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It is very necessary to understand the relationship of recreational drug use and HIV infection among Chinese MSM population in order to implement targeted behavioral interventions and active treatment to control their recreational drug using behavior and HIV infection risk [ 4].
These factors were not entered for multivariate analysis to avoid the collinearity problems with the recreational drug using behavior variable.
However, few studies have evaluated whether or not recreational drug using behavior was an intrinsic factor impacting the rapid increasing HIV epidemic of Chinese MSM population.
The primary aims of this study are to investigate the prevalence of recreational drug using behaviors, determine factors correlated with recreational drug using behavior, and evaluate the relationship between recreational drug using behavior and HIV infection among MSM in Shenyang, a large inner city in Northeast China.
In univariate analyses, age, marital status, seeking male sex partners via Internet, residence in Liaoning Province, and preferred role in anal sex were significantly associated with use of recreational drug using behavior (P < 0.2) and entered to multivariate analysis model.
Logistic regression models were used to assess the factors associated with recreational drug using behavior, such as having multiple (≥3) male sexual partners in the past three months, and HIV infection status.
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Factors at the micro-social environment included both sexual and drug using behaviors occurring in the context of others.
Lastly, lifetime recreational drug using behaviors may be different from recreational drug using behaviors immediately prior to having sex with male sexual partners.
Research should be continually implemented to further determine the relationships between recreational drug using behaviors, unprotected anal intercourse, and HIV infection status among this vulnerable MSM population.
Traditional paper-based questionnaire surveys, either self-completed or administered by an interviewer, are relatively inexpensive and easy to implement, but are subject to social desirability bias due to stigma associated with drug using behaviors [ 7, 8].
Interventions designed for this population should seek to address informational and motivational impediments to a change in risky drug use behavior as well as improve behavioral skills which help reduce risky drug use behavior.
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