Representing and Regulating: How Gay Men Have Been Incorporated Into China’s Evolving HIV/AIDS Policies, 1987–2019

This paper examined how gay men were incorporated into China’s HIV/AIDS policies from 1987 to 2019. We also explored how these policies reflect the country’s broader position regarding homosexuality. A textual analysis method was adopted using China’s national-level HIV/AIDS policies, regulations, a nd guidelines (1987–2019, N = 26). Three periods related to the incorporation of gay men into China’s HIV/AIDS policies were identified: 1987–1990, 1991–2001, and 2002–present, based on whether gay men are explicitly mentioned in the national HIV/AIDS policies. Four ways in which gay men are addressed through national HIV/AIDS policies were identified. Notably, heteronormativity-related moral and sex education remains in place in response to the HIV/AIDS epidemic among gay men and other men who have sex with men (MSM), while homosexuality has already symbolically decriminalized and depathologized since the late 1990s and the early 2000s, respectively. Additionally, increased education on sexual orientation was included in the HIV/AIDS policy as of 2017. While China’s pragmatic approach to HIV/AIDS has contributed to the increased visibility and representation of gay men in official and public discourse, the country’s response to HIV/AIDS seems to reflect its persistent regulation of nonnormative sexuality as well as moral control toward homosexuality. Other underlying issues regarding China’s HIV/AIDS policies and suggestions to improve HIV/AIDS governance are also discussed.