Collections > Master's Papers > Gillings School of Public Health > A Literature Review on Improve Male Involvement in HIV Testing in Men Who Have Sex With Men in China

HIV prevalence is increasing rapidly among men who have sex with men (MSM) in China. Meanwhile, many MSM in China are currently married or will get married, posing a potential HIV threat to both men and women involved in this relationship. This article reviews existing studies in literature on the barriers to HIV testing and current interventions on HIV/AIDS in China. Most recent studies have been concentrated in South and South-West China. Gay-related stigma and discrimination and low perception of risk or threat were identified as major barriers to HIV testing among Chinese MSM. The most commonly used intervention strategy was indi-vidual-oriented HIV-related knowledge education and behavioral skills training. All studies re-ported positive intervention effects including improved HIV-related knowledge, increased con-dom use, reduced needle sharing, and reduced sexually transmitted infections (STI). Literature also suggested a lack of intervention among other at-risk populations such as female sex workers and migrant workers. Last, most studies lack a rigorous evaluation design, adequate follow-up, sufficient outcome measurement, and multi-faceted structural interventions.