Abstract
Men who have sex with men (MSM) may account for an increasing proportion of China’s HIV epidemic, but remain difficult to access for epidemiological studies due to high stigma. We compare the composition of two samples of MSM obtained in Guangzhou, China. The first survey, conducted in 2004, recruited MSM through convenience sampling. The second survey in 2006 used long-chain referral recruitment in the context of respondent-driven sampling. Compared to convenience sampling, the long-chain referral method included higher proportions of subgroups of MSM thought to be at elevated risk for HIV infection and more difficult to reach, including internal migrants and those engaging in commercial sex. Long-chain referral also recruited more MSM who were under 25 years, unemployed, and had lower education. We conclude that long-chain referral recruitment will be more effective in tracking the leading edge of the epidemic among MSM in China than convenience sampling.
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Choi, K. H., Liu, H., Guo, Y., Han, L., Mandel, J., & Rutherford, G. W. (2003). Emerging HIV-1 epidemic in China in men who have sex with men. The Lancet, 361, 2125–2126.
He, N., Wong, F. Y., Huang, Z. J., Thompson, E. E., & Fu, C. (2007). Substance use and HIV risks among male heterosexual and “money boy” migrants in Shanghai, China. AIDS Care, 19, 109–115.
He, Q., Wang, Y., Lin, P., Liu, Y., Yang, F., Fu, X., Li, Y., Sun, B., Li, J., Zhao, X., Mandel, J., Jain, S., & McFarland, W. (2006). Potential bridges for HIV infection to men who have sex with men in Guangzhou, China. AIDS and Behavior, 10, 17–23.
Heckathorn, D. D. (1997). Respondent-driven sampling: A new approach to the study of hidden populations. Social Problems, 44, 174–199.
Liu, J. X., & Choi, K. (2006). Experiences of social discrimination among men who have sex with men in Shanghai, China. AIDS and Behavior, 10, S25–S33.
Lu, F., Wang, N., Wu, Z., Sun, X., Rehnstrom, J., Poundstone, K., Yu, W., & Pisani, E. (2006). Estimating the number of persons at risk and living with HIV in China in 2005: Methods and results. Sexually Transmitted Infections, 82, 87–91.
Ma, X., Zhang, Q., He, X., Sun, W. D., Yue, H., Chen, S., Raymond, H. F., Li, Y., Xu, M., Du, H., & McFarland, W. (2007). Trends in prevalence of HIV, syphilis, hepatitis C, hepatitis B and sexual risk behavior among men who have sex with men: Results of 3 consecutive respondent-driven sampling surveys in Beijing, 2004 through 2006. Journal of Acquired Immune Deficiency Syndrome, 45, 581–587.
Ramirez-Valles, J., Heckathorn, D. D., Vazquez, R., Diaz, R. M., & Campbell, R. T. (2005). From networks to populations: The development and application of respondent-driven sampling among IDUs and Latino gay men. AIDS and Behavior, 9, 409–413.
TREAT Asia. (2006). MSM and HIV/AIDS risk in Asia: What is fueling the epidemic among MSM and how can it be stopped? Downloadable at http://www.amfar.org/binary-data/AMFAR_PUBLICATION/download_file/47.pdf.
Wang, Q., & Ross, M. W. (2002). Differences between chat room and e-mail sampling approaches in Chinese men who have sex with men. AIDS Education and Prevention, 14, 361–366.
Zhang, B., Li, X., & Hu, T. (2001). Survey on the high risk behaviors related to acquired immunologic deficiency syndrome and sexually transmitted diseases among men who have sex with men in mainland China. Zhonghua Liu Xing Bing Xue Za Zhi, 22, 337–340.
Acknowledgement
This research was supported by Guangdong provincial Medical Science Grant (No. A2006068); CDC-GAP China (Dr. Jinkou Zhao); University of California, San Francisco, Center for AIDS Prevention Studies, U.S. National Institute of Mental Health (NIMH) (P30 MH062246); and International Traineeships in AIDS Prevention Studies, U.S. NIMH (R25MH064712).
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He, Q., Wang, Y., Li, Y. et al. Accessing Men Who have Sex with Men Through Long-Chain Referral Recruitment, Guangzhou, China. AIDS Behav 12 (Suppl 1), 93–96 (2008). https://doi.org/10.1007/s10461-008-9388-y
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DOI: https://doi.org/10.1007/s10461-008-9388-y