Table 1 Socio-demographic and behavioral characteristics of Chinese MSM, stratified by history of disclosure of same-sex behavior to HCP when seeking sexual health services (N = 357)
Ever disclosed n (%) 243 (68.1) | Never disclosed n (%) 114 (31.9) | p | Overall (N = 357) | |
|---|---|---|---|---|
Socio-demographics | ||||
Age (M, SD) | 30.6, 9.2 | 33.4, 9.6 | 0.009 | 31.5, 9.4 |
City currently living in | ||||
Shanghai | 33 (82.5) | 7 (17.5) | < 0.001 | 40 |
Beijing | 79 (77.5) | 23 (22.5) | 102 | |
Changsha | 47 (74.6) | 16 (25.4) | 63 | |
Guangzhou | 84 (55.3) | 68 (44.7) | 152 | |
Local residency permit | 71 (64.5) | 39 (35.5) | 0.390 | 110 |
College education or above | 163 (68.5) | 75 (31.5) | 0.811 | 238 |
Full-time employment (20 missing data) | 158 (65.0) | 85 (35.0) | 0.505 | 243 |
Household | ||||
I live by myself | 75 (60.0) | 50 (40.0) | 0.009 | 125 |
I live with a partner | 56 (64.4) | 31 (35.6) | 87 | |
I live with roommate(s) or relatives | 74 (81.3) | 17 (18.7) | 91 | |
I do not have a stable home/Other | 36 (66.7) | 18 (33.3) | 54 | |
Married | 40 (66.7) | 20 (33.3) | 0.879 | 60 |
Average monthly income (USD) | ||||
Low and middle income (≤442) | 41 (74.5) | 14 (25.5) | 0.350 | 55 |
Middle income (443–1474) | 94 (69.6) | 41 (30.4) | 135 | |
High income (≥1474) | 108 (64.7) | 59 (35.3) | 167 | |
Sexuality | ||||
Sexual attraction | ||||
More to women than to men/Only to women | 7 (58.3) | 5 (41.7) | 0.732 | 12 |
To women and men equally | 27 (62.8) | 16 (37.2) | 43 | |
More to men than to women | 108 (69.7) | 47 (30.3) | 155 | |
Only to men | 101 (68.7) | 46 (31.3) | 147 | |
Sexual identity | ||||
Bisexual | 74 (66.7) | 37 (33.3) | 0.896 | 111 |
Gay | 166 (68.6) | 76 (31.4) | 242 | |
Heterosexual/Other | 3 (75.0) | 1 (25.0) | 4 | |
Current intimate sexual relationship with a woman | 38 (61.3) | 24 (38.7) | 0.292 | 62 |
Testing behaviors | ||||
Frequency of HIV testing | ||||
Never | 18 (42.9) | 24 (57.1) | 0.001 | 42 |
Once per year or less | 70 (65.4) | 37 (34.6) | 107 | |
About 2–3 times per year | 80 (73.4) | 29 (26.6) | 109 | |
At least 4 times per year | 75 (75.8) | 24 (24.2) | 99 | |
Frequency of STI testing | ||||
Never | 63 (60.6) | 41 (39.4) | 0.028 | 104 |
Once per year or less | 90 (65.2) | 48 (34.8) | 138 | |
About 2–3 times per year | 47 (75.8) | 15 (24.2) | 62 | |
At least 4 times per year | 43 (81.1) | 10 (18.9) | 53 | |
Sexual behavior in past 6 months | ||||
Anal sex positioning (15 missing data) | ||||
Any receptive | 154 (73.3) | 56 (26.7) | 0.009 | 210 |
Insertive only | 78 (59.1) | 54 (40.9) | 132 | |
Sex with men or women or both | ||||
Only with men | 172 (69.4) | 76 (30.6) | 0.664 | 248 |
More with men than with women | 36 (63.2) | 21 (36.8) | 57 | |
With women and men equally | 9 (56.2) | 7 (43.8) | 16 | |
More with women than with men/Only with women | 8 (66.7) | 4 (33.3) | 12 | |
Haven’t had sex | 33 (78.6) | 9 (21.4) | 24 | |
Number of male sex partners | ||||
0–1 | 102 (66.7) | 51 (33.3) | 0.140 | 153 |
2–5 | 118 (66.7) | 59 (33.3) | 177 | |
≥ 6 | 23 (85.2) | 4 (14.8) | 27 | |
HIV-positive male sex partner (15 missing data) | ||||
None | 116 (66.7) | 58 (33.3) | 0.393 | 174 |
I don’t know | 105 (69.5) | 46 (30.5) | 151 | |
Yes, partner on ART | 8 (80.0) | 2 (20.0) | 10 | |
Yes, partner not on ART | 3 (42.9) | 4 (57.1) | 7 | |
Condomless anal sex | 106 (72.6) | 40 (27.4) | 0.128 | 146 |
Commercial sex with male sex partners | 18 (66.7) | 9 (33.3) | 1.000 | 27 |
STI symptoms /diagnosis | 17 (73.9) | 6 (26.1) | 0.647 | 23 |
Recreational drug use | 3 (75.0) | 1 (25.0) | 1.000 | 4 |
Group sex with male sex partners | 27 (71.1) | 11 (28.9) | 0.716 | 38 |
Perceptions of HIV and risk | ||||
HIV in social networks | 92 (66.7) | 46 (33.3) | 0.812 | 138 |
Likelihood of HIV acquisition (M, SD) 2 | 2.1, 0.7 | 2.2, 0.7 | 0.157 | 2.1, 0.7 |
Worry about HIV acquisition (M, SD) 3 | 3.1, 0.9 | 2.8, 0.9 | 0.003 | 3.0, 0.9 |