Worsening Epidemic of HIV and Syphilis Among Men Who Have Sex With Men in Jiangsu Province, China

Yang, Haitao; Tang, Weiming; Xiao, Zhou; Jiang, Ning; Mahapatra, Tanmay; Huan, Xiping; Yin, Yue-Ping; Wang, Xiaoliang; Chen, Xiang-Sheng; Fu, Gengfeng

doi:10.1093/cid/ciu175

Cited by 33 publications

(36 citation statements)

References 36 publications

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“…Our observed incidence of HIV was more than 5% each year. It is slightly higher than that in Nanjing from two prospective cohort studies [8,16], lower than that in Yangzhou and Changzhou (all located in Jiangsu Province) from a prospective cohort study [9]. HIV incidence of Jiangsu Province are also comparable to other provinces with similar population metrics in China, e.g., Beijing (5.47, 12.37 and 6.86 per 100 person-years respectively, in the 6-month 12-month and 18-month follow-up visits) [17] and Zhejiang Province (3.52%, 6.63% and 6.33% respectively, in 2010, 2011 and 2012), the latter of which was also based their incidence levels on the BED method [18].…”

Section: Discussionmentioning

confidence: 88%

Increasing HIV Incidence among Men Who Have Sex with Men in Jiangsu Province, China: Results from Five Consecutive Surveys, 2011–2015

Liu

Zhi

et al. 2016

IJERPH

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Epidemics of HIV among men who have sex with men (MSM) are major public health concerns in most parts of China. This study examined the trends in HIV incidence and associated factors among MSM in Jiangsu Province. Five consecutive cross-sectional surveys were conducted among MSM from 2011 to 2015 in eight cities throughout Jiangsu Province. Participants were recruited from MSM venues or via the internet. Demographic and behavioral data were collected through HIV bio-behavioral surveys. Blood specimens were collected to test for HIV and syphilis. HIV incidence was estimated by the IgG-capture BED-EIA (BED) method and a chi-square trend test was used to compare differences over the years. Multivariate logistic regression analysis was used to identify factors associated with recent infection. A total of 2433, 2678, 2591, 2610 and 2541 participants were enrolled in 2011, 2012, 2013, 2014 and 2015, respectively. HIV incidence increased from 5.10% in 2011 to 6.62% in 2015 (p = 0.025). MSM who had an education level of junior high school or less (aOR = 1.472, p = 0.018), engaged in condomless anal sex in the past 6 months (aOR = 2.389, p < 0.001), did not have an HIV test in the past 12 months (aOR = 3.215, p < 0.001), and were currently infected with syphilis (aOR = 2.025, p = 0.001) were likely to be recently infected with HIV. HIV incidence is increasing among MSM in Jiangsu Province, China. Condom usage and HIV testing promotion should be prioritized when attempting to reduce HIV transmission among MSM in China.

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Section: Discussionmentioning

confidence: 88%

Increasing HIV Incidence among Men Who Have Sex with Men in Jiangsu Province, China: Results from Five Consecutive Surveys, 2011–2015

Liu

Zhi

et al. 2016

IJERPH

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“…2 Both syphilis and HIV infection have been becoming a serious public health burden worldwide for many years. 3 The findings from some studies 4–6 confirmed that the prevalence of syphilis was 14.32% to 20.34% among men who have sex with men while the syphilis prevalence among HIV-infected patients was 19.8%. The research 7 from Shanghai Skin Disease Hospital found the rate of neurosyphilis was 23.1% among syphilis patients without HIV infection.…”

Section: Introductionmentioning

confidence: 91%

Serum TRSUT Titer ≥1

et al. 2015

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“…Despite the Chinese government’s initiatives to improve sexual health services for MSM, the incidence of HIV and other sexually transmitted diseases (STD) among MSM continues to increase [7, 8]. Understanding the demographic and risk profiles of MSM who are using gay apps could inform HIV prevention measures in two broad ways.…”

Section: Introductionmentioning

confidence: 99%

Gay Apps for Seeking Sex Partners in China: Implications for MSM Sexual Health

et al. 2015

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Anti-gay stigma and harsh local environments in many low and middle-income countries (LMIC) encourage men who have sex with men (MSM) partner-seeking mobile application (gay app) use. To investigate the sexual risk profiles of gay app users and guide future HIV prevention programs, we conducted a cross-sectional online survey among 1,342 MSM in China examining associations between gay app use and sexual behaviors, including HIV and sexually transmitted disease (STD) testing. Compared to non-app users, app users were more likely to be younger, better educated, “out” about their sexual orientation, and single. They were also more likely to report multiple recent sex partners and HIV testing, but there was no difference in condomless sex between the two groups. Future research among MSM in LMIC is needed to characterize gay app use and explore its potential for future public health interventions.

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Worsening Epidemic of HIV and Syphilis Among Men Who Have Sex With Men in Jiangsu Province, China

Abstract: Considerably high incidence and prevalence of HIV and syphilis among participants and their potential bridging role in transmitting these infections to the general population in Yangzhou and Changzhou cities calls for urgent effective intervention strategies.

Cited by 33 publications

References 36 publications

Increasing HIV Incidence among Men Who Have Sex with Men in Jiangsu Province, China: Results from Five Consecutive Surveys, 2011–2015

Increasing HIV Incidence among Men Who Have Sex with Men in Jiangsu Province, China: Results from Five Consecutive Surveys, 2011–2015

Serum TRSUT Titer ≥1

Gay Apps for Seeking Sex Partners in China: Implications for MSM Sexual Health

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