Prevalence of HIV and syphilis co-infection and associated factors among non-commercial men who have sex with men attending a sexually transmitted disease clinic in Shenzhen, China

Dai, Wenjie; Luo, Zhenzhou; Xu, Ruiwei; Zhao, Guanglu; Tu, Dan Dan; Yang, Lin; Wang, Feng; Cai, Yumao; Lan, Liping; Hong, Fu-Chang; Yang, Tubao; Feng, Tao

doi:10.1186/s12879-017-2187-1

Cited by 24 publications

(22 citation statements)

References 53 publications

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“…The study found HIV in 24.2% (129/533), syphilis in 29.8% (159/533) and both infections in 13.13% (70/533) of the subjects. HIV co-infection was thus present in approximately 44% of patients with syphilis [16].…”

Section: Discussionmentioning

confidence: 99%

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Syphilis in patients of the Department of Dermatology and Venereology at Medical University of Warsaw in 2015 – epidemiological and clinical characteristics, and coexistence of other sexually transmitted diseases

Biało-Wójcicka¹,

Młynarczyk-Bonikowska²,

Winiarska³

et al. 2017

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Introduction. Syphilis is a sexually transmitted disease that can be asymptomatic or associated with various symptoms including systemic manifestations. A total of 1,253 cases of syphilis were registered in Poland in 2015. Syphilis frequently coexists with HIV infection and other sexually transmitted diseases. Objective. Epidemiological and clinical characteristics of the population of patients treated for syphilis in the Department of Dermatology and Venereology, Medical University of Warsaw, and to evaluate the coexistence of other sexually transmitted diseases with special reference to HIV infection. Material and methods. The retrospective study involved an analysis of information included in medical files of 411 consecutive patients treated for syphilis in the Department of Dermatology and Venereology, Medical University of Warsaw, in 2015. Results. As many as 92% of the analyzed patients treated for syphilis were males, and 72.5% were men who have sex with men. Eighty-one percent of the subjects were between 21 and 40 years of age. Out of 325 patients with known HIV test results, 26.5% were HIV-positive. Evaluation of coexistence of other sexually transmitted diseases was difficult because of incomplete data, however gonorrhoea (7.8%) and hepatitis C virus infection (2.7%) were diagnosed more often in the studied group of patients with syphilis than in the general population. Hepatitis C virus infection was found in 6% of individuals co-infected with syphilis and HIV. Conclusion. The results confirm the need to screen patients with syphilis for HIV infection, and HIV-positive patients for syphilis. Original article/Praca oryginalna syphilis in patients of the Department of Dermatology and Venereology at Medical University of Warsaw in 2015epidemiological and clinical characteristics, and coexistence of other sexually transmitted diseases Kiła u pacjentów Kliniki Dermatologii i Wenerologii Warszawskiego Uniwersytetu Medycznego w 2015 r.-charakterystyka epidemiologiczna, kliniczna oraz współistnienie innych chorób przenoszonych drogą płciową

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Section: Discussionmentioning

confidence: 99%

“…Zakażenie HIV stwierdzono u 24,2% (129/533) pacjentów, kiłę u 29,8% (159/533), a oba zakażenia jednocześnie u 13,13% (70/533). Zakażenie HIV współistniało u ok. 44% chorych z kiłą [16].…”

Section: Discussionunclassified

Syphilis in patients of the Department of Dermatology and Venereology at Medical University of Warsaw in 2015 – epidemiological and clinical characteristics, and coexistence of other sexually transmitted diseases

Biało-Wójcicka¹,

Młynarczyk-Bonikowska²,

Winiarska³

et al. 2017

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“…These questions were correctly answered as “Yes”, but wrongly answered or unknown as “No” (Cronbach’s α = 0.57). Individuals answering six or more questions correctly were defined as having adequate HIV-related knowledge [39].…”

Section: Methodsmentioning

confidence: 99%

Predictors of condom use behavior among men who have sex with men in China using a modified information-motivation-behavioral skills (IMB) model

