Drug Use and Sexual Behaviors Among MSM in China

Nehl, Eric J.; He, Na; Lin, Lavinia; Zheng, Tony; Harnisch, Jessica; Ding, Yingying; Wong, Frank Y.

doi:10.3109/10826084.2014.962048

Cited by 16 publications

(13 citation statements)

References 64 publications

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“…On the other hand, MBs in China often sell sex to both males and females to increase their income [ 24 ]. MBs have become one of the emerging high risk subgroups of MSM communities in recent years [ 60 – 62 ], so higher rate of commercial sex in MSMW was associated with HIV transmission. The current systematic review also estimated that MSMW were 2.1 and 3.0 times more likely to engage in alcohol use than MSMO.…”

Section: Discussionmentioning

confidence: 99%

Sexual Risk Behaviors and HIV Infection among Men Who Have Sex with Men and Women in China: Evidence from a Systematic Review and Meta-Analysis

Wang

Zou

et al. 2015

BioMed Research International

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Objectives. To understand the current risk of HIV infection and transmission and further elucidate the underlying risk factors among men who have sex with men and women (MSMW) in China. Methods. Following PRISMA guidelines, we conducted a systematic review and meta-analysis of searching through Chinese and English available literature databases between January 2000 and June 2014 to identify articles. Results. Thirty-six articles (including 19,730 MSMW and 53,536 MSMO) met the selection criteria and the aggregated results found that MSMW have significantly higher HIV prevalence than MSMO (6.6% versus 5.4%, OR = 1.27, 95% CI = 1.01–1.58). A higher proportion of MSMW had commercial male partners in the past 6 months (18.3% versus 12.2%, OR = 1.56, 95% CI = 1.01–2.42). Additionally, substance use in the past 6 months was significantly more frequent among MSMW than MSMO (alcohol use: 27.1% versus 13.1%, OR = 2.53, 95% CI = 2.14–2.99; illicit drug use: 5.3% versus 2.5%, OR = 2.09, 95% CI = 1.48–2.95). Conclusion. A higher proportion of commercial sex and substance use among MSMW may be a potentially indicative factor for significantly higher HIV prevalence compared to MSMO. Targeted interventions should aim at increasing the frequency of HIV/STIs screening and preventing high risk commercial sex and substance use among MSMW to decrease their HIV transmission to the general population.

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Section: Discussionmentioning

confidence: 99%

Sexual Risk Behaviors and HIV Infection among Men Who Have Sex with Men and Women in China: Evidence from a Systematic Review and Meta-Analysis

Wang

Zou

et al. 2015

BioMed Research International

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“…This underscores urgent needs of joint intervention efforts for drug use and risky sexual behaviors among MSM in China. Furthermore, given that MBs use drugs more often and have sex more often after using drugs than general MSM (Chow et al, 2012; Nehl et al, 2014), such intervention efforts should be oriented differentially for MBs and general MSM.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological and molecular characteristics of HIV infection among money boys and general men who have sex with men in Shanghai, China

