To know the status of HIV infection and the correlates for HIV infection among MSMW in China. This research examined the risks for HIV in 600 MSMW in Chengdu and Guangzhou, China. Participants completed a structured behavioral risk survey and were tested for HIV status. Overall, 26.2 % (n = 157) of the sample were HIV-positive, and 7 % (n = 41) were newly diagnosed and previously unaware of their HIV-positive status. Independent correlates of new HIV infection were Chengdu residence, being currently married, and sometimes using condoms during anal intercourse. Compared with previously diagnosed participants, newly diagnosed participants were more likely to have unprotected sex in the anal and vaginal sexes. Given the high risk for HIV in MSMW in these Chinese cities, public health interventions are needed to promote frequent HIV testing and to address sexual risk behaviors with both male and female partners.