Zhang D, Bi P, Lv F, Tang H, Zhang J, Hiller J E
Discipline of Public Health, University of Adelaide, Adelaide, Australia.
Sex Transm Infect. 2007 Dec;83(7):571-6. doi: 10.1136/sti.2007.026138. Epub 2007 Oct 30.
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).
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.
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.
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.
描述访问同性恋网站者的危险行为，并探讨互联网在中国男男性行为者（MSM）艾滋病毒传播中的作用。
2006年5月至8月期间，邀请三个中国同性恋网站的访问者完成一份关于互联网使用情况和危险性行为的在线问卷。
在线样本的中位年龄为25岁（范围18至64岁）。超过四分之三（77.6%）的人受过大学或更高教育。在线样本中不到44%的人报告感染艾滋病毒的风险很小或没有风险。这些男性要么没有肛交行为（28.0%），要么在肛交时一直使用避孕套（15.8%）。虽然只有约一半的参与者表示访问同性恋网站的主要目的是寻找性伴侣，但大多数参与者（86.1%）曾利用互联网寻找伴侣。与仅在互联网上寻找性伴侣的男性相比，在传统同性恋场所和互联网上都寻找伴侣的男性年龄更大，不太可能是学生，更有可能进行无保护肛交、在过去6个月中有超过6个性伴侣以及有商业性行为。
同性恋网站用户相对年轻且受过良好教育，鉴于他们坚持使用避孕套的比例较低以及存在多种危险性行为，他们极易感染艾滋病毒/艾滋病。在中国应实施并加强有效的干预项目，特别是针对那些在互联网和传统同性恋场所都寻找性伴侣的人。
