Comparison of AIDS related sexual behaviors between married and unmarried MSM

Objective To understand the distribution of marriage status and compare HIV-related risk behavior among men who have sex with men(MSM)with different marital status.Methods Participants were recruited using respondent driven sampling and categorical snowball sampling method.A face-to-face questionnaire was administrated to collect the demographic and sexual behavior and sexual partner characteristics.Results The rates of unprotected insertive and unprotected receptive anal sex and unprotected vaginal sex of married MSM were 52.4%,42.5% and 82.8% respectively,which was significant higher than the non-married ones'(44.1%,33.7% and 65.6% respectively).The rates of having male confirm sexual partners and male commercial sexual partners of married MSM were both lower than non-married MSM(49.0%.vs.62.9%,P0.05;3.7%.vs.7.9%,P0.05).Married MSM mostly looked for sexual partners at bath house(40.8%)and non-married MSM did mostly through the internet(42.4%).Married MSM reported significant lower rates of HIV/AIDS testing and consulting service and had a relatively lower education and lower HIV knowledge than non-married MSM(P0.01).Conclusions Married MSM had higher risk behaviors.Intervention should be enforced dramatically on married MSM.