Relationship between syphilis and HIV infections among men who have sex with men in Beijing, China

被引:114
作者
Ruan, Yuhua
Li, Dongliang
Li, Xinxu
Qian, Han-Zhu
Shi, Wei
Zhang, Xiaoxi
Yang, Zhenkai
Zhang, Xiaoyan
Wang, Chen
Liu, Yingjie
Yu, Miao
Xiao, Dong
Hao, Chun
Xing, Hui
Hong, Kunxue
Shao, Yiming
机构
[1] Chinese Ctr Dis Control & Prevent, State Key Lab Infect Dis Prevent & Control, Beijing 100050, Peoples R China
[2] Chinese Ctr Dis Control & Prevent, Natl Ctr AIDS STD Control & Prevent, Beijing 100050, Peoples R China
[3] Chaoyang Ctr Dis Control & Prevent, Beijing, Peoples R China
[4] Univ Alabama Birmingham, Dept Med, Div Prevent Med, Birmingham, AL 35294 USA
关键词
D O I
10.1097/01.olq.0000253336.64324.ef
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: Little is known about risk of HIV and other STD)s among men who have sex with men (MSM) in China. Objective: To survey the prevalence and risk factors of HIV and syphilis and evaluate correlation of two infections among MSM in the Chinese capital city. Methods: A community-based sample of 526 MSM was recruited in 2005 through Internet advertising, community outreach, and peer referring. Interviewer-administered interviews were conducted to collect information on demographics and sexual and other risk behaviors, and blood samples were collected to test for syphilis and HIV infections. Results: Seventeen (3.2%) participants were HIV seropositive and 59 (11.2%) syphilis seropositive. Sixty-four percent of participants were migrants who did not have Beijing residence. Forty percent had >10 lifetime male sex partners and 28.8% reported having ever had sex with women. Consistent condom use with primary male sex partners ranged from 21% to 24%, with nonprimary male sex partners from 35% to 42%, and with female partners around 33%. Illicit drug use was not common; only 2.5% reported using Ecstasy or ketamine in the past 6 months. Multivariate logistic regression analyses demonstrated that >10 lifetime male sex partners were independently associated with seropositivity of both syphilis (OR, 1.9; 95% CI, 1.1-3.4) and HIV (OR, 4.3; 95% CI, 1.4-13.6). In addition, HIV infection is significantly associated with syphilis seropositivity (OR, 3.8; 95% CI, 1.3-10.8). Conclusions: High mobility, multiple sexual partners, and high prevalence of unprotected sex behaviors and syphilis infection suggest a potential rapid spread of HIV in Chinese MSM.
引用
收藏
页码:592 / 597
页数:6
相关论文
共 36 条
[11]   Emerging HIV-1 epidemic in China in men who have sex with men [J].
Choi, KH ;
Liu, H ;
Guo, YQ ;
Han, L ;
Mandel, JS ;
Rutherford, GW .
LANCET, 2003, 361 (9375) :2125-2126
[12]   Highly active antiretroviral therapy and sexual risk behavior - A meta-analytic review [J].
Crepaz, N ;
Hart, TA ;
Marks, G .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 292 (02) :224-236
[13]  
Ding YP, 2005, JAIDS-J ACQ IMM DEF, V38, P314
[14]   Recent trends in the epidemiology of sexually transmitted infections in the European Union [J].
Fenton, KA ;
Lowndes, CM .
SEXUALLY TRANSMITTED INFECTIONS, 2004, 80 (04) :255-263
[15]   Factors associated with unprotected sexual intercourse with steady male, casual male, and female partners among men who have sex with men in Barcelona, Spain [J].
Folch, Cinta ;
Marks, Gary ;
Esteve, Anna ;
Zaragoza, Kati ;
Munoz, Rafa ;
Casabona, Jordi .
AIDS EDUCATION AND PREVENTION, 2006, 18 (03) :227-242
[16]  
Gong XD, 2001, CHIN J STD AIDS PREV, V7, P131
[17]   High prevalence of sexually transmitted diseases among men who have sex with men in Jiangsu Province, China [J].
Jiang, J ;
Cao, NX ;
Zhang, JP ;
Xia, Q ;
Gong, XD ;
Xue, HZ ;
Yang, HT ;
Zhang, GC ;
Shao, CG .
SEXUALLY TRANSMITTED DISEASES, 2006, 33 (02) :118-123
[18]   Risk factors for HIV infection among men who have sex with men [J].
Koblin, BA ;
Husnik, MJ ;
Colfax, G ;
Huang, YJ ;
Madison, M ;
Mayer, K ;
Barresi, PJ ;
Coates, TJ ;
Chesney, MA ;
Buchbinder, S .
AIDS, 2006, 20 (05) :731-739
[19]   Contribution of HIV-1 infection to acquisition of sexually transmitted disease: A 10-year prospective study [J].
McClelland, RS ;
Lavreys, L ;
Katingima, C ;
Overbaugh, J ;
Chohan, V ;
Mandaliya, K ;
Ndinya-Achola, J ;
Baeten, JM .
JOURNAL OF INFECTIOUS DISEASES, 2005, 191 (03) :333-338
[20]  
Ministry of Health People's Republic of China, 2006, 2005 UPD HIV AIDS EP