HIV, Syphilis Infection, and Risky Sexual Behaviors among Male University Students Who Have Sex with Men in Beijing, China: A Cross-Sectional Study

Zheng, Jiandong; Wu, Zunyou; Poundstone, Katharine; Lin, Peng; Rou, Keming

doi:10.1521/aeap.2012.24.1.78

Cited by 15 publications

(12 citation statements)

References 28 publications

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“…Each remaining publication presented one individual study. Table S1 presents a summary description of the 82 studies [42]–[103].…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Unprotected Anal Intercourse among Men Who Have Sex with Men in China: An Updated Meta-Analysis

Jia

et al. 2014

PLoS ONE

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ObjectiveThe purpose of this review was to assess the prevalence of unprotected anal intercourse (UAI) among men who have sex with men (MSM) in China.MethodsA comprehensive search was conducted including online databases like “Wanfang”, Chinese National Knowledge Infrastructure, PubMed and manual searches. Analyses using random-effects models were performed to estimate the prevalence of UAI among MSM in China.ResultsSixty-two articles reporting eighty-two studies were selected. The pooled prevalence rates of UAI with any male partner, with regular male partners, with non-regular male partners, with casual male partners, and with commercial male partners among MSM were 53%(95%CI: 51–56%), 45%(95%CI: 39–51%), 34%(95%CI: 24–45%), 33%(95%CI: 30–36%), 12% (95%CI: 5–26%), respectively. A cumulative meta-analysis found that the pooled UAI prevalence decreased over time.ConclusionsAlthough the prevalence of UAI with male partners among MSM in China presents a decreasing trend over the past decade, the concomitant rise in HIV prevalence and incidence indicates that current prevention intervention efforts are insufficient to effectively contain the spread of HIV. Therefore, the persistently high prevalence of risky sexual behaviors underscores the need for innovative and effective prevention strategies among MSM.

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“…Each remaining publication presented one individual study. Table S1 presents a summary description of the 82 studies [42]–[103].…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Unprotected Anal Intercourse among Men Who Have Sex with Men in China: An Updated Meta-Analysis

Jia

et al. 2014

PLoS ONE

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“…In addition, having STIs is another risk factor for HIV infection due to biological and behavioral links between STIs and HIV, as confirmed by former studies [ 18 – 20 ]. However, according to a survey carried out among young MSM in colleges in Beijing, less than two-thirds (63.1%) knew that STIs could facilitate HIV infection [ 21 ]. Therefore, it is also recommended that future HIV prevention interventions should address this awareness gap.…”

Section: Discussionmentioning

confidence: 99%

Incidence of HIV and Syphilis among Men Who Have Sex with Men (MSM) in Beijing: An Open Cohort Study

Liu

Wang

et al. 2015

PLoS ONE

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BackgroundThis study investigated HIV and syphilis incidence among men who have sex with men (MSM) in Beijing, China.MethodsAn open cohort was established from September 2009 to April 2012. Participants were followed up with every three to four months after recruitment and for thirty-one months in total. Chi-square tests were used to compare demographic and behavioral characteristics between participants who were followed up with and those lost to follow up. Univariate and multivariate Cox proportional hazards regression analyses were used to examine demographic and behavioral associations with HIV and syphilis incidence.Results69.7% (699/1,003) of the participants finished at least two follow-up surveys during the study period. Variables which corresponded to increased loss to follow-up included younger age, less education, non-identification of homosexual identity, and migrant status. A total of 1,045 person-years (PYs) and 1,016.4 PYs were followed up for HIV and syphilis incidence estimation, respectively. The HIV incidence was 5.9 per 100 PYs and 7.8 per 100 PYs for syphilis. The predictors for the high HIV incidence included unsafe anal sex, sex after drinking alcohol and STI infection.ConclusionHIV incidence increased rapidly within the cohort, but syphilis incidence remained stable and decreased. More research is needed to provide multi-pronged HIV prevention interventions among MSM in order to reduce the increasing burden of HIV and sexually transmitted infections (STIs) in China.

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“…Similarly, some studies show high prevalence of syphilis in young men ( VAN DE LAAR et al, 2012;WU et al, 2012;GAO et al, 2013), black (TORRONE et al, 2011;COHEN et al, 2012), in ethnic minorities (WU et al, 2013), drug users (ZHENG et al, 2012;ZHANG et al, 2014), particularly methamphetamine (CHEW-NG et al, 2013), psychic stimulants (SANCHEZ et al, 2013), and poppers (CHAMPENOIS et al, 2013).…”

Section: Discussionmentioning

confidence: 95%

“…Still, a 7% prevalence of syphilis in Chinese students (ZHENG et al, 2012), 0.48% in blood donors (LIU et al, 2012), 5.6 % and 11.3 % in men with bisexual behaviour (YUN et al, 2011;.…”

Section: Introductionmentioning

confidence: 99%

Syphilis Infection in a Male Population: Prevalence and Risk Factors

Macedo¹,

Vasconcelos²,

Colombo-Souza³

et al. 2016

Enci Bio

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RESUMOIntrodução/objetivo: Conhecer as características da população masculina atendida em um ambulatório é importante para guiar as melhores políticas públicas para a prevenção das doenças sexualmente transmissíveis. Métodos: Um estudo de corte transversal foi realizado durante o período de 2014-2015. A amostra constituiu 186 homens entrevistados durante a consulta médica. Análises bivariadas e multivariadas foram realizadas para o diagnóstico de sífilis e fatores associados. Resultados: Aproximadamente 14% dos homens atendidos foram positivos na sorologia para sífilis. Na análise bivariada, apenas o uso de qualquer droga ilícita nos últimos 12 meses foi considerado como variável preditiva para o diagnóstico da doença. Na análise multivariada, apenas a circuncisão foi considerada estatisticamente significante como um fator de proteção contra sífilis. Conclusões: é alto o número de casos de sífilis nos homens tratados em uma clínica especializada e ser circuncidado constituiu uma variável independente para proteção. Conhecer a respeito das doenças sexualmente transmissíveis (DSTs) não repercutiu em medidas preventivas, como o uso de preservativos. Além disso, a resistência masculina em procurar atendimento médico especializado reforça a necessidade de estratégias contínuas e específicas para esses indivíduos. PALAVRAS-CHAVE: sífilis, epidemiologia, comportamento sexual.

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HIV, Syphilis Infection, and Risky Sexual Behaviors among Male University Students Who Have Sex with Men in Beijing, China: A Cross-Sectional Study

Cited by 15 publications

References 28 publications

Prevalence of Unprotected Anal Intercourse among Men Who Have Sex with Men in China: An Updated Meta-Analysis

Prevalence of Unprotected Anal Intercourse among Men Who Have Sex with Men in China: An Updated Meta-Analysis

Incidence of HIV and Syphilis among Men Who Have Sex with Men (MSM) in Beijing: An Open Cohort Study

Syphilis Infection in a Male Population: Prevalence and Risk Factors

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