Men who have sex with men (MSM), identified as a key population, continue to account for 23% of new HIV infections worldwide. 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. HIV prevalence among MSM in Tianjin, the third biggest Chinese city, has hit 12%.
īeing deeply influenced by Confucianism, the majority of population in China refers to the behavior on having homosexual sex as a violation of moral. To avoid the stigma and discrimination, MSM often marry to women, although they still hold the “sex activities” with other men.
Marriage and risk behaviors were frequently mentioned in qualitative research. A study in China found that majority of MSM get married due to pressures like family line.
