Oral Sexual Behavior Among HIV-Infected Men Who Have Sex with Men - China, February 2021

Leiwen Fu; Jin Zhao; Weiran Zheng; Yinghui Sun; Tian Tian; Bingyi Wang; Luoyao Yang; Xinyi Zhou; Yi-Fan Lin; Zhengrong Yang; Hui Li; Huachun Zou

doi:10.46234/ccdcw2022.117

Oral Sexual Behavior Among HIV-Infected Men Who Have Sex with Men - China, February 2021

China CDC Wkly. 2022 Jun 24;4(25):541-548. doi: 10.46234/ccdcw2022.117.

Authors

Leiwen Fu¹, Jin Zhao², Weiran Zheng¹, Yinghui Sun¹, Tian Tian¹, Bingyi Wang¹, Luoyao Yang¹, Xinyi Zhou¹, Yi-Fan Lin¹, Zhengrong Yang², Hui Li³, Huachun Zou¹

Affiliations

¹ School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong Province, China.
² Shenzhen Center for Disease Control and Prevention, Shenzhen, Guangdong Province, China.
³ Center for Disease Control and Prevention, Shizhong District, Jinan, Shandong Province, China.

Abstract

What is already known about this topic?: Unprotected oral sex carries a risk of the transmission of sexually transmitted infections (STIs), especially if the individual has poor oral health.

What is added by this report?: Most human immunodeficiency virus (HIV) infected men who have sex with men (MSM) had never used a condom when giving oral sex (89.30%, 718/804) or receiving oral sex (90.32%, 709/785). Among MSM with detectable viral loads who had ever received oral sex without a condom, 40.00% reported ejaculation in their partner's mouth.

What are the implications for public health practice?: Unprotected oral sex is very common among HIV-infected MSM in China. The public health sectors in China should recommend condom use during oral sex among HIV-infected MSM, especially when in-mouth ejaculation is involved.

Keywords: HIV; MSM; oral sexual behavior.

Copyright and License information: Editorial Office of CCDCW, Chinese Center for Disease Control and Prevention 2022.

Grants and funding

Supported by the Natural Science Foundation of China Excellent Young Scientists Fund (82022064), Natural Science Foundation of China International/Regional Research Collaboration Project (72061137001), Natural Science Foundation of China Young Scientists Fund (81703278), the National Science and Technology Major Project of China (2018ZX10721102), the Sanming Project of Medicine in Shenzhen (SZSM201811071), the High Level Project of Medicine in Longhua, Shenzhen (HLPM201907020105), the National Key Research and Development Program of China (2020YFC0840900), the Shenzhen Science and Technology Innovation Commission Basic Research Program (JCYJ20190807155409373), Special Support Plan for High-Level Talents of Guangdong Province (2019TQ05Y230), and the Fundamental Research Funds for the Central Universities (58000-31620005)