(Men Who Have Sex With Men) MSM Community Intervention Trial

• Syphilis, HSV-2 incidence [ Time Frame: 1,Mar.,2009 to 31,Dec,2010 ] [ Designated as safety issue: No ]
• Frequency of condom uses, number of sexual partners [ Time Frame: March, 1, 2010 to December, 31,2010 ] [ Designated as safety issue: No ]
• The proportion of people who have intention to be circumcised [ Time Frame: March, 1, 2010 to December, 31,2010 ] [ Designated as safety issue: No ]
• The proportion of people who have been circumcised [ Time Frame: March, 1, 2010 to December, 31, 2010 ] [ Designated as safety issue: No ]

The purpose of this study is to evaluate the effectiveness of the community based comprehensive HIV/STIs intervention among MSMs in China.

National sentinel surveillance data show that HIV infections are increasing fast among men who have sex with men(MSM) in China. In some cities HIV prevalence among MSM is higher than 10%.It is urgent for China to explore innovative intervention to reduce HIV/AIDS transmission among this population.

The purposes of this study are:

1. To evaluate the effectiveness of comprehensive interventions to decrease the HIV/STIs incidence among MSM population in China. The comprehensive intervention components include male circumcision, POL intervention, HIV testing and counseling and condom promotion.
2. To determine the acceptability of male circumcision among MSM population in China.

• HIV
• Syphilis
• Herpesvirus 2, Human

• Experimental: Intervention
  This arm receives free circumcision service, POL intervention, intensive HIV counseling and intensive condom promotion.
  Intervention: Other: behavior intervention and male circumcision
• No Intervention: usual
  This arm receives no extra HIV prevention services.
  Intervention: Other: behavior intervention and male circumcision

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Inclusion Criteria:

• 18 years or above
• Male have oral sex or anal sex within 6 months with a man
• Accept questionnaire survey and blood test
• Can participate in three surveys in one year
• HIV Negative
• No mental disease and can understand informed consent

Exclusion Criteria:

-

• Yunnan Center for Disease Control and Prevention
• Xinjiang Center for Disease Control and Prevention
• Sichuan Center for Disease Control and Prevention
• Guangxi Center for Disease Control and Prevention
• Guizhou Center for Disease Control and Prevention
• Shanghai Center for Disease Control and Prevention
• Beijing Center for Disease Control and Prevention
• Chongqing Center for Disease Control and Prevention