Metrics details. Our objective was to characterize the frequency, socio-demographic characteristics, and sexual risk behaviors among Chinese MSM sex tourists. An online, cross-sectional survey for high-risk MSM throughout China was conducted in November covering sociodemographic characteristics, sexual risk behaviors, and sex tourism.
Univariate and multivariable logistic regressions were performed to identify correlates of sex tourism. There was minimal socio-demographic and behavioral difference between the two groups. In multivariable analyses, adjusting for age and income, sex tourism was correlated with high-risk sexual behaviors, higher income aOR 4. MSM sex tourists were more likely to have risky sexual behaviors and travel to locations with a higher HIV prevalence.
Enhanced surveillance and interventions tailored to MSM sex tourists should be considered. Local stigma associated with men who have sex with men MSM in low and middle-income countries is widespread. Sex tourism may be important for HIV control for three reasons.
While the literature on sex tourism has traditionally focused on men traveling in search of women, the topic of MSM sex tourism has recently become more common. China presents a strong location to study sex tourism among online MSM because of a growing number of domestic and international tourists [ 12 ] and a culturally repressed MSM society that is subject to numerous societal pressures to stay closeted.
We conducted an online survey to determine socio-demographic and behavioral correlates of MSM sex tourism in China. In November , MSM in China were recruited to participate in a nationwide online, cross-sectional survey. The survey was anonymous and voluntary. Survey promotion took place online primarily through Danlan. A number of men were also recruited through social media platforms such as Weibo, a microblogging platform and WeChat, a messaging app. The banner ad asked for men who had ever had sex with men to complete a brief survey in return for compensation.
