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Research article
Weiming Tang
1. Dermatology Hospital of Southern Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9026-707X
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Adolescent sexual debut and non-consensual sex have been linked to higher sexual risk and STI infection in adulthood among men who have sex with men (MSM) in high-income countries. This study aimed to examine adolescent and non-consensual anal sexual debut among Chinese MSM and to evaluate factors associated with adolescent sexual debut and non-consensual anal sex.
Methods: A cross-sectional study was conducted recently among Chinese men assigned male sex at birth, ≥18 years old, and who had ever engaged in anal sex with a man. Participants answered questions regarding socio-demographics, condomless sex, age at anal sexual debut with a man, and whether the first anal sex was consensual. Factors associated with an adolescent sexual debut (<18 years old) and non-consensual sex at sexual debut were evaluated. We defined adolescent sexual debut as having anal sex with another man at 17 years old or younger, and the participants were asked whether their first male-to-male anal sex was non-consensual.
Results: Overall, 2031 eligible men completed the survey. The mean age of sexual debut was 20.7 (SD=4.3) years old. 17.6% (358/2031) of men reported adolescent sexual debut, and 5.0% (101/2031) reported a non-consensual sexual debut. The adolescent sexual debut was associated with having more male sexual partners (adjusted OR 1.10, 95% CI 1.06–1.15) and condomless anal sex in the last three months (AOR=1.71, 95% CI 1.34-2.18). MSM whose sexual debut was non-consensual were more likely to have condomless anal sex (AOR=1.76, 95% CI 1.17-2.66), and to have reported an adolescent sexual debut (AOR=2.72, 95% CI 1.75-4.21).
Conclusions: Many Chinese MSM reported adolescent sexual debut and non-consensual sex, both of which are associated with sexual risk behaviors and drive STI transmission. These findings highlight the need for designing tailored interventions for MSM who experienced adolescent sexual debut and non-consensual sex at debut.
Keywords
Behaviors, HIV, Men who have sex with men (MSM), Non-consensual Sex, Prevalence, Sexual Debut
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CURRENT STATUS: Published
View the published article at BMC Infectious Diseases.
Version 4
Posted 06 Oct, 2020
No community comments so far
Submission checks complete
On 30 Sep, 2020
Editorial decision: Accept
On 30 Sep, 2020
No comments provided
Editorial decision: Minor revision
On 24 Sep, 2020
Reviewers invited
Invitations sent on 26 Aug, 2020
Reviewer #1 agreed
On 26 Aug, 2020
Reviewer #2 agreed
On 26 Aug, 2020
Review #1 received
Received 26 Aug, 2020
Editor assigned
On 06 Aug, 2020
Submission checks complete
On 05 Aug, 2020
Editor invited
On 05 Aug, 2020
No comments provided
Editorial decision: Major revision
On 27 Jul, 2020
Review #1 received
Received 22 Jul, 2020
Review #2 received
Received 20 Jul, 2020
Reviewer #2 agreed
On 19 Jul, 2020
Reviewers invited
Invitations sent on 16 Jul, 2020
Reviewer #1 agreed
On 16 Jul, 2020
Editor assigned
On 23 Jun, 2020
Submission checks complete
On 22 Jun, 2020
Editor invited
On 22 Jun, 2020
No comments provided
Editorial decision: Major revision
On 10 Jun, 2020
Reviewer #2 agreed
On 03 Jun, 2020
Review #2 received
Received 03 Jun, 2020
Review #1 received
Received 01 Jun, 2020
Reviewers invited
Invitations sent on 12 May, 2020
Reviewer #1 agreed
On 12 May, 2020
Editor assigned
On 06 May, 2020
Submission checks complete
On 29 Apr, 2020
Editor invited
On 29 Apr, 2020
First submitted
On 24 Apr, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Infectious Diseases
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Infectious Diseases.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Weiming Tang
1. Dermatology Hospital of Southern Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9026-707X
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Infectious Diseases.
Version 4
Posted 06 Oct, 2020
No community comments so far
Submission checks complete
On 30 Sep, 2020
Editorial decision: Accept
On 30 Sep, 2020
No comments provided
Editorial decision: Minor revision
On 24 Sep, 2020
Reviewers invited
Invitations sent on 26 Aug, 2020
Reviewer #1 agreed
On 26 Aug, 2020
Reviewer #2 agreed
On 26 Aug, 2020
Review #1 received
Received 26 Aug, 2020
Editor assigned
On 06 Aug, 2020
Submission checks complete
On 05 Aug, 2020
Editor invited
On 05 Aug, 2020
No comments provided
Editorial decision: Major revision
On 27 Jul, 2020
Review #1 received
Received 22 Jul, 2020
Review #2 received
Received 20 Jul, 2020
Reviewer #2 agreed
On 19 Jul, 2020
Reviewers invited
Invitations sent on 16 Jul, 2020
Reviewer #1 agreed
On 16 Jul, 2020
Editor assigned
On 23 Jun, 2020
Submission checks complete
On 22 Jun, 2020
Editor invited
On 22 Jun, 2020
No comments provided
Editorial decision: Major revision
On 10 Jun, 2020
Reviewer #2 agreed
On 03 Jun, 2020
Review #2 received
Received 03 Jun, 2020
Review #1 received
Received 01 Jun, 2020
Reviewers invited
Invitations sent on 12 May, 2020
Reviewer #1 agreed
On 12 May, 2020
Editor assigned
On 06 May, 2020
Submission checks complete
On 29 Apr, 2020
Editor invited
On 29 Apr, 2020
First submitted
On 24 Apr, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Infectious Diseases
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Infectious Diseases.
Background: Adolescent sexual debut and non-consensual sex have been linked to higher sexual risk and STI infection in adulthood among men who have sex with men (MSM) in high-income countries. This study aimed to examine adolescent and non-consensual anal sexual debut among Chinese MSM and to evaluate factors associated with adolescent sexual debut and non-consensual anal sex.
Methods: A cross-sectional study was conducted recently among Chinese men assigned male sex at birth, ≥18 years old, and who had ever engaged in anal sex with a man. Participants answered questions regarding socio-demographics, condomless sex, age at anal sexual debut with a man, and whether the first anal sex was consensual. Factors associated with an adolescent sexual debut (<18 years old) and non-consensual sex at sexual debut were evaluated. We defined adolescent sexual debut as having anal sex with another man at 17 years old or younger, and the participants were asked whether their first male-to-male anal sex was non-consensual.
Results: Overall, 2031 eligible men completed the survey. The mean age of sexual debut was 20.7 (SD=4.3) years old. 17.6% (358/2031) of men reported adolescent sexual debut, and 5.0% (101/2031) reported a non-consensual sexual debut. The adolescent sexual debut was associated with having more male sexual partners (adjusted OR 1.10, 95% CI 1.06–1.15) and condomless anal sex in the last three months (AOR=1.71, 95% CI 1.34-2.18). MSM whose sexual debut was non-consensual were more likely to have condomless anal sex (AOR=1.76, 95% CI 1.17-2.66), and to have reported an adolescent sexual debut (AOR=2.72, 95% CI 1.75-4.21).
Conclusions: Many Chinese MSM reported adolescent sexual debut and non-consensual sex, both of which are associated with sexual risk behaviors and drive STI transmission. These findings highlight the need for designing tailored interventions for MSM who experienced adolescent sexual debut and non-consensual sex at debut.
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