Article Text

Download PDFPDF
Internet use and risk behaviours: an online survey of visitors to three gay websites in China
  1. D Zhang1,
  2. P Bi1,
  3. F Lv2,
  4. H Tang2,
  5. J Zhang3,
  6. J E Hiller1
  1. 1Discipline of Public Health, University of Adelaide, Adelaide, Australia
  2. 2National Center for AIDS/STD Control and Prevention, China Center for Disease Control and Prevention, Beijing, China
  3. 3Centers for Disease Control and Prevention, Heilongjiang, China
  1. Correspondence to:
 F Lv
 National Center for AIDS/STD Control and Prevention, China Center for Disease Control and Prevention, Beijing, China, 27 Nanwei Road, Xuanwu District, Beijing 100005, China; fanlv{at}


Objectives: To describe the risk behaviours of visitors to gay websites and to explore the role of the internet in the HIV transmission among the Chinese men who have sex with men (MSM).

Methods: Between May and August 2006, visitors of three Chinese gay websites were invited to complete an online questionnaire about the use of the internet and risk sexual behaviours.

Results: The median age of the online sample was 25 years old (range 18 to 64). Over three-quarters (77.6%) had an education of college or higher. Less than 44% of the online sample reported little or no risk for HIV transmission. These men had either had no anal intercourse (28.0%) or had always used a condom for anal intercourse (15.8%). Although only about half of the participants reported that their main purpose of visiting the gay websites was to look for sexual partners, most participants (86.1%) had used the internet to seek partners. Compared with men seeking sexual partners only on the internet, men seeking partners both in traditional gay venues and on the internet were older, less likely to be students and more likely to have unprotected anal intercourse, more than six sexual partners in the past 6 months and commercial sex behaviours.

Conclusion: The users of the gay websites are relatively young and well educated, and highly vulnerable to HIV/AIDS, given their low prevalence of consistent condom use and multiple-risk sexual behaviours. Effective intervention programmes should be implemented and strengthened in China, especially for those who seek sexual partners both on the internet and in traditional gay venues.

  • MSM, men who have sex with men
  • UAI, unprotected anal intercourse

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors

    DZ developed the original protocol and drafted this manuscript. PB and JH contributed to the study design and the write-up. FL provided important financial support and contributed to data collection. HT and JZ contributed to the study design and data collection.

  • Competing interests: None declared.