Hong

Ding

Wong

et al. 2015

Infection, Genetics and Evolution

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To examine and compare the epidemiological and molecular characteristics of HIV infection between money boys (MBs) and general men who have sex with men (MSM) in Shanghai, China. Using a venue-based sampling strategy, a total of 535 MSM including 226 MBs and 309 general MSM were recruited to participate in a cross-sectional survey including a face-to-face questionnaire interview and HIV testing. Genotyping of HIV-1 pol gene was performed for HIV-positive participants. Compared with general MSM, MBs reported more sexual partners, more alcohol and drug use and more sex after alcohol or drug use. HIV prevalence was 10.7% overall, 14.6% for MBs and 7.8% for general MSM (p=0.011). Two independent multiple logistic regression analyses indicated that HIV infection was positively associated with non-Han ethnicity (Odds Ratio [OR]=4.79, 95% Confidence Interval [CI]: 1.08–21.28) and sex after drug use in the past 6 months (OR=3.59, 95%CI: 1.50–8.61) among MBs, and with sex after drug use in the past 6 months (OR=3.38, 95%CI: 1.10–10.34) among general MSM as well. HIV-1 pol gene was successfully amplified and sequenced for 52 (91.2%) of HIV-positive participants. Of them, 53.8% were genotyped as CRF01_AE, 36.5% as CRF07_BC and 9.6% as subtype B. Two CRF01_AE subtype-infected participants (3.8%), a 50 years old MB and a 24 years old general MSM, harbored viruses with a M46L mutation conferring resistance to protease inhibitors (PI). MSM particularly MBs in Shanghai, China were at high risk of HIV infection, underscoring an urgent need for joint intervention efforts for drug use and sexual behaviors. HIV drug resistance surveillance is also warranted although the relatively low prevalence of HIV drug resistance implies the effectiveness of current antiretroviral treatment regimen.

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“…IDU is rare among Chinese MSM (Nehl et al, 2015); however, use of alcohol and recreational drugs is common (Lu et al, 2013; Xu et al, 2014a,b). Alcohol and recreational drug use may lead to sexual risk-taking behaviors (Jia et al, 2010; Li et al, 2012; Santos et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…While the association between club drug use and risky sexual behavior has been established, the specific type of drugs and their link with risky sexual behavior are geographically different around the globe (Van Tieu and Koblin, 2009). Previous studies among Chinese MSM have shown that certain club drugs are more popular than others, especially inhalant nitrites (poppers) (Nehl et al, 2015; Xu et al, 2014a,b). …”

Section: Introductionmentioning

confidence: 99%

Poppers use and risky sexual behaviors among men who have sex with men in Beijing, China

Zhang

Teng

et al. 2016

Drug and Alcohol Dependence

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Background Although poppers are increasingly popular among MSM in China, little is known about the patterns of poppers use. The objectives of this study were to describe the patterns of poppers use and examine its association with sexual behaviors and HIV infection among MSM in Beijing, China. Methods As part of a multi-component HIV intervention trial, 3588 MSM were surveyed between March 2013 and March 2014 in Beijing, China. Blood samples were collected and tested for HIV and syphilis. The questionnaire collected information about socio-demographic and behavioral characteristics. Univariate and multivariable logistic regression analyses were performed to evaluate the correlates of poppers use. Results Over a quarter of men (27.5%) reported having used at least one type of drugs in the past three months. Poppers were the most popular one (26.8%). Poppers use was correlated with a higher HIV prevalence [odds ratio (OR): 1.38, 95% confidence interval (CI): 1.11–1.70]. Demographic and sexual behavioral factors associated with poppers use included: younger age [adjusted OR (AOR): 1.56, 95% CI: 1.25–1.94], higher education (AOR: 1.61, 95% CI: 1.33–1.96), alcohol use (AOR: 1.32, 95% CI: 1.10–1.60), seeking male partners mainly via the internet (AOR: 1.60, 95% CI: 1.28–2.00), multiple male sex partnership (AOR: 2.22, 95% CI: 1.90–2.60), and unprotected receptive anal intercourse (AOR: 1.52, 95% CI: 1.28–1.81). Conclusions In this study, poppers use was positively associated with HIV infection and unprotected anal intercourse. Intervention efforts should be devoted to promote safer sex and HIV testing and counseling among MSM who use poppers.

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Drug Use and Sexual Behaviors Among MSM in China

Cited by 16 publications

References 64 publications

Sexual Risk Behaviors and HIV Infection among Men Who Have Sex with Men and Women in China: Evidence from a Systematic Review and Meta-Analysis

Sexual Risk Behaviors and HIV Infection among Men Who Have Sex with Men and Women in China: Evidence from a Systematic Review and Meta-Analysis

Epidemiological and molecular characteristics of HIV infection among money boys and general men who have sex with men in Shanghai, China

Poppers use and risky sexual behaviors among men who have sex with men in Beijing, China

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