Metrics details. We investigated the bisexual behaviour of MSM in China through systematic review and meta-analysis. We conducted a systematic review and meta-analyses on published peer-reviewed Chinese and English literature during according to the PRISMA guidelines. Marital status and sexual behavioural indicators of MSM were presented graphically using forest plots. Meta-regression analyses were performed to examine the factors associated with high heterogeneities across the studies.
Forty-three eligible articles 11 in English and 32 in Chinese were identified. Our results showed that The pooled estimates for condom use rate between MSM and female sex partners was The consistent condom use rates with regular, non-commercial, casual and commercial female sex partners in the last six months were A substantial proportion of Chinese MSM is currently married or had sexual relations with a female in the past six months.
In addition, low condom usage was common between married MSM and their wives, hence posing a higher risk of transmitting HIV. Harm-reduction programs targeting married MSM and their female partners are necessary to curb the further spread of HIV infection to the general female population. Although blood transfusions and injecting drug use had historically been the dominant risk factors associated with HIV infection in China, sexual transmission has become the main route of HIV transmission in recent years.
Among the 48, 41,, Chinese people newly diagnosed with HIV in [ 1 ], The rapid increase in HIV prevalence among Chinese MSM was probably due to many factors including the increasing numbers of men who engage in homosexual sex; multiple male partners; and high levels of unprotected anal intercourse.
Due to traditional cultural and family values, Chinese MSM often marry to conceal their homosexuality from family and friends. This suggests that bisexual behaviours among Chinese MSM are common. As they are often the only son in their families, as a direct result of China's one-child policy, they also face their parents' expectation to have children to continue the family line.
