High prevalence of sexually transmitted diseases among men who have sex with men in Jiangsu Province, China
High prevalence of sexually transmitted diseases among men who have sex with men in Jiangsu Province, China
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DOI：
10.1097/01.olq.0000199763.14766.2b
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发表时间：
2006-02-01
影响因子：
3.1
通讯作者：
Shao, CG
中科院分区：
文献类型：
--
作者：
Jiang, J;Cao, NX;Shao, CG
目的：调查江苏省男男性行为者（MSM）中包括HIV感染在内的性传播疾病（STDs）的流行情况及性危险行为。设计：作者进行了一项横断面研究。方法：从2003年2月到7月，江苏省5个城市的10家同性恋酒吧的男性被要求完成一份自我管理的问卷，包括酒精使用和性危险行为的测量。研究人员采集了血样和尿道拭子，以检查是否存在性传播疾病，包括艾滋病毒感染。结果：研究共招募了144名男性。46%的男性报告在过去3个月内与男性性伴侣进行过无保护的肛交。未发现hiv感染者，但性传播疾病的患病率较高：淋病2.7%，衣原体感染8.0%，非衣原体非淋球菌性尿道炎27.7%，活动性梅毒6.9%，乙型肝炎病毒感染9.1%，单纯疱疹病毒2型感染7.8%，生殖器疣13.2%。
Objective: The objective of this study was to investigate the prevalence of sexually transmitted diseases (STDs), including HIV infection, and sexual risk behaviors among men who have sex with men (MSM) in Jiangsu Province, China.Design: The authors conducted a cross-sectional study.Methods: From February to July 2003, men who attended 10 participating gay bars in five cities in Jiangsu Province were asked to complete a self-administered questionnaire, including measures of alcohol use and sexual risk behaviors. Blood samples and urethral swabs were taken to examine the presence of STDs, including HIV infection.Results: A total of 144 men were recruited in the study. Forty-six percent of men reported unprotected anal intercourse with their male sexual partners in the past 3 months. No one was found to be HIV-infected, but the prevalence of STDs was high: gonorrhea 2.7%, chlamydial infection 8.0%, nonchlamydial nongonococcal urethritis 27.7%, active syphilis 6.9%, hepatitis B virus infection 9.1%, herpes simplex virus-2 infection 7.8%, and genital warts 13.2%.Conclusions: Given that HIV prevalence among MSM in some other parts of China has been as high as 3%, STDs facilitate the transmission of HIV, and high prevalence of STDs and sexual risk behaviors among MSM exist in Jiangsu Province, the potential for the future spread of HIV is of concern, and it is urgent to provide MSMs with STD healthcare services and HIV/AIDS/STD prevention education and intervention.