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Which Chinese men who have sex with men miss out on HIV testing?
  1. Chongyi Wei1,
  2. Shiman Ruan2,
  3. Jinkou Zhao3,4,
  4. Hui Yang2,
  5. Yanwen Zhu2,
  6. H Fisher Raymond5
  1. 1Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
  2. 2Jinan Center for Disease Control and Prevention, Jinan, China
  3. 3Unit of Monitoring and Evaluation, The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
  4. 4Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China
  5. 5HIV Epidemiology Section, San Francisco Department of Public Health, San Francisco, California, USA
  1. Correspondence to Chongyi Wei, 219 Parran Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA; chw57{at}


Objectives To describe socio-demographic, behavioural and other characteristics associated with HIV testing behaviour among men who have sex with men (MSM) in Jinan, China.

Methods A cross-sectional survey was conducted among MSM (N=500) in Jinan in 2008 using respondent-driven sampling—a method used worldwide to reach hidden high-risk populations. Bivariate and multivariate analyses, adjusted for the sampling method, were conducted to identify correlates of not having an HIV test.

Results Overall, 80.7% (95% CI 75.0% to 85.0%) of MSM in Jinan have not had an HIV test in the past 12 months. In the multivariate analyses, having not visited the local Centers for Disease Control and Prevention's website (AOR 5.59, 95% CI 2.62 to 11.95), being over the age of 35 years (AOR 3.77, 95% CI 1.19 to 11.93) and self-identified as bisexual or unsure (AOR 3.85, 95% CI 2.16 to 6.85) are significantly associated with having not had an HIV test. In addition, married men are slightly less likely to have not been tested compared to single men (AOR 0.38, 95% CI 0.17 to 0.85). Those who report meeting their sex partners at high-risk venues are two times more likely to have not had an HIV test (AOR 2.02, 95% CI 0.97 to 4.21).

Conclusions Targeted, culturally appropriate and innovative interventions to increase HIV testing uptake should be a top priority for HIV prevention among MSM in China.

  • Men who have sex with men
  • testing and counselling
  • China
  • gay men
  • HIV testing

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  • Funding CW was in part supported by the Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD R25HD064426). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NICHD or the National Institutes of Health.

  • Competing interests None.

  • Ethics approval The study was approved by the Jinan Center for Disease Control and Prevention Institutional Review Board.

  • Provenance and peer review Not commissioned; externally peer reviewed.