Factors That Influence Risky Sexual Behaviors Among Men Who Have Sex with Men in Liaoning Province, China: A Structural Equation Model

Liu, Jie; Guo, Haijian; Sun, Guixin

doi:10.1089/apc.2010.0333

Cited by 10 publications

(8 citation statements)

References 37 publications

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“…A study conducted in Liaoning province indicates that risky sexual behaviors might be indirectly reduced by improving HIV/AIDS-related knowledge [33]. In the present study, we also found that lower levels of HIV/AIDS-related knowledge are important risk factors for HIV infection.…”

Section: Discussionsupporting

confidence: 78%

HIV Incidence and Risk Factors in Chinese Young Men Who Have Sex with Men—A Prospective Cohort Study

Dong

Xu²,

Dou³

et al. 2014

PLoS ONE

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ObjectivesTo assess HIV incidence and its associated risk factors among young men who have sex with men (YMSM) in urban areas, China.DesignThe study used a prospective cohort study design and standard diagnostic tests.MethodsA twelve-month prospective cohort study was conducted among YMSM (18–25 years old) in 8 large cities in China. The participants were recruited via snowball sampling. A total of 1102 HIV-negative YMSM completed baseline assessment, 878 YMSM participants completed 6-month follow-up, and 902 completed 12-month follow-up. HIV was screened by an enzyme-linked immunosorbent assay and confirmed with Western Blot. Syphilis was screened via rapid plasma reagent and confirmed by treponema pallidum particle agglutination assay.Results78 HIV seroconversions were identified within 1168.4 person-year observations yielding an incidence rate of 6.7 per 100 person-years. HIV seroconversion was associated with non-student status (RR = 2.61, 90% CI = 1.3–5.26), low HIV transmission knowledge (RR = 8.87, 90% CI = 2.16–36.43), and syphilis infection (RR = 5.04, 90% CI = 2.57–9.90).ConclusionsIncidence of HIV among YMSM is high in urban areas of China. Interventions measures are required to contain the HIV epidemic within this population.

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Section: Discussionsupporting

confidence: 78%

HIV Incidence and Risk Factors in Chinese Young Men Who Have Sex with Men—A Prospective Cohort Study

Dong

Xu²,

Dou³

et al. 2014

PLoS ONE

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“…33,34 Interventions of this type might utilize peer based health education and counseling. 47,48 In addition, our finding also showed that persons buying condoms in the past 12 months had a lower HIV prevalence compare to those who never bought condoms. Our study and the previous studies among Chinese MSM showed high proportion of unprotected sex with male and female.…”

Section: Discussionsupporting

confidence: 63%

Behavioral and Serologic Survey of Men Who Have Sex with Men in Beijing, China: Implication for HIV Intervention

Fan

et al. 2012

AIDS Patient Care and STDs

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We assessed HIV prevalence and associated behaviors and risk factors among men who have sex with men (MSM) in Beijing, China. Five hundred MSM were recruited for a biological and behavioral survey using respondent-driven sampling (RDS) in 2009. Serologic specimens were tested for markers of HIV and syphilis infection. A computer-assisted personal interview (CAPI) administered questionnaire gathered information including demographic characteristics, sexual behaviors, HIV testing, and social norms concerning condom use. The adjusted HIV prevalence was 8.0%, syphilis 22.0%. HIV testing and disclosure was low; only 39.3% had HIV tested in the past 12 months, 49.7% knew their own HIV status and 22.8% knew their last male partner's HIV status. HIV infection was associated with syphilis, ever having sex with a woman, not knowing the HIV status of the most recent male partner, and never buying condoms in the past 12 months. Stronger endorsement of positive social norms around condom use strongly and predicted lower prevalence of HIV infection. Compared to surveys of similar design in the recent past, HIV continues to spread rapidly among Beijing's MSM. Our results identify points of intervention that, if addressed in time, may still alter the course of the epidemic including the promotion of HIV testing and partner disclosure, syphilis control and particularly changing social norms around condom use.

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“…As we rarely know the accurate characteristics and the size of the MSM population, we could hardly verify whether the sample included all MSM networks [47]. Moreover, both univariable and multivariable analyses in this study were conducted by applying RDSAT-generated weights to dependent variables only (e.g., HIV infection) as much of the comparable literature has done [48], [49], [50]. However, such application is still under development and requires further validation.…”

Section: Discussionmentioning

confidence: 99%

Predictors of HIV and Syphilis among Men Who Have Sex with Men in a Chinese Metropolitan City: Comparison of Risks among Students and Non-Students

Zhang

Ding²,

Lu³

et al. 2012

PLoS ONE

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BackgroundMen who have sex with men (MSM) are at a substantial risk of HIV, given rising HIV prevalence in urban China. Adolescent and adult students often take HIV-related risk as part of sexual exploration. We compared the risks of HIV and syphilis infections and risky sexual behaviors between student and non-student among urban MSM.MethodsRespondent driven sampling approach was used to recruit men who were self-identified as MSM in Chongqing Metropolitan City in southwestern China in 2009. Each participant completed a computer-assisted self-interview which collected demographic and behavioral data, and provided blood specimens for HIV and syphilis testing. Multivariable logistic regression analyses identified predictors for HIV and syphilis infections while comparing student and non-student MSM.ResultsAmong 503 MSM participants, 36.4% were students, of whom 84.2% were in college. The adjusted prevalence of HIV infection was 5.5% (95% confidence interval [CI]: 2.1%–10.2%) in students and 20.9% (95% CI: 13.7%–27.5%) in non-students; the adjusted prevalence of syphilis was 4.4% (95% CI: 0.7%–9.0%) in students and 7.9% (95% CI: 3.6%–12.9%) in non-students (P = 0.12). Two groups had similar risky sexual behaviors such as number of sexual partners and exchanging sex for money. Multivariate analysis showed that students had lower HIV prevalence than non-students (adjusted odds ratio [AOR]: 0.3; 95% CI: 0.1–0.8) adjusting for age, ethnicity and other variables.ConclusionStudent MSM have lower HIV and similar syphilis prevalence compared with non-student MSM. However, due to a shorter duration of sexual experience and high prevalence of at-risk sexual behaviors among student MSM, HIV risk might be quite high in students as in non-students.

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Factors That Influence Risky Sexual Behaviors Among Men Who Have Sex with Men in Liaoning Province, China: A Structural Equation Model

Cited by 10 publications

References 37 publications

HIV Incidence and Risk Factors in Chinese Young Men Who Have Sex with Men—A Prospective Cohort Study

HIV Incidence and Risk Factors in Chinese Young Men Who Have Sex with Men—A Prospective Cohort Study

Behavioral and Serologic Survey of Men Who Have Sex with Men in Beijing, China: Implication for HIV Intervention

Predictors of HIV and Syphilis among Men Who Have Sex with Men in a Chinese Metropolitan City: Comparison of Risks among Students and Non-Students

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