Jiang

Chen

et al. 2019

BMC Public Health

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Background Men who have sex with men (MSM) are at high risk for human immunodeficiency virus (HIV) infection in China. Correct and consistent condom use is one of the most effective strategies for preventing the spread of HIV. This study developed a modified Information-Motivation-Behavioral Skills (IMB) model to predict condom use behavior among Chinese MSM. Methods A cross-sectional study was conducted to collect data using self-administered electronic questionnaire. Participants were recruited from HIV Voluntary Counseling and Testing clinics in six district Centers for Disease Control and Prevention in Guangzhou and two community-based HIV service centers (Lingnan Partners and Zhitong Charity) from May to September 2017. Structural equation modeling was performed to develop the modified IMB model with extended multilevel factors. Results Among the 976 MSM included, 52.05% had engaged in anal intercourse with a condom every time. The final modified IMB model fitted the data more ideally than the conventional model. The final modified IMB model revealed that behavioral skills positively contributed directly to condom use ( β = 0.385, p < 0.001) and partially mediated the associations between information ( β = 0.106, p = 0.005) and motivation ( β = 0.390, p < 0.001) and condom use. Regarding the extended multilevel factors, education, income, receiving HIV prevention services, sexual partner seeking behavior, depression, intimate partner violence, and child sexual abuse had indirect impacts on condom use that were mediated by information, motivation, and/or behavioral skills ( p < 0.05). All paths from the latent variable to the corresponding observed variables were statistically significant ( p < 0.001). Conclusion The modified IMB model with extended multilevel factors could serve as a theoretical framework for behavioral interventions for condom use among Chinese MSM. Further prospective studies are needed to examine the predictive power of the modified IMB model. Electronic supplementary material The online version of this article (10.1186/s12889-019-6593-8) contains supplementary material, which is available to authorized users.

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“…Despite high HIV prevalence and frequent condomless sex among MSM in China, [12–18] there are limited data on MSM extragenital gonorrhea and chlamydia. [19, 20] Better understanding the burden of rectal and pharyngeal gonorrhea and chlamydia can provide useful information for research and screening pilots.…”

Section: Introductionmentioning

confidence: 99%

Gonorrhea and chlamydia prevalence in different anatomical sites among men who have sex with men: a cross-sectional study in Guangzhou, China

et al. 2018

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BackgroundA high rectal and oropharyngeal sexually transmitted infection (STI) burden has been reported among men who have sex with men (MSM) in many regions, but little data exists on rectal and oropharyngeal STIs among MSM in China. The purpose of this study was to determine the prevalence of gonorrhea and chlamydia at different anatomic sites among MSM in Guangzhou, China.MethodsWe recruited a cross-sectional sample of MSM in one Chinese city and collected detailed information about socio-demographic characteristics and sexual behaviors. Men had urine, rectal, and pharyngeal swab samples tested for gonorrhea and chlamydia using nucleic acid amplification tests (NAAT). Univariate and multivariate logistic regressions were used to evaluate factors associated with gonorrhea and chlamydia. Among men without any STI symptoms, we also examined the prevalence of gonorrhea and chlamydia by anatomical site.ResultsWe enrolled 463 men between January 2015 and March 2017. A total of 58/463 (12.5%) of men had gonorrhea and 84/463 (18.1%) had chlamydia. MSM with gonorrhea were more likely to have been recruited from the STI clinic (OR 3.41, 95% CI 1.94–5.99), living with HIV (OR 2.41, 95% CI 1.18–4.92), diagnosed had STI co-infection (OR 2.55, 95% CI 1.39–4.69). MSM with chlamydia were more likely to be students (OR 1.8, 95% CI 0.99–3.39). Most gonorrhea (34/58, 59%) and chlamydia (64/84, 76%) infections were not associated with STI symptoms.ConclusionAsymptomatic gonorrhea and chlamydia infection were common in this sample of Chinese MSM. Further research is necessary to determine optimal STI screening programs.

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Prevalence of HIV and syphilis co-infection and associated factors among non-commercial men who have sex with men attending a sexually transmitted disease clinic in Shenzhen, China

Cited by 24 publications

References 53 publications

Syphilis in patients of the Department of Dermatology and Venereology at Medical University of Warsaw in 2015 – epidemiological and clinical characteristics, and coexistence of other sexually transmitted diseases

Syphilis in patients of the Department of Dermatology and Venereology at Medical University of Warsaw in 2015 – epidemiological and clinical characteristics, and coexistence of other sexually transmitted diseases

Predictors of condom use behavior among men who have sex with men in China using a modified information-motivation-behavioral skills (IMB) model

Gonorrhea and chlamydia prevalence in different anatomical sites among men who have sex with men: a cross-sectional study in Guangzhou, China

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