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Male-on-Male Intimate Partner Violence and Sexual Risk Behaviors Among Money Boys and Other Men Who Have Sex With Men in Shanghai, China

Dunkle, Kristin L. PhD*; Wong, Frank Y. PhD*†; Nehl, Eric J. PhD*; Lin, Lavinia MPH*; He, Na MD, PhD*‡; Huang, Jennifer MBBS, PhD§; Zheng, Tony

Sexually Transmitted Diseases: May 2013 - Volume 40 - Issue 5 - p 362–365
doi: 10.1097/OLQ.0b013e318283d2af
Original Study

Background Intimate partner violence (IPV) is known to increase HIV risk among heterosexual women, but less is known about IPV and HIV among men who have sex with men (MSM), with almost no data from non-Western countries. This study examined the prevalence of IPV and links between IPV and HIV risks among MSM in Shanghai, China.

Methods A cross-sectional sample of 404 money boys (male sex workers) and other MSM were recruited via respondent-driven sampling.

Results Overall, 51% of the sample reported emotional, physical, or sexual abuse from a male sexual partner. Money boys reported more overall abuse than did other MSM, and more were likely than other MSM to report experiencing multiple types of abuse. MSM who reported violence or abuse from male partners reported more overall sexual risk behavior, and specifically, more unprotected sex and more sex linked to alcohol and other substance use. The association between experience of abuse from male partners and increased HIV risk did not differ between money boys and other Chinese MSM.

Conclusions We conclude that violence and abuse from male partners are highly prevalent among Chinese MSM, and that experience of violence from male sexual partners is linked to increased HIV risk. HIV prevention targeting Chinese MSM must address the increased risk associated with experience of male-on-male IPV. Future research should explore links between HIV risk and MSM’s perpetration of violence against male partners, as well as exploring the role of violence in the male-female relationships of men who have sex with and men and women.

A cross-sectional study of 404 men who have sex with men in Shanghai, China, found that violence and abuse from male partners are highly prevalent and that experience is linked to increased HIV risk.

From the *Department of Behavioral Sciences and Health Education and †The Hubert Department of Global Health, Emory University RSPH, Atlanta, GA; ‡Department of Epidemiology, Fudan University SPH, Shanghai, China; §Department of International Health, Georgetown University NHS; and ¶Shanghai Piaoxue Cultural Media Ltd., Shanghai, China

Preparation of this article was supported, in part, by grants from the National Institutes of Health (R01HD046354; principal investigator: F.Y. Wong) and the Emory Center for AIDS Research (P30 AI050409; K.L. Dunkle, E.J. Nehl, and F.Y. Wong).

Contributions: K.L. Dunkle and F.Y. Wong conceptualized the study; E.J. Nehl and L. Lin contributed to the writing of the study and interpretations of the results; N. He, J. Huang, and T. Zheng contributed to the interpretations of the results.

Conflict of interest: The authors declare that there is no conflict of interest.

Correspondence: Frank Y. Wong, PhD, Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Rd, NE, Atlanta, GA 30322. E-mail:

Received for publication July 5, 2012, and accepted December 18, 2012.

© Copyright 2013 American Sexually Transmitted Diseases Association