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The Institutional Review Boards of the First Affiliated Hospital of CMU approved the study protocol and informed consent forms.The Voluntary Counseling and Testing (VCT) clinic of the First Affiliated Hospital of China Medical University (CMU) in Shenyang was chosen as the study site.The Internet makes it easier for MSM to seek casual homosexual partners.But Internet-based MSM [IBM] also have distinct characteristics which promotes their high-risk sexual behaviors [4–7].More efforts should be targeted towards developing interventions aimed at IBM, particularly migrant MSM and who engage in UAI with casual homosexual partners.Globally, men who have sex with men (MSM) suffer disproportionately with HIV infection.This study was conducted in the city of Shenyang in China.Shenyang is the provincial capital of Liaoning Province and one of the largest cities in China, with a population of approximately 8.1 million.
The Internet also makes it easier for MSM to have casual partners.
As a result, there are great concerns for the potential effect of Internet-based socializing on HIV infection and transmission [4, 6].
The majority of published studies on IBM were completed via questionnaires done online or over the smart phone application [4–7].
The subtypes of HIV are quite diverse in the MSM population, with the subtypes correlating with geographic location, transmission routes, and even sexual characteristics [14–16].
HIV bioinformatics analysis has been used to elucidate the transmission origin, transmission routes, and evolutionary dynamics of HIV in MSM and other populations .
Fingerprinting was used as identification for participants.