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Updated: Oct 12, 2025

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Published on: March 5, 2020
[Correlation between intimate partner-related violence and high-risk sexual behavior among men who have sex with men]
1Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Ji'nan 250012, China.
Abstract:
Objective: To explore the experience of intimate partner-related violence (IPV) and its correlation with high-risk sexual behaviors among MSM. Methods: MSM were recruited in Ji'nan, Qingdao, and Jining of Shandong province from April to July 2019. Information on socio-demographic characteristics, AIDS prevention and control knowledge, IPV experience in the last year and high-risk sexual behaviors in the previous six months was collected by face-to-face questionnaire. EpiData 3.1 and SPSS 24.0 software were used for data cleansing and statistical analysis. Results: The average age of the 1 122 MSM was (29.80±8.78) years, with 68.1% (764/1 122) unmarried. 9.8% (110/1 122) had IPV experiences in the past year. MSM who came from Jining and Qingdao, living in the local area for more than two years, met their sexual partners in bar/bathroom/park, having no basic knowledge about AIDS, being drug users, and diagnosed with STD in the previous year, had a higher proportion of IPV experiences in the last year (P<0.05). 49.0% (550/1 122) and 20.9% (234/1 122) had unprotected anal intercourse and group sex behavior during the past six months, respectively. The results of multivariate logistic regression showed that MSM who experienced IPV were likely to have unprotected anal intercourse and group sex behavior during the past six months (aOR = 1.82, 95%CI: 1.14-2.91;aOR = 3.30, 95%CI: 2.10-5.20) than those did not experience IPV. Conclusions: IPV exists in the MSM population, and the IPV experience is positively associated with high-risk sexual behaviors. Targeted intervention to reduce the risk of high-risk sexual behaviors should be taken among MSM who experienced IPV.
Insights
Intimate partner violence (IPV) is present among men who have sex with men (MSM) and is linked to increased high-risk sexual behaviors. Interventions are needed for MSM experiencing IPV to reduce these risks.
Area of Science:
- Public Health
- Epidemiology
- Social Science
Background:
- Intimate partner violence (IPV) is a significant public health issue.
- Men who have sex with men (MSM) are a key population for HIV prevention efforts.
- Understanding the intersection of IPV and sexual behaviors in MSM is crucial for targeted interventions.
Purpose of the Study:
- To investigate the prevalence of intimate partner violence (IPV) among men who have sex with men (MSM).
- To examine the correlation between IPV experiences and high-risk sexual behaviors in the MSM population.
- To identify factors associated with IPV in MSM.
Main Methods:
- A cross-sectional study was conducted with 1,122 MSM in Shandong province, China.
- Data were collected via face-to-face questionnaires on socio-demographics, AIDS knowledge, IPV, and sexual behaviors.
- Statistical analyses, including multivariate logistic regression, were performed using SPSS 24.0.
Main Results:
- 9.8% of MSM reported experiencing IPV in the past year.
- IPV was associated with factors such as geographic location, meeting partners in specific venues, lack of AIDS knowledge, drug use, and prior STD diagnosis.
- MSM who experienced IPV were significantly more likely to engage in unprotected anal intercourse (aOR=1.82) and group sex (aOR=3.30).
Conclusions:
- IPV is a reality within the MSM community.
- IPV is positively associated with engagement in high-risk sexual behaviors among MSM.
- Targeted interventions are recommended to reduce high-risk sexual behaviors in MSM who have experienced IPV.
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