Furthermore, safer sex appears not to be widely practiced among China's homosexual community. For example, a recent study showed that condom usage, either with heterosexual or homosexual partners, occurred less than 10% of the time (6) . Another investigation revealed that homosexual Chinese men may often engage in bisexual behaviour and/or paid sex with commercial sex workers, thereby expanding their range of potential contacts (20) . This latter point is particularly important, as HIV prevalence is probably increasing among homosexual communities within China. A study of homosexuals recruited in Beijing for example, demonstrated that the HIV prevalence was about 3% and was independently associated with being older than 39 years and having more than 20 male sexual partners (19) .