In the current study, the authors' objective was to address the role of men who have sex with men (MSM) in China's HIV/STD epidemic. In order to examine the prevalence of risky sexual behaviors and existing prevention efforts among MSM, a review of behavioral and STD/HIV prevention studies addressing Chinese MSM was conducted.

Among Chinese MSM, sexual risk behaviors including unprotected group sex, anal sex, casual sex, and commercial sex were prevalent. Many Chinese MSM reported engaging in unprotected sex with both female and male partners. Most MSM either did not believe they were at risk of HIV/AIDS or underestimated their infection risk. Surveillance and intervention research among Chinese MSM are still in the preliminary stages, the researchers noted.

"Chinese MSM are at risk for HIV/STD infection and potential transmission of HIV to the general population," the authors concluded. "In addition to sexual risk reduction among MSM, reduction of homosexuality-related stigma should be part of effective intervention efforts. Volunteers from the MSM community and health care workers in primary health care system may serve as valuable resources for HIV/STD prevention and control among MSM."

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