Open Access Research article

Factors associated with HIV infection among men who have sex with men in Henan Province, China: a cross-sectional study

Jie Liu1, Bo Qu1*, Ezeakile Moses C1, Yang Zhang1 and Shijie Liang2

Author Affiliations

1 Faculty of Health Statistics, School of public health, China Medical University, 92 North Second Road, Shenyang 110001, P.R. China

2 Center for Disease Control and Prevention, Zhengzhou 450000, China

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BMC Public Health 2013, 13:356  doi:10.1186/1471-2458-13-356

Published: 17 April 2013



HIV prevalence among men who have sex with men (MSM) has increased rapidly in China. Behavioral and biological interventions are key to controlling the spread of HIV in the MSM population and the primary strategy for reducing the spread of AIDS in China. The purpose of this study is to investigate the prevalence of HIV among MSM in Henan province and to assess their knowledge levels and risk behaviors related to HIV/AIDS.


A cross-sectional survey was conducted among 388 MSM in 2010 in Zhengzhou City, Henan province, China.


Of the 388 respondents, 13.1% were infected with HIV and 10.3% were infected with syphilis. The results of multivariate analysis showed that participants who had a history of being infected by syphilis were more than 4 times more likely to be HIV positive (AOR=4.91; 95% CI: 1.70 to 12.02). For those who were residents from other provinces, the risk of HIV infection was 5.53 times higher (OR=5.53, 95% CI: 1.14, 6.25). Receipt of condoms (AOR = 0.15; 95% CI: 0.02 to 0.87), consistent condom use during last intercourse with a male (AOR=0.35; 95% CI: 0.14 to 0.87), and consistent condom use during last intercourse with a female (AOR=0.16; 95% CI: 0.08 to 0.90) were associated with a lower risk of HIV infection.


The study suggests that some intervention strategies, including education intervention, condom promotion and distribution, and HIV counseling and testing are necessary to control HIV infection among MSM.

Risk factors; MSM; Sexual behaviors; HIV infection