Emerging HIV-1 epidemic in China in men who have sex with men
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Updated: Jul 11, 2026

Specific Marking of HIV-1 Positive Cells using a Rev-dependent Lentiviral Vector Expressing the Green Fluorescent Protein
Published on: September 23, 2010
Kyung-Hee Choi1, Hui Liu, Yaqi Guo
1Center for AIDS Prevention Studies, University of California, San Francisco, CA 9410, USA. khchoi@psg.ucsf.edu
Abstract:
China is currently undergoing a serious HIV-1 epidemic in intravenous drug users, sex workers, and former plasma donors. Little is known, however, about HIV-1 risk in Chinese men who have sex with men. In this study of seroprevalence in such men in Beijing, we recorded 15 (3.1%, 95% CI 1.8-5.1) of 481 men infected with HIV-1. Overall, 238 (49%) of participants reported unprotected anal intercourse during the previous 6 months. HIV-1 seropositivity was independently associated with being older than 39 years and having had more than 20 male sexual partners. Most men older than 39 years had been married. Our findings suggest the potential for spread of HIV-1 between men who have sex with men and to their heterosexual partners.
Insights
A study in Beijing found 3.1% of men who have sex with men were infected with human immunodeficiency virus type 1 (HIV-1). Older age and numerous sexual partners were linked to higher HIV-1 risk.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- China faces a significant human immunodeficiency virus type 1 (HIV-1) epidemic.
- Limited data exists on HIV-1 prevalence and risk factors among men who have sex with men (MSM) in China.
Purpose of the Study:
- To determine the seroprevalence of HIV-1 infection in MSM in Beijing.
- To identify risk factors associated with HIV-1 seropositivity in this population.
Main Methods:
- A cross-sectional study was conducted among 481 MSM in Beijing.
- HIV-1 serostatus was assessed, and participants completed questionnaires on sexual behaviors and demographics.
Main Results:
- HIV-1 seroprevalence was 3.1% (15 out of 481 men).
- Unprotected anal intercourse was reported by 49% of participants in the preceding 6 months.
- HIV-1 seropositivity was independently associated with age over 39 years and having had more than 20 male sexual partners.
Conclusions:
- The findings indicate a notable HIV-1 prevalence among MSM in Beijing.
- The study highlights potential for HIV-1 transmission within the MSM community and to heterosexual partners.
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