How Willing are Men Who Have Sex with Men in China to be Circumcised for the Sake of Protecting His Female Sex Partner?

Journal of Sexual Medicine

Volumn 9, Issue 7, 2012, Pages 1904-1912

  Lau, Joseph T F ^a,b   Yan, Hongjing ^c   Lin, Chunqing ^a   Zhang, Jun ^d   Choi, Kai Chow ^a   Wang, Zhijun ^d   Hao, Chun ^a   Huan, Xiping ^c   Yang, Haitao ^b  

^a Prince of Wales Hospital   (Hong Kong)

^b SUN YAT SEN UNIVERSITY   (China)

^c JIANGSU PROVINCIAL CENTER FOR DISEASE CONTROL AND PREVENTION   (China)

^d Yangzhou Center for Disease Control and Prevention   (China)

Author keywords

Circumcision; Female sex partner; HIV; Men who have sex with men; Risk reduction for HIV transmission; STD

Indexed keywords

ADULT; ARTICLE; BISEXUALITY; CIRCUMCISION; COGNITION; CONDOM; CROSS-SECTIONAL STUDY; FEMALE; HETEROSEXUALITY; HIGH RISK BEHAVIOR; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; MALE; MALE HOMOSEXUAL; PEER GROUP; PREPUCE; PRIORITY JOURNAL; SAFE SEX; SELF REPORT; SEXUAL BEHAVIOR;

EID: 84863528327     PISSN: 17436095     EISSN: 17436109     Source Type: Journal    
DOI: 10.1111/j.1743-6109.2010.02050.x     Document Type: Article

References (44)

