Human Immunodeficiency Virus Prevalence Is Increasing Among Men Who Have Sex With Men in China: Findings From a Review and Meta-Analysis

Chow, Eric P F; Wilson, David; Zhang, Jun; Jing, Jun; Zhang, Lei

doi:10.1097/olq.0b013e31821a4f43

Cited by 94 publications

(96 citation statements)

References 28 publications

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“…5 From 2009 to 2011, several metaanalysis of HIV among Chinese MSM reported pooled HIV prevalence as 2.5%-15.8%. [6][7][8][9] Growing studies suggest that not only individual factors [10][11][12] (biologic, demographic and risk behaviours), but also social factors [13][14][15] (cultural context, social networks, neighborhood effects and social capital) and structural factors 16 (structural violence and discrimination, legal structures, demographic change, the policy environment and war and militarisation) influence the risk of HIV acquisition, disease progression, distribution of HIV/AIDS in population subgroups and HIV transmission dynamics. Hefei, the capital city of Anhui Province, links the centre and the east of China.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of HIV infection among men who have sex with men in Hefei, China, 2013–2014: a cross-sectional study

et al. 2015

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The objective of this study was to investigate the prevalence and influencing factors of HIV infection among men who have sex with men (MSM) in Hefei, China. A total of 578 MSM were recruited, with a mean age of 28.13 ± 6.91; 70.7% were under 30. The awareness rate was 95.4% (560/587) in the cross-sectional study. Of all the respondents, 73 (12.44%) were seropositive for HIV and 56 (9.54%) for syphilis. Multivariate analysis showed that self-reported sexually transmitted infections (STIs) (AOR = 8.02, 95% CI: 2.58-24.98, P < 0.001), received HIV testing in the past year (AOR = 0.33, 95% CI: 0.19-0.60, P < 0.001) and syphilis (AOR = 3.40, 95% CI: 1.69- 6.85, P = 0.001) were independently associated with HIV infection. It is necessary for post-test counselling to address risk among those who engage in sexual risk behaviours. More efforts are needed to enhance HIV/STI testing and treatment services in China.

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Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of HIV infection among men who have sex with men in Hefei, China, 2013–2014: a cross-sectional study

et al. 2015

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“…A dramatic increase in the incidence of sexually transmitted diseases (STDs), such as gonorrhea (1), syphilis (1,2), and HIV seroconversion (3,4), has been reported worldwide. The gold standard for syphilis diagnosis remains the serology test, particularly the Venereal Disease Research Laboratory (VDRL) test or rapid plasma reagin (RPR) test (5,6).…”

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confidence: 99%

Incidental Syphilis Diagnosed by Real-Time PCR Screening of Urine Samples

et al. 2015

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“…[2][3][4] In particular, the HIV prevalence rate of MSM is climbing at an alarming rate; as reported, the national HIV prevalence among MSM increased rapidly from 1.4% to 5.3% between 2001 and 2009 and this increasing trend is likely to continue in coming years. 5 Other studies have shown that HIV prevalence rates among sampled MSM were as high as 10.9% in 2006 and 20.9% in 2009 in some cities of southwestern China, which indicated that the HIV epidemic among MSM in China has reached crisis proportions in certain areas and that MSM are a key target populations for future prevention efforts. 6,7 Behavioral interventions that effectively produce reductions in risky sexual behavior and promote maintenance for safer sexual practice remain an important tool in fighting HIV.…”

Section: Introductionmentioning

confidence: 98%

Intervention to Increase Condom Use and HIV Testing Among Men Who Have Sex with Men in China: A Meta-Analysis

Huang

Wang

et al. 2013

AIDS Research and Human Retroviruses

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Behavioral interventions have been shown to both promote and change many health-related behaviors and issues. This meta-analysis was performed to assess whether behavioral interventions have the potential to increase condom use and HIV testing uptake among men who have sex with men (MSM) in China. PubMed, Elsevier Science Direct, Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), and Wanfang (Chinese) were searched to June 2011 to identify relevant articles. Data of eligible citations were extracted by two reviewers. Sixteen studies were identified. Aggregated findings indicated that interventions were associated with a significant increase in condom use between MSM and male sex partners in the last anal sex act (RR=1.17, 95% CI=1.05-1.29) and consistent condom use between MSM and male sex partners in the past 6 months (RR=1.36, 95% CI=1.15-1.60) and HIV testing (RR=2.22, 95% CI=1.72-2.88). However, no significant increase was detected in condom use over the course of the intervention among MSM engaging in sex with women. In the subgroup analyses, the positive effects were not detected in some subgroups such as anal sex with casual partners and intervention interval less than or equal to 6 months. The sensitivity analysis showed that these estimates were unchanged after removal of the study that had the biggest sample or the studies that had the most rigorous study design. This meta-analysis can inform future intervention design and implementation in terms of sample size, target populations, settings, goals for process measures, and intervention interval.

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Human Immunodeficiency Virus Prevalence Is Increasing Among Men Who Have Sex With Men in China: Findings From a Review and Meta-Analysis

Abstract: Significant increases in HIV prevalence among MSM were consistently observed across all Chinese regions. There is an urgent need for implementation of effective public health interventions to curb the spread of HIV infection among MSM across China, especially in the Southwest.

Cited by 94 publications

References 28 publications

Prevalence and associated factors of HIV infection among men who have sex with men in Hefei, China, 2013–2014: a cross-sectional study

Prevalence and associated factors of HIV infection among men who have sex with men in Hefei, China, 2013–2014: a cross-sectional study

Incidental Syphilis Diagnosed by Real-Time PCR Screening of Urine Samples

Intervention to Increase Condom Use and HIV Testing Among Men Who Have Sex with Men in China: A Meta-Analysis

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