Low Chlamydia and Gonorrhea Testing Rates Among Men Who Have Sex With Men in Guangdong and Shandong Provinces, China

Sex Transm Dis. 2019 Apr;46(4):260-265. doi: 10.1097/OLQ.0000000000000963.


Background: Although periodic chlamydia and gonorrhea testing is recommended for men who have sex with men (MSM), little is known about testing rates in China. This study examines chlamydia and gonorrhea testing rates and testing correlates among Chinese MSM.

Methods: An online survey of MSM was conducted in August 2017. Men 16 years or older who had ever had sex with a man were enrolled through a gay social networking mobile application. We asked men about their sexual behaviors, community engagement in sexual health, and previous testing for chlamydia, gonorrhea, and HIV. Multivariable logistic regressions were used to examine the association of testing with community engagement and recent HIV testing.

Results: Of 1031 men, 819 (79.5%) were younger than 30 years, and 263 (25.5%) reported condomless sex in the past 3 months. In total, 294 (28.5%) men tested for chlamydia, 315 (30.6%) men tested for gonorrhea, and 817 (79.2%) men tested for HIV. One hundred twenty-five (42.5%) men who received chlamydia testing and 134 (42.5%) men who received gonorrhea testing had substantial community engagement. Compared with men with no/minimal community engagement, men with substantial community engagement had greater odds of chlamydia testing (adjusted odds ratio [AOR], 2.8; 95% confidence interval [CI], 1.9-4.3) and gonorrhea testing (AOR, 2.9; 95% CI, 2.0-4.4). Men with recent HIV testing were more likely to have received chlamydia testing (AOR, 1.5; 95% CI, 1.1-2.0) and gonorrhea testing (AOR, 1.6; 95% CI, 1.2-2.1).

Conclusions: Chlamydia and gonorrhea testing levels are low among Chinese MSM. Integrating chlamydia and gonorrhea test promotion strategies into HIV prevention programs that engage MSM communities may help bridge the gap.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Asian Continental Ancestry Group
  • China
  • Chlamydia Infections / diagnosis*
  • Chlamydia Infections / prevention & control
  • Cross-Sectional Studies
  • Gonorrhea / diagnosis*
  • Gonorrhea / prevention & control
  • HIV Infections / diagnosis
  • HIV Infections / prevention & control
  • Homosexuality, Male
  • Humans
  • Internet
  • Male
  • Mass Screening / statistics & numerical data*
  • Multivariate Analysis
  • Odds Ratio
  • Sexual Behavior / statistics & numerical data
  • Sexual Partners
  • Surveys and Questionnaires
  • Young Adult