HIV, syphilis and behavioral risk factors among men who have sex with men in a drug-using area of southwestern China: Results of 3 cross-sectional surveys from 2013 to 2015.
HIV, syphilis and behavioral risk factors among men who have sex with men in a drug-using area of southwestern China: Results of 3 cross-sectional surveys from 2013 to 2015.
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西南吸毒区男男性行为者HIV、梅毒及行为危险因素 2013-2015年3次横断面调查结果
DOI：
10.1097/md.0000000000010404
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发表时间：
2018-04
期刊：
影响因子：
1.6
通讯作者：
Wensheng F
中科院分区：
文献类型：
--
作者：
Guanghua L;Yi C;Shuai T;Zhiyong S;Zhenzhu T;Yuhua R;Yousuf MA;Wensheng F
评估中国西南地区男男性行为者（MSM）中的人类免疫缺陷病毒（HIV）、梅毒和行为风险因素，HIV最初是由药物驱动的流行病，并主要转变为异性传播。这些横断面研究于2013年、2014年和2015年在中国广西进行。2013年、2014年和2015年分别招募了1，996名、1，965名和1，697名参与者。数据包括人口统计学和性行为变量。其他变量包括使用非法药物、接受艾滋病毒咨询、检测、免费避孕套和同伴教育的个人。用全血标本对参与者进行HIV、梅毒和丙型肝炎病毒（HCV）检测。将样本和实验室测试数据双重输入，并使用EpiData软件进行验证。然后将数据转移到SPSS软件（SPSS Inc，芝加哥，IL）中，并进行卡方检验。2013年艾滋病毒感染率为6.6%，2014年为8.4%，2015年为11.2%。2013年梅毒患病率为9.3%，2014年为9.8%，2015年为6.1%。2013年HCV感染率为0.5%，2014年和2015年保持稳定在0.4%。3年一次的横断面调查显示，HIV感染者在过去6个月内与任何商业男性性伴进行无保护肛交（调整后的比值比[AOR]= 1.81，95%CI：1.50-2.20）、过去6个月内与任何女性性伴发生性行为（AOR = 1.31，95%CI：1.01-1.71）、过去使用过毒品（AOR = 2.73，95%CI：1.30-5.71）和梅毒感染（AOR = 3.53，95%CI：2.77-4.49）的可能性更大。 广西MSM人群艾滋病防治工作亟待采取安全套发放、艾滋病咨询、免费检测、安全性行为、艾滋病及其他性相关疾病教育等干预措施。
To assess human immunodeficiency virus (HIV), syphilis, and behavioral risk factors among men who have sex with men (MSM) in southwestern China, where HIV started as a drug-driven epidemic, and shifted to mainly heterosexual transmission. These cross-sectional studies were conducted yearly in 2013, 2014, and 2015 in Guangxi, China. A total of 1,996, 1,965, and 1,697 participants were recruited in 2013, 2014, and 2015, respectively. The data included demographic and sexual behavioral variables. Other variables included individuals who used illegal drugs, and who received HIV counseling, testing, and free condoms, and peer education. Participants were tested for HIV, syphilis, and hepatitis C virus (HCV) with whole blood specimens. Questionnaires and laboratory testing data were double entered, and validated with EpiData software. The data were then transferred into SPSS software (SPSS Inc, Chicago, IL) and Chi-square test performed. The prevalence of HIV was 6.6% in 2013, 8.4% in 2014, and 11.2% in 2015. The prevalence of syphilis was 9.3% in 2013, 9.8% in 2014, and 6.1% in 2015. And HCV prevalence was 0.5% in 2013 and remained stable at 0.4% in 2014, and 2015. HIV infection, and associated factors among MSM in these 3 annual cross-sectional survey showed that HIV-infected MSM were significantly, more likely, to perform unprotected anal intercourse with any commercial male partners in the past 6 months (adjusted odds ratio [AOR] = 1.81, 95% CI: 1.50–2.20), had sex with any female partners in the past 6 months (AOR = 1.31, 95% CI: 1.01–1.71), used drugs in the past (AOR = 2.73, 95% CI: 1.30–5.71), and are syphilis infected (AOR = 3.53, 95% CI: 2.77–4.49). There is an urgent need for intervention strategies like condom distribution, HIV counseling, free testing, and education regarding safe sex, HIV, and other sex-related diseases in Guangxi to curb, and prevent HIV among MSM.