Early Sexual Debut and HIV Infection among Men Who Have Sex with Men in Shenzhen, China

Xu, Ruiwei; Dai, Wenjie; Zhao, Guanglu; Tu, Dan Dan; Yang, Lin; Wang, Feng; Cai, Yumao; Lan, Liping; Tan, Hongzhuan; Liu, Aizhong; Feng, Tiejian; Kaminga, Atipatsa Chiwanda

doi:10.1155/2016/2987472

Cited by 17 publications

(17 citation statements)

References 32 publications

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“…However, few studies have comparable results. Researches concerning same-sex behavior focused mainly on age and HIV risk [ 39 – 42 ], while others found that older MSM reported less MSM behaviors [ 32 , 43 ].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with disclosing men who have sex with men (MSM) sexual behaviors and HIV-positive status: A study based on a social network analysis in Nanjing, China

2018

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ObjectiveWe explored the factors associated with disclosure of men who have with sex with men (MSM) behaviors and HIV-positive status among HIV-positive MSM in Nanjing, China.MethodsSocial network analysis and epidemiological methods were combined in this pilot study. Information about participants’ (egos’) characteristics and behaviors and their social network members (alters) were collected through interview-administered questionnaires. General estimating equation logistic regression analysis was applied in both univariate and multivariate analysis.ResultsEighty-seven HIV-positive MSM participated. Their mean age was 35.9 ±13.81years. They were more likely to disclose their MSM behavior to their friends [adjust Odds Ratio (AOR) = 6.43, 95% confidence interval (CI):3.08–13.42] or to the social network members who were not heterosexual [AOR = 4.40, 95%CI: 2.17–8.91]. Being participants’ friends [AOR = 5.16, 95%CI: 2.03–13.10] or family members [AOR = 6.22, 95%CI: 2.52–15.33] was significantly associated with HIV-positive status disclosure.ConclusionHIV-positive MSM tended to disclose their MSM behaviors and HIV positive status to close friends, family members or other individuals who were HIV-positive, engaging in MSM behavior, or both. Consequently, it will be an effective way to implement HIV prevention and intervention strategies in both MSM population and their trusted social networks.

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Section: Discussionmentioning

confidence: 99%

Factors associated with disclosing men who have sex with men (MSM) sexual behaviors and HIV-positive status: A study based on a social network analysis in Nanjing, China

2018

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“…Anal sex roles also contribute to high risk of HIV seroconversion especially among YMSM who adopt the receptive anal sex role without a condom [5, 25]. Early age at first anal sex has been shown to be associated with HIV acquisition among MSM; studies also demonstrate early age at first anal sex is associated with sexual risk taking [26, 27]. Published literature has shown that the trend of HIV infection has continued to increase, with potential risk factors including age structure, sexual behavior and relationships, STIs, substance use, and virtual and physical venues contributing to the HIV epidemic in YMSM.…”

Section: Introductionmentioning

confidence: 99%

Young Men Who Have Sex with Men at High Risk for HIV, Bangkok MSM Cohort Study, Thailand 2006–2014

et al. 2017

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High HIV incidence has been reported in young men who have sex with men (YMSM) in North America and Western Europe, but there are limited data from Southeast Asia suggesting MSM may be the driver of the HIV epidemic in this region. We described HIV incidence and risk factors among 494 YMSM enrolled in a cohort study in Bangkok, Thailand. The HIV incidence was 7.4 per 100 person-years. In multivariable analysis, reporting use of an erectile dysfunction drug in combination with club drugs, having receptive or both insertive and receptive anal intercourse with men, having hepatitis A infection, having rectal Chlamydia trachomatis, having hepatitis B infection prior to HIV seroconversion, and reporting not always using condoms with male steady partners were significantly associated with HIV incidence in YMSM. Reduction in new HIV infections in YMSM are critical to reach targets set by Thailand and the region.

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“…Early sexual debut could be a risk factor for STIs including HIV/AIDS among sexual minority groups 16. Our study identified a positive association between identifying with a minority sexual orientation and having an earlier sexual debut.…”

Section: Discussionmentioning

confidence: 49%

Self-identified sexual orientations and high-risk sexual behaviours among Chinese youth

Liu¹,

Yang²,

Zhao

et al. 2019

BMJ Sex Reprod Health

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PurposeHigh-risk sexual behaviour is a factor affecting the health of sexual minority students, yet few related studies have been completed among Chinese students. This article explores the distribution of sexual minority groups and its association with high-risk sexual behaviours and symptoms of sexually transmitted infections(STIs) among Chinese college students.MethodsAn internet-based questionnaire was applied, and a sample of 17 966 surveys from 130 Chinese colleges was collected. Based on their self-reports, participants were classified into the following groups: homosexual male or female, heterosexual, bisexual, and sexual orientation unknown. High-risk sexual behaviours were defined as having sexual intercourse before the age of 18 years, having one's sexual debut with a non-regular partner, having had more than four sexual partners before investigation, and having mostly had sexual intercourse without using condoms. Logistic regression models were constructed to analyse the associations.ResultsThe proportions of the homosexual males and females, and the bisexual groups were 1.62%, 0.88% and 5.07%, respectively. Homosexual males were more likely to have their sexual debut with a non-regular partner (OR 4.79, 95% CI 3.38 to 6.78), having more than four sexual partners (OR 5.81, 95% CI 4.06 to 8.32), having their sexual debut before the age of 18 years (OR 1.92, 95% CI 1.34 to 2.76), and not using condoms for most episodes of sexual intercourse (OR 1.47, 95% CI 1.00 to 2.17). Similar associations also existed among homosexual females. A positive association between sexual orientation and having symptoms of STIs (OR 1.49, 95% CI 1.02 to 2.18) was found among homosexual males.ConclusionsSexual minority groups among Chinese college students had a greater risk of engaging in high-risk sexual behaviours and having STI symptoms. Future studies and interventions should focus on this population.

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Early Sexual Debut and HIV Infection among Men Who Have Sex with Men in Shenzhen, China

Cited by 17 publications

References 32 publications

Factors associated with disclosing men who have sex with men (MSM) sexual behaviors and HIV-positive status: A study based on a social network analysis in Nanjing, China

Factors associated with disclosing men who have sex with men (MSM) sexual behaviors and HIV-positive status: A study based on a social network analysis in Nanjing, China

Young Men Who Have Sex with Men at High Risk for HIV, Bangkok MSM Cohort Study, Thailand 2006–2014

Self-identified sexual orientations and high-risk sexual behaviours among Chinese youth

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