1. Cheng MH. Asian countries urged to address HIV/AIDS in MSM. Lancet 2009;373:707.
2. State Council AIDS Working Committee Office, UN Theme Group on AIDS in China. A joint assessment of HIV/AIDS prevention, treatment and care in China. 2007. Beijing, China; 2007.
3. He Q, Wang Y, Lin P, Raymond HF, Li Y, Yang F, Zhao J, Li J, Ling L, McFarland W. High prevalence of risk behaviour concurrent with links to other high-risk populations: A potentially explosive HIV epidemic among men who have sex with men in Guangzhou, China. Sex Transm Infect 2009;85:383-90.
4. Lane T, Raymond HF, Dladla S, Rasethe J, Struthers H, McFarland W, McIntyre J. High HIV prevalence among men who have sex with men in Soweto, South Africa: Results from the Soweto men's study. AIDS Behav 2009;doi: 10.1007/s10461-009-9598-y.
5. Xinhuanet. HIV incidence among gays increase fast in China. 2008. Available at: (accessed November 28, 2008).
6. Lau JT, Kim JH, Lau M, Tsui H. HIV-related behaviors and attitudes among Chinese men who have sex with men in Hong Kong: A population-based study. Sex Transm Infect 2004;80:459-65.
7. Neilands TB, Steward WT, Choi KH. Assessment of stigma towards homosexuality in China: A study of men who have sex with men. Arch Sex Behav 2008;37:838-44.
8. Liu JX, Choi K. Experiences of social discrimination among men who have sex with men in Shanghai, China. AIDS Behav 2006;10:S25-S33.
9. Wong CY, Tang CS. Coming out experiences and psychological distress of Chinese homosexual men in Hong Kong. Arch Sex Behav 2004;33:149-57.
10. Gill B. China's HIV/AIDS Crisis: Implications for Human Rights, the Rule of Law and U.S.-China Relations. Testimony before the Congressional-Executive Comission on China, Roundtable on HIV/AIDS, September 9, 2002, Washington, Center for Strategic and International Studies.
11. Flaherty JH, Liu ML, Ding L, Dong B, Ding Q, Li X, Xiao S. China: The aging giant. J Am Geriatr Soc 2007;55:1295-300.
12. Lau JT, Wang M, Wong HN, Tsui HY, Jia M, Cheng F, Zhang Y, Su X, Wang N. Prevalence of bisexual behaviors among men who have sex with men (MSM) in China and associations between condom use in MSM and heterosexual behaviors. Sex Transm Dis 2008;35:406-13.
13. Wong WC, Zhang J, Wu SC, Kong TS, Ling DC. The HIV related risks among men having sex with men in rural Yunnan, China: A qualitative study. Sex Transm Infect 2006;82:127-30.
14. Choi KH, Gibson DR, Han L, Guo Y. High levels of unprotected sex with men and women among men who have sex with men: A potential bridge of HIV transmission in Beijing, China. AIDS Educ Prev 2004;16:19-30.
15. Cong L, Ono-Kihara M, Xu G, Ma Q, Pan X, Zhang D, Homma T, Kihara M. The characterisation of sexual behaviour in Chinese male university students who have sex with other men: A cross-sectional study. BMC Public Health 2008;8:250.
16. Zhang D, Bi P, Lv F, Zhang J, Hiller JE. Differences between Internet and community samples of MSM: Implications for behavioral surveillance among MSM in China. AIDS Care 2008;20:1128-37.
17. Zhang X, Wang C, Hengwei W, Li X, Li D, Ruan Y, Zhang X, Shao Y. Risk factors of HIV infection and prevalence of co-infections among men who have sex with men in Beijing, China. AIDS 2007;21:S53-S57.
18. Auvert B, Taljaard D, Lagarde E, Sobngwi-Tambekou J, Sitta R, Puren A. Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: The ANRS 1265 Trial. PLoS Med 2005;2:e298.
19. Weiss HA, Thomas SL, Munabi SK, Hayes RJ. Male circumcision and risk of syphilis, chancroid, and genital herpes: A systematic review and meta-analysis. Sex Transm Infect 2006;82:101-9.
20. Sharlip I. Circumcision and the risk of HIV transmission in Africa. J Sex Med 2008;5:2481-4.
21. Sadeghi-Nejad H, Wasserman M, Weidner W, Richardson D, Goldmeier D. Sexually transmitted diseases and sexual function. J Sex Med 2010;7:389-413.
22. Krieger JN, Mehta SD, Bailey RC, Agot K, Ndinya-Achola JO, Parker C, Moses S. Adult male circumcision: Effects on sexual function and sexual satisfaction in Kisumu, Kenya. J Sex Med 2008;5:2610-22.
23. WHO, UNAIDS. Operational guidance for scaling up male circumcision services for HIV prevention. 2009. Available at: (accessed May 19, 2009).
24. Gray RH, Kigozi G, Serwadda D, Makumbi F, Nalugoda F, Watya S. The effects of male circumcision on female partners' genital tract symptoms and vaginal infections in a randomized trial in Rakai, Uganda. Am J Obstet Gynecol 2009;200:42.e1-7.
