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Differences between Internet and community samples of MSM: Implications for behavioral surveillance among MSM in China

机译：Internet和MSM社区样本之间的差异：中国MSM行为监控的意义

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This study compared the difference between two samples of men who have sex with men (MSM) in Harbin, China, using cross-sectional data that were collected via the Internet and through conventional venue-based outreach. All participants in both samples lived in or nearby Harbin in northeast China. Results showed that the Internet sample was significantly younger, more educated and more likely to be students and to self-identify as homosexual than the community sample. After controlling for demographic characteristics, the community sample was more likely to have had sex with females (OR 2.01, CI 1.22-3.30, p=0.006) and to have had ≥6 male partners in the previous six months than the Internet sample (OR 4.88, CI 3.51-6.80, p<0.001). No significant difference was observed in the prevalence of unprotected anal intercourse, exchanging sex for money, exchanging money for sex or illicit drug use between the two samples. For those seeking sex both on the Internet and in traditional gay venues, participants in the community sample were nearly three times more likely to have had ≥6 male partners during the previous six months than those in the Internet sample (p=0.001). In conclusion, the online and offline samples of MSM are significantly different and carry different levels of risk for HIV transmission. Using the Internet as a data collection method may serve as an additional mechanism for the existing gay venue-based behavioral surveillance system in China.
机译：这项研究使用通过互联网和通过传统的基于场所的外展活动收集的横断面数据，比较了中国哈尔滨市的两个男同性恋者样本之间的差异。两个样本的所有参与者都住在中国东北的哈尔滨或附近。结果表明，与社区样本相比，互联网样本要年轻得多，受教育程度更高，并且更有可能成为学生，并且更容易将自己识别为同性恋。在控制了人口统计学特征之后，与互联网样本相比，社区样本在过去六个月中更可能与女性发生过性关系（OR 2.01，CI 1.22-3.30，p = 0.006）并且有≥6个男性伴侣。 4.88，CI 3.51-6.80，p ＜0.001）。在两个样本之间，未保护的肛门性交，以金钱换性，以金钱换性或非法使用毒品的发生率未见显着差异。对于那些既在互联网上又在传统的同性恋场所中寻求性爱的人来说，社区样本中的参与者在过去六个月中拥有≥6个男性伴侣的可能性是互联网样本中参与者的近三倍（p = 0.001）。总之，MSM的在线和离线样本存在显着差异，并且携带HIV传播的风险程度不同。使用互联网作为数据收集方法，可以作为中国现有的基于同性恋场所的行为监控系统的附加机制。

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