Mutual HIV disclosure among HIV-negative men who have sex with men in Beijing, China, 2010

Guiying Li, Hongyan Lu, Xuefeng Li, Yanming Sun, Xiong He, Song Fan, Willi McFarland, Yujiang Jia, H. F. Raymond, Yan Xiao, Yuhua Ruan, Yiming Shao

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


HIV is rising rapidly among Chinese men who have sex with men (MSM). Discussion of HIV status between sexual partners is potentially a key prevention behavior. It is unclear if HIV-negative Chinese MSM talk about HIV and disclose their HIV status with sexual partners. Understanding the correlates of disclosure among this population could provide insight into developing disclosure-based interventions. We conducted a respondent driven sampling based study of 500 MSM in Beijing. A total of 332 men had a previous HIV-negative test result and thus considered themselves to be HIV-negative and were included in our analysis of disclosure. Equal numbers of these men reported talking about HIV and disclosing their HIV status to at least one sexual partner. MSM who disclosed were more likely to be living with a main partner. No other demographic characteristics were associated with disclosure in bivariate analysis. We also used data on up to three sexual partners per participant to examine disclosure on the partnership level. Main partnerships, meeting partners at bars/clubs, sometimes using alcohol before sex in a partnership, and usually having sex at home compared to other venues were associated with disclosure. Using generalized estimating equation analysis to characterize individuals from their partnership data, we found only having at least one main partnership and knowing people who were infected with HIV to be associated with a participant being a discloser. Interventions that wish to harness discussion of HIV and HIV status among Chinese MSM will need to focus on moving these discussions towards having them with casual partners.

Original languageEnglish (US)
Pages (from-to)1267-1273
Number of pages7
JournalArchives of Sexual Behavior
Issue number7
StatePublished - Oct 2013
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Arts and Humanities (miscellaneous)
  • Psychology(all)


  • China
  • HIV
  • Homosexuality
  • Men who have sex with men
  • Sexual orientation

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