Hidden and Mobile: A Web-based Study of Migration Patterns of Men Who Have Sex With Men in China

Details

• Alternative Title:
  Clin Infect Dis
• Personal Author:
  Mi, Guodong ; Ma, Baoli ; Kleinman, Nora ; Li, Zhijun ; Fuller, Serena ; Bulterys, Marc ; Hladik, Wolfgang ; Wu, Zunyou
• Description:
  Background
  
  Men who have sex with men (MSM) are highly vulnerable to human immunodeficiency virus (HIV) infection and more likely to migrate due to widespread stigma and discrimination in China. Their mobility complicates estimation of local MSM population sizes and the provision of HIV services, and may also contribute to the spread of HIV.
  
  Methods
  
  Between 1 January 2008 and 31 December 2012, the visits of all individuals to the largest Chinese MSM dating website were recorded. After a predesigned de-identification procedure by the website, we analyzed Internet Protocol addresses for migration patterns. Migrants were defined as individuals who were away from their registered residence for >6 months in the last 12 months.
  
  Results
  
  The website contained data on 794 912 MSM eligible for the study, of which 34.5% were migrants. The median age was 26 years (range, 18–61 years), and 85.5% were unmarried. Compared with nonmigrant MSM, migrants were less likely to be married to a woman (8.6% vs 13.5%; P < .001). The 5 provinces with the highest migrant inflow ratios were Guangdong, Shanghai, Beijing, Tianjin, and Zhejiang. Eastern coastal cities were the primary destination of MSM from southwestern China.
  
  Conclusions
  
  Preferential MSM migration may influence MSM population sizes in both originating and destination provinces, particularly for provinces with uneven inflow and outflow. MSM migration from southwestern China, which has the highest HIV prevalence in this population, to coastal cities with lower prevalence may have implications for the spread of the HIV epidemic as well as HIV care services.
  
  
• Subjects:
  Adolescent Adult Cross-Sectional Studies HIV Infections Homosexuality, Male Human Migration Humans Internet Male Middle Aged Social Media Transients And Migrants Young Adult

  More +
• Source:
  Clin Infect Dis. 62(11):1443-1447
• Pubmed ID:
  27129466
• Pubmed Central ID:
  PMC5991978
• Document Type:
  Journal Article
• Funding:
  U2G GH001153/GH/CGH CDC HHSUnited States/
• Place as Subject:
  China
• Volume:
  62
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:216ea62d2fb19930b978e32e3534d1a3f9dbbd1dc822a4a91ec11cb946ebba5c
• Download URL:
  https://stacks.cdc.gov/view/cdc/55687/cdc_55687_DS1.pdf
• File Type:
  [PDF - 565.42 KB ]