Department of Behavioral Sciences and Health Education, Emory University RSPH, Atlanta, GA, USA.
Sex Transm Dis. 2013 May;40(5):362-5. doi: 10.1097/OLQ.0b013e318283d2af.
Intimate partner violence (IPV) is known to increase HIV risk among heterosexual women, but less is known about IPV and HIV among men who have sex with men (MSM), with almost no data from non-Western countries. This study examined the prevalence of IPV and links between IPV and HIV risks among MSM in Shanghai, China.
A cross-sectional sample of 404 money boys (male sex workers) and other MSM were recruited via respondent-driven sampling.
Overall, 51% of the sample reported emotional, physical, or sexual abuse from a male sexual partner. Money boys reported more overall abuse than did other MSM, and more were likely than other MSM to report experiencing multiple types of abuse. MSM who reported violence or abuse from male partners reported more overall sexual risk behavior, and specifically, more unprotected sex and more sex linked to alcohol and other substance use. The association between experience of abuse from male partners and increased HIV risk did not differ between money boys and other Chinese MSM.
We conclude that violence and abuse from male partners are highly prevalent among Chinese MSM, and that experience of violence from male sexual partners is linked to increased HIV risk. HIV prevention targeting Chinese MSM must address the increased risk associated with experience of male-on-male IPV. Future research should explore links between HIV risk and MSM's perpetration of violence against male partners, as well as exploring the role of violence in the male-female relationships of men who have sex with and men and women.
亲密伴侣暴力（IPV）已知会增加异性恋女性的 HIV 风险，但对于男男性行为者（MSM）中的 IPV 和 HIV 知之甚少，来自非西方国家的数据几乎没有。本研究在中国上海调查了 MSM 中的 IPV 流行情况以及 IPV 与 HIV 风险之间的联系。
采用应答者驱动抽样方法，对 404 名男妓（男性性工作者）和其他 MSM 进行了横断面样本招募。
总体而言，51%的样本报告称曾遭受过男性性伴侣的情感、身体或性虐待。男妓报告的总体虐待情况多于其他 MSM，并且比其他 MSM 更有可能报告经历多种类型的虐待。报告曾遭受男性伴侣暴力或虐待的 MSM 报告了更多的总体性行为风险行为，特别是更多的无保护性行为以及更多与酒精和其他物质使用相关的性行为。男妓和其他中国 MSM 之间，遭受男性伴侣虐待与 HIV 风险增加之间的关联没有差异。
我们得出结论，暴力和虐待在 MSM 中非常普遍，而且遭受男性性伴侣的暴力与 HIV 风险增加有关。针对中国 MSM 的 HIV 预防必须解决与男性对男性 IPV 相关的风险增加问题。未来的研究应该探讨 HIV 风险与 MSM 对男性伴侣的暴力行为之间的联系，以及暴力在男性和女性发生性行为的男性关系中的作用。
