemiology*
  • Homosexuality, Male*
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Sexual Behavior
  • Surveys and Questionnaires
  • Unsafe Sex / statistics & numerical data
  • Urine / virology