Socio-demographic and behavioral correlates for HIV and syphilis infections among migrant men who have sex with men in Beijing, China

Wang, Bo; Li, Xiaoming; Stanton, Bonita; Liu, Yingjie; Jiang, Shuling

doi:10.1080/09540121.2012.701714

Cited by 26 publications

(42 citation statements)

References 27 publications

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“…In contrast, the MSM in our study living in Beijing for fewer years or without Beijing 'Hukou' were more likely to frequent non- † Includes: beach, woods, street, theater, public transportation, hotel and private homes Internet venues. This subgroup might include a majority of transient workers (migrants) from village/township/country level cities to large cities for better employment opportunities and living condition [44,45]. These marginal population might be less educated and faced financial constraints [44], both barriers to the conduct of online sexfinding.…”

Section: Discussionmentioning

confidence: 99%

“…This subgroup might include a majority of transient workers (migrants) from village/township/country level cities to large cities for better employment opportunities and living condition [44,45]. These marginal population might be less educated and faced financial constraints [44], both barriers to the conduct of online sexfinding. MSM who were unemployed or retired also tended to visit traditional venues to find sex.…”

Section: Discussionmentioning

confidence: 99%

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Seeking Male Sexual Partners via Internet and Traditional Venues among Chinese Men Who Have Sex with Men: Implications for HIV Risk Reduction Interventions

et al. 2016

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The dynamic nature of finding male sexual partners (sex-finding) among Chinese men who have sex with men (MSM) may play a substantial role in the HIV epidemic. We compared characteristics and behaviors of MSM who mostly sought sex via the Internet versus traditional venues in a cross-sectional survey among 3588 Chinese MSM. We assessed the sociodemographic predictors and compared high-risk behaviors of using Internet versus traditional venues for sex-finding. Compared to non-Internet MSM, Internet-user MSM were more likely to have been: younger, currently single, better educated, health-insured, with higher income, with Beijing residency ('Hukou'), living longer in the city, HIV-positive, ever using drug and engaging in condomless receptive anal sex. Internet sex-finding users were less likely to be sexually active for longer duration, drink alcohol, drink alcohol before sex, or ever have sex with women. Knowledge of differential characteristics of various sex-finding MSM can help design targeted interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Seeking Male Sexual Partners via Internet and Traditional Venues among Chinese Men Who Have Sex with Men: Implications for HIV Risk Reduction Interventions

et al. 2016

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“…Studies in Beijing showed that migrant population were low in socio-economic status and were limited in knowledge of HIV and benefit of timely HIV diagnosis. 58,62 Interventions to increase frequency of HIV testing should focus on transient residents.…”

Section: Discussionmentioning

confidence: 99%

Frequent HIV Testing: Impact on HIV Risk Among Chinese Men Who Have Sex with Men

Liu

Qian

Ruan³

et al. 2016

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background The HIV epidemic continues to expand among men who have sex with men (MSM) in China. The NIMH Project Accept/HPTN 043 trial suggested a borderline significant trend towards HIV incidence reduction among persons with higher testing rates. Methods We assessed HIV testing histories and infection status among a community-based Beijing MSM. HIV serostatus was lab-confirmed. We ascertained demographic/behavioral factors via questionnaire-based interviews. Associations of prior HIV testing with odds of current HIV infection were assessed, seeking improved like-with-like risk comparisons through multivariable logistic regression analysis with propensity score adjustment and restricted cubic spline modeling. Results Among 3,588 participants, 12.7% were HIV-infected; 70.8 % reported having ever tested for HIV. Compared to MSM who never tested, those ever testing had a 41% reduction in the odds of being HIV-positive (adjusted odds ratio [aOR], 0.59; 95% confidence interval [CI]: 0.48, 0.74). Higher HIV testing frequencies were associated with a decreasing trend in the odds of being infected with HIV vs. a referent group with no prior testing (>6 tests [aOR: 0.27; 95%CI: 0.18, 0.41]; 4–6 [aOR: 0.55; 95%CI: 0.39, 0.78]; 2–3 [aOR: 0.61; 95%CI: 0.45, 0.82]; P for trend <0.001). The multivariable adjusted model with restricted cubic spline of HIV testing frequency showed a higher frequency of prior HIV testing associated with lower odds of HIV infection, particularly among men with ≥10 lifetime male sexual partners. Conclusions Using risk probability adjustments to enable less biased comparisons, frequent HIV testing was associated with a lower HIV odds among Chinese MSM.

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“…In addition, previous research among MSM in Beijing revealed that with the increasing epidemic of HIV among MSM in recent years, the number of migrants among recruited participants also showed a noticeable upward trend 1011 This phenomenon implies the following: (1) migrant MSM play a major role in MSM society in Beijing; (2) this marginal population has emerged gradually with the constant improvement in sampling methods; and (3) studies more targeted on the particular population are urgently needed, since currently only a few cross-sectional studies have been conducted to investigate HIV/STD infections and relative risk factors in this group 2122 Thus, the purpose of this research was to assess the incidence of HIV and syphilis and examine the predictors associated with seroconversion and retention in a prospective cohort study among migrant MSM in Beijing, China.…”

Section: Introductionmentioning

confidence: 99%

High incidence of HIV and syphilis among migrant men who have sex with men in Beijing, China: a prospective cohort study

Mao

et al. 2014

BMJ Open

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ObjectivesThe purpose of the study was to investigate the incidence of HIV and syphilis and their related factors, as well as to examine the predictors associated with seroconversion among migrant men who have sex with men (MSM) in Beijing, China.DesignProspective cohort study.SettingBeijing, China.Participants511 HIV-negative migrant MSM.Primary and secondary outcome measuresSociodemographic and behavioural information of participants, HIV and syphilis incidence rates, and factors associated with HIV/syphilis seroconversion and cohort retention.ResultsOf the 511 participants, 60.3% (308) and 52.4% (273) were retained at the 4- and 8-month follow-up visits, respectively. The HIV and syphilis incidence rates were 7.83 (95% CI 4.48 to 12.72) and 11.11 (95% CI 6.47 to 17.80) per 100 person-years, respectively. HIV seroconversion was significantly associated with ‘had first anal intercourse at age 15 or younger’ (adjusted HR (aHR) 9.20, 95% CI 1.94 to 43.56) and ‘ever had group sex’ (aHR 4.30, 95% CI 1.40 to 13.18). Bisexual orientation (aHR 5.09, 95% CI 1.02 to 25.57) was significantly associated with syphilis seroconversion. Predictors associated with both 4- and 8-month retention rates included age ≥25 years old and living in Beijing for more than 1 year.ConclusionsThe high incidence of HIV and syphilis among migrant MSM is a cause for concern. A comprehensive strategy should be implemented to maintain a higher retention rate among migrant MSM.

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Socio-demographic and behavioral correlates for HIV and syphilis infections among migrant men who have sex with men in Beijing, China

Cited by 26 publications

References 27 publications

Seeking Male Sexual Partners via Internet and Traditional Venues among Chinese Men Who Have Sex with Men: Implications for HIV Risk Reduction Interventions

Seeking Male Sexual Partners via Internet and Traditional Venues among Chinese Men Who Have Sex with Men: Implications for HIV Risk Reduction Interventions

Frequent HIV Testing: Impact on HIV Risk Among Chinese Men Who Have Sex with Men

High incidence of HIV and syphilis among migrant men who have sex with men in Beijing, China: a prospective cohort study

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