25. Gray RH, Kiwanuka N, Quinn TC, Sewankambo NK, Serwadda D, Mangen FW, Lutalo T, Nalugoda F, Kelly R, Meehan M, Chen MZ, Li C, Wawer MJ. Male circumcision and HIV acquisition and transmission: Cohort studies in Rakai, Uganda. Rakai Project Team. AIDS 2000;14:2371-81.
26. Wawer MJ, Makumbi F, Kigozi G, Serwadda D, Watya S, Nalugoda F, Buwembo D, Ssempijja V, Kiwanuka N, Moulton LH, Sewankambo NK, Reynolds SJ, Quinn TC, Opendi P, Iga B, Ridzon R, Laeyendecker O, Gray RH. Circumcision in HIV-infected men and its effect on HIV transmission to female partners in Rakai, Uganda: a randomised controlled trial. Lancet 2009;374:229-37.
27. Baeten JM, Celum C, Coates TJ. Male circumcision and HIV risks and benefits for women. Lancet 2009;374:182-4.
28. Ruan Y, Qian HZ, Li D, Shi W, Li Q, Liang H, Yang Y, Luo F, Vermund HS, Shao Y. Willingness to be circumcised for preventing HIV among Chinese men who have sex with men. AIDS Patient Care STDS 2009;23:315-21.
29. Begley EB, Jafa K, Voetsch AC, Heffelfinger JD, Borkowf CB, Sullivan PS. Willingness of men who have sex with men (MSM) in the United States to be circumcised as adults to reduce the risk of HIV infection. PLoS ONE 2008;23:e2731.
30. Ajzen I. The theory of planned behavior. Org Behav Hum Decis Process 1991;50:179-211.
31. Mausbach BT, Semple SJ, Strathdee SA, Patterson TL. Predictors of safer sex intentions and protected sex among heterosexual HIV-negative methamphetamine users: An expanded model of the Theory of Planned Behavior. AIDS Care 2009;21:17-24.
32. Becker MH. The Health Belief Model and Personal Health Behavior. Health Education Monographs. Vol. 2 No. 4.
33. Khan SI, Hudson-Rodd N, Saggers S, Bhuiya A. Men who have sex with men's sexual relations with women in Bangladesh. Cult Health Sex 2005;7:159-69.
34. Weatherburn P, Hickson F, Reid DS, Davies PM, Crosier A. Sexual HIV risk behaviour among men who have sex with both men and women. AIDS Care 1998;10:463-71.
35. Lau JT, Gu J, Zhang L, Cheng F, Zhang Y, Zhang J, Wang N, Lan Y. Comparing prevalence of HIV-related behaviors among female injecting drug users (IDU) whose regular sexual partner was or was not IDU in Sichuan and Yunnan Provinces, China. AIDS Care 2009;21:909-17.
36. Anderson ES, Wagstaff DA, Heckman TG, Winett RA, Roffman RA, Solomon LJ, Cargill V, Kelly JA, Sikkema KJ. Information-Motivation-Behavioral skills (IMB) model: Testing direct and mediated treatment effects on condom use among women in low-income housing. Ann Behav Med 2006;31:70-9.
37. Brecht ML, Stein J, Evans E, Murphy DA, Longshore D. Predictors of intention to change HIV sexual and injection risk behaviors among heterosexual methamphetamine-using offenders in drug treatment: A test of the AIDS Risk Reduction Model. J Behav Health Serv Res 2009;36:247-66.
38. de Wit JB, van Griensven GJ, Kok G, Sandfort TG. Why do homosexual men relapse into unsafe sex? Predictors of resumption of unprotected anogenital intercourse with casual partners. AIDS 1993;7:1113-8.
39. Sanderson C, Yopyk D. Improving condom use intentions and behavior by changing perceived partner norms: An evaluation of condom promotion videos for college students. Health Psychol 2007;26:481-7.
40. Cunningham SD, Olthoff G, Burnett P, Rompalo AM, Ellen JM. Evidence of heterosexual bridging among syphilis-positive men who have sex with men. Sex Transm Infect 2006;82:444-5.
41. Johnston GL, Malekinejad M, Kendall C, Iuppa MI, Rutherford WG. 2008). Implementation challenges to using respondent-driven sampling methodology for HIV biological and behavioral surveillance: Field experiences in international settings. AIDS Behav 2008;12:S131-41.
42. Milena S, Grazina LJ, Lucy P, Sladjana B, Violeta A, Tom N, Rhodes T. Exploring barriers to "respondent driven sampling" in sex worker and drug-injecting sex worker populations in Eastern Europe. J Urban Health 2006;83:i6-i15.
43. Valleroy L, MacKellar DA, Karon JM, Rosen DH, McFarland W, Shehan DA, Stoyanoff SR, LaLota M, Celentano DD, Koblin BA, Thiede H, Katz MH, Torian LV, Janssen RS. HIV prevalence and associated risks in young men who have sex with men. JAMA 2000;284:198-204.
44. MacKellar D, Valleroy L, Karon J, Lemp G, Janssen R. The young men's survey: Methods for estimating HIV seroprevalence and risk factors among men who have sex with men. Public Health Rep 1996;111:138-44.