A cross-sectional study of HIV and syphilis infections among male students who have sex with men (MSM) in northeast China: implications for implementing HIV screening and intervention programs
A cross-sectional study of HIV and syphilis infections among male students who have sex with men (MSM) in northeast China: implications for implementing HIV screening and intervention programs
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中国东北地区男学生（MSM）艾滋病毒和梅毒感染的横断面研究：对实施艾滋病毒筛查和干预计划的影响
DOI：
10.1186/1471-2458-11-287
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发表时间：
2011-05-10
影响因子：
4.5
通讯作者：
Shang, Hong
中科院分区：
文献类型：
--
作者：
Xu, Jun-Jie;Reilly, Kathleen Heather;Shang, Hong
研究背景中国有7620万中学生和大学生，其中报告的HIV/AIDS病例数量正在迅速增加。这些病例大多数是由于男性之间的性接触。对辽宁省男男性行为者（MSM）高中生和大学生的HIV感染情况和行为特征进行了研究。通过面对面的访谈和血液标本采集和测试HIV和梅毒。ResultsThere是436个合格的参与者。HIV和梅毒感染率分别为3.0%和5.0%。在多变量分析中，家庭成员知道的性取向（OR：7.3; 95%CI：1.5-34.6），HIV/AIDS信息来源于临床医生（OR：6.7; 95%CI：1.7-25.9），通过免费教育服务和材料获得的艾滋病毒/艾滋病信息，如自愿咨询和检测（VCT）和安全套分发服务（OR：0.2; 95%CI：0.4-1.0），避孕套使用不一致（OR：5.7; 95%：1.3-25.3），插入式肛交后性伴侣发生肛门出血（OR：6.8; 95% CI：1.6-28.4），以及非法药物使用史（OR：18.9; 95%CI：（第2.2-165.3段）结论应加大努力，遏制艾滋病毒和梅毒的流行，中国留学生MSM。为遏制艾滋病病毒的传播，应对学生MSM人群进行及时筛查和综合干预。应考虑采取以家庭和学校为基础的干预措施，以针对这一受过教育但易受伤害的人口。
BackgroundChina has 76.2 million high school and college students, in which the number of reported HIV/AIDS cases is increasing rapidly. Most of these cases are attributed to male-to-male sexual contact. Few studies have explored HIV prevalence and behavioural characteristics of Chinese male students who have sex with men (MSM).MethodsA cross-sectional study of MSM high school and college students in Liaoning Province was conducted. Data were collected through face-to-face interviews and blood specimens were obtained and tested for HIV and syphilis.ResultsThere were 436 eligible participants. HIV and syphilis prevalence was 3.0% and 5.0%, respectively. In multivariate analysis, sexual orientation known by family members (OR: 7.3; 95% CI: 1.5-34.6), HIV/AIDS information obtained from clinical doctors (OR: 6.7; 95% CI: 1.7-25.9), HIV/AIDS information obtained through free educational services and materials such as voluntary counseling and testing (VCT) and condom distribution services (OR: 0.2; 95% CI: 0.4-1.0), inconsistent condom use (OR: 5.7; 95%: 1.3-25.3), sexual partner experienced anal bleeding after insertive anal intercourse (OR: 6.8; 95% CI: 1.6-28.4), and history of illegal drug use (OR: 18.9; 95% CI: 2.2-165.3) were found to be significantly associated with HIV infection.ConclusionsGreater effort should be made towards stemming the HIV and syphilis epidemics among Chinese student MSM. Immediate screening and comprehensive interventions towards student MSM should be implemented in order to curb the spread of HIV. Family and school-based interventions should be considered to target this educated, yet vulnerable, population.