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
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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.