What is the potential for bisexual men in China to act as a bridge of HIV transmission to the female population? Behavioural evidence from a systematic review and meta-analysis
2011

HIV Transmission Risks Among Bisexual Men in China

Sample size: 43 publication 10 minutes Evidence: moderate

Author Information

Author(s): Chow Eric PF, WIlson David P, Zhang Lei

Primary Institution: The Kirby Institute for infection and immunity in society, University of New South Wales, Sydney, Australia

Hypothesis

Can bisexual men in China act as a bridge for HIV transmission to women?

Conclusion

A significant number of bisexual men in China are married or have had sexual relations with women, and they often use condoms inconsistently, increasing the risk of HIV transmission.

Supporting Evidence

  • 17.0% of MSM in China are currently married to a woman.
  • 26.3% of MSM had female sexual partners in the last six months.
  • Condom use rate between MSM and female partners was 41.4% at the last sex act.

Takeaway

Many men in China who have sex with men are also married to women, and they don't always use condoms, which can spread HIV to their wives.

Methodology

Systematic review and meta-analysis of studies published between 2001 and 2010, focusing on condom use and sexual behavior among MSM.

Potential Biases

Potential bias due to the predominance of studies from major urban centers and the exclusion of certain high-risk groups.

Limitations

The studies primarily recruited participants from urban areas, which may not represent rural MSM behaviors; limited data on specific populations like money boys.

Participant Demographics

Men who have sex with men (MSM) in China, with a focus on their marital status and sexual behaviors.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 15.1-19.1%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2334-11-242

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