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A blood sample was collected from each participant for testing antibodies to HIV, syphilis and HSV-2.

HIV-1 antibody was detected by enzyme-linked immunosorbent assay [ELISA] (Vironostika® HIV-1Microelisa System; bio Merieux, Durham, NC, USA), and positive tests were confirmed by Western blot test (HIV Blot 2.2 WBTM, Genelabs Diagnostics, Singapore).

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Among MSM-selling, HIV prevalence was significantly higher for those who found sex partners via Internet than those did not (19.4% vs. Compared to NC-MSM, MSM-selling were more likely to use recreation drugs (59.3% vs.

26.3%), have unprotected anal intercourse (77.9% vs. 6.2%) in the past 6 months (each P Men who have sex with men (MSM) are at a high risk of HIV infection around the world [1].

The pooled data from seven low- and middle-income Asian countries including China showed that MSM were 18.7 times more likely to have HIV infection than other reproductive-age men [2].

From June 2012 to June 2013, a cross-sectional study was conducted among MSM who were living in six large Chinese cities: Shenyang, Ji’nan, Changsha, Zhengzhou, Nanjing and Kunming.

One study in Chengdu in southwest China showed that MSM-selling were 6.4 times more likely to have HIV infection than other MSM [11]. For example, a study in Shenzhen in south China found lower HIV prevalence among MSM-selling (4.6%) than other MSM (7.0%; P = 0.03) [12].

Along with the inconsistent data on HIV risk among MSM-selling, there are few studies among Chinese MSM who buy sex (MSM-buying).

We conducted a cross-sectional survey among MSM in six Chinese cities (Shenyang, Ji’nan, Changsha, Zhengzhou, Nanjing, and Kunming) from 2012 to 2013.

Data on socio-demographics and sexual behaviors were collected.

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