Ruan Yuhua, Wu Guohui, Lu Hongyan, Xiao Yan, Zhao Yuejuan, Lu Rongrong, He Xiong, Feng Liangui, McFarland Willi, Shao Yiming, Raymond H Fisher
State Key Laboratory for Infectious Disease Prevention and Control, and National Center for AIDS/STD Control and Prevention (NCAIDS), Chinese Center for Disease Control and Prevention (China CDC), Beijing, People's Republic of China.
AIDS Behav. 2014 Jan;18(1):180-8. doi: 10.1007/s10461-013-0505-1.
HIV is spreading among Chinese MSM and may possibly lead to infection of female partners. Pressure to marry may drive a greater proportion of Chinese MSM to have female partners than MSM elsewhere in the world. Measurement of the size of the potential risk to female partners of Chinese MSM is inconsistent in the literature. From samples of MSM in two Chinese cities, we documented numbers of sexual partners and sexual activity with those partners. About 500 MSM were sampled in each city. 11.0 and 12.6 % of men reported having any female partners in the past 6 months in Chongqing and Beijing, respectively. Men also reported that only 7.3 and 6.7 % of their entire partnerships were with women in Chongqing and Beijing, respectively. Defining transmission risk accounting for receptive anal sex among men and condom non-use with both male and female partners, 3.4 % of MSM in both Chongqing and Beijing would have the potential to transmit HIV to female partners. Only 9 (1.8 ) men in Chongqing and 2 (0.4 %) in Beijing were HIV-positive and also had unprotected intercourse with females. The majority of HIV transmission risk among MSM in China is not from MSM to females.
艾滋病毒正在中国男男性行为者中传播，并可能导致其女性伴侣感染。结婚压力可能会使中国男男性行为者中与女性伴侣发生性行为的比例高于世界其他地区的男男性行为者。文献中对中国男男性行为者女性伴侣潜在风险规模的衡量并不一致。我们从中国两个城市的男男性行为者样本中记录了性伴侣数量以及与这些伴侣的性行为情况。每个城市约抽取了500名男男性行为者作为样本。在重庆和北京，分别有11.0%和12.6%的男性报告在过去6个月内有过女性伴侣。男性还报告称，在重庆和北京，他们所有性伴侣中分别只有7.3%和6.7%是女性。考虑到男性接受肛交以及与男性和女性伴侣都不使用避孕套的传播风险，重庆和北京的男男性行为者中分别有3.4%有可能将艾滋病毒传播给女性伴侣。在重庆只有9名（1.8%）男性以及在北京只有2名（0.4%）男性感染了艾滋病毒且与女性有过无保护性行为。中国男男性行为者中艾滋病毒传播风险的大部分并非来自男男性行为者传给女性。
