HIV-related behavioral studies of men who have sex with men in China: a systematic review and recommendations for future research.

HIV-related behavioral studies of men who have sex with men in China: a systematic review and recommendations for future research.
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DOI:
10.1007/s10461-010-9808-7
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发表时间:
2011-04
期刊:
影响因子:
4.4
通讯作者:
Stanton B
Stanton B
中科院分区:
医学2区
文献类型:
--
作者:
Guo Y;Li X;Stanton B

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自2000年初以来,中国男男性行为者(MSM)的艾滋病毒感染率显著上升,2009年男男性行为者占中国新感染艾滋病毒病例的32.5%。本研究回顾了2000年至2009年在英文文献中发表的33篇关于中国MSM的研究。现有研究表明,中国的男男性行为者经常已婚(尤其是老年男男性行为者);其中大多数是移民,并自认为是同性恋。越来越多的男男性行为者在网上寻找性伴侣。男男性接触者的性风险行为很普遍,包括无保护的性行为、男女同时发生性关系和商业性行为的比例很高。然而,在中国的普通男男性接触者中,非法药物的使用相对较低,但在与男性发生商业性行为的人群中则较高。现有的文献表明,缺乏社会行为研究,缺乏专门针对MSM的干预研究,缺乏在小城市、城镇和农村地区的研究。未来的研究需要采用更严格的研究方法,包括纵向研究设计、多重抽样方法和对艾滋病毒相关危险行为的共同测量。
HIV prevalence among men who have sex with men (MSM) has increased significantly in China since early 2000, with MSM accounting for 32.5% of the newly infected HIV cases in China in 2009. This study reviews a total of 33 studies published in English literature on MSM in China from 2000 to 2009. Existing studies indicated that frequently MSM in China were married (especially older MSM); a majority were migrants and self-identified as gay. A large and increasing proportion of MSM sought sexual partners online. Sexual risk behaviors among MSM were prevalent, including high rates of unprotected sex, concurrent sexual relationships with both men and women, and commercial sex. Illicit drug use, however, was relatively low among general Chinese MSM, but higher among those engaged in commercial sex with men. The existing literature suggests a lack of socio-behavioral studies, lack of intervention studies specifically targeting MSM, and lack of studies in smaller cities, towns, and rural areas. Future studies need to employ more rigorous research methodology, including longitudinal study design, multiple sampling methods, and common measurements of HIV-related risk behaviors.
中国江苏省男男性行为者中 HIV 和梅毒患病率迅速上升以及 HIV-1 亚型特征
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