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īeing deeply influenced by Confucianism, the majority of population in China refers to the behavior on having homosexual sex as a violation of moral. HIV prevalence among MSM in Tianjin, the third biggest Chinese city, has hit 12%. In China, the biggest increase in HIV transmission has occurred among MSM, growing from 2.5% of new reported cases in 2006 to 26% in 2014. Men who have sex with men (MSM), identified as a key population, continue to account for 23% of new HIV infections worldwide. The discrepancies of profiles and risk factors between MSM and MSWs should be consider in design and development of strategies. High HIV prevalence needs urgent intervention targeting MSWs as a higher susceptible to HIV in comparison to MSM owing to their unique characteristics. The significant associations between risk factors with HIV infection in MSM were not observed in MSWs and vice versa. 98.48% in MSM, P < 0.05), access HIV-related health services (65.96% in MSWs vs. 41.95% in MSM, P < 0.05) but less proportion during commercial sex (81.28% in MSWs vs. 0.89% in MSM, P < 0.05), have more proportion of always use condom during anal sex (56.50% in MSWs vs. MSWs tends to be younger (26.50% in MSWs vs. Resultsįrom 2011 to 2018, 235 MSWs and 4931 MSM were included into our study. Subsequently, we studied the different impact of risk factors on HIV infections among the two groups using multiple logistic regression with the adjusted odds ratio (aOR) being derived. Bivariate analyses were done using the Chi-square test to investigate the association between factors and HIV infection among MSM and MSWs. A questionnaire covering sociodemographic characteristics, sexual behaviors, HIV-related and HIV awareness was completed by 5166 patrons from all parts of China.
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MethodsĪ snowball sampling was employed to recruit patrons attending the Tianjin bathhouse from March 2011 to October 2018. We aimed to evaluate the prevalence of HIV among MSM and MSW, and then identify the difference of risk factors of HIV infection.
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Although men who have sex with men (MSM) and male sex workers (MSWs) both represent the high-risk groups for the transmission of HIV/AIDS and syphilis, the comparison between them have not yet been well studied in China.