nach oben

AIDS and Behavior

Erschienen in:

01.05.2012 | Original Paper

A Survey of Condom Use Behaviors and HIV/STI Prevalence Among Venue-Based Money Boys in Shenzhen, China

verfasst von: Shusen Liu, Jin Zhao, Keming Rou, Lin Chen, Wende Cai, Li Li, Zunyou Wu, Roger Detels

Erschienen in: AIDS and Behavior | Ausgabe 4/2012

Einloggen, um Zugang zu erhalten

Abstract

We examined an at-risk population in China, money boys (MBs), to evaluate their potential role for transmitting HIV and sexually transmitted infections (STIs). Data were collected from 418 MBs selected by time-location cluster sampling, using a self-administered computerized questionnaire and testing a small blood sample for HIV/STIs. One-third (32.1%) of participants self-identified as homosexual, 25.4% heterosexual, 33.5% bisexual, and 9.1% uncertain. Consistent condom use by participants was 70–80% with commercial sex partners, 43.9% with girlfriends, and 60–70% with other non-commercial partners. HIV prevalence was 3.3%; syphilis, 10.5%; and HSV-2, 11.0%; overall prevalence for any was 20.3%. Factors significantly associated with HIV/STIs included being minority (OR = 4.82), having only male partners (OR = 1.92), having more male casual partners in the last 6 months (OR = 1.28), being younger at sexual debut (OR = 1.14), and being older (OR = 1.11). This study emphasizes the importance of developing targeted interventions for MBs, particularly those who are homosexual or minority.

Chinese State Council AIDS Working Committee and United Nations Theme Group on AIDS. A Joint Assessment of HIV/AIDS Prevention, Treatment and Care in China. 2007.

Zhang B, Li X, Shi T. A primary estimation of the number of population and HIV prevalence in homosexual and bisexual men in China. J China AIDS/STD Prevent Control. 2002;8:197.

Zhong F, Lin P, Xu H, et al. Possible increase in HIV and syphilis prevalence among men who have sex with men in Guangzhou, China: results from a respondent-driven sampling survey. AIDS Behav. 2009;36(10):647–56.

Wong FY, Huang ZJ, Wang W, et al. STIs and HIV among men having sex with men in China: a ticking time bomb? AIDS Educ Prev. 2009;21(5):430–46.PubMedCrossRef

Lau JT, Wang M, Wong HN, et al. Prevalence of bisexual behaviors among men who have sex with men (MSM) in China and associations between condom use in MSM and heterosexual behaviors. Sex Transm Dis. 2008;35(4):406–13.PubMedCrossRef

Ma X, Zhang Q, He X, et al. Trends in prevalence of HIV, syphilis, hepatitis C, hepatitis B, sexual risk behavior among men who have sex with men. Results of 3 consecutive respondent-driven sampling surveys in Beijing, 2004 through 2006. J Acquir Immune Defic Syndr. 2007;45(5):581–7.PubMedCrossRef

Jiang J, Cao N, Zhang J, et al. High prevalence of sexually transmitted diseases among men who have sex with men in Jiangsu Province, China. Sex Transm Dis. 2006;33(2):118–23.PubMedCrossRef

Zhang D, Bi P, Lv F, Zhang J, Hiller JE. Changes in HIV prevalence and sexual behavior among men who have sex with men in a northern Chinese city: 2002–2006. J Infect. 2007;55(5):456–63.PubMedCrossRef

Chemnasiri T, Netwong T, Visarutratana S, et al. Inconsistent condom use among young men who have sex with men, male sex workers, and transgenders in Thailand. AIDS Educ Prev. 2010;22(2):100–9.PubMedCrossRef

10.

Baral S, Kizub D, Masenior NF, et al. Male sex workers in Moscow, Russia: a pilot study of demographics, substance use patterns, and prevalence of HIV-1 and sexually transmitted infections. AIDS Care. 2010;22(1):112–8.PubMedCrossRef

11.

Shinde S, Setia MS, Row-Kavi A, Anand V, Jerajani H. Male sex workers: are we ignoring a risk group in Mumbai, India? Indian J Dermatol Venereol Leprol. 2009;75(1):41–6.PubMedCrossRef

12.

Tun W, de Mello M, Pinho A, Chinaglia M, Diaz J. Sexual risk behaviours and HIV seroprevalence among male sex workers who have sex with men and non-sex workers in Campinas, Brazil. Sex Transm Infect. 2008;84(6):455–7.PubMedCrossRef

13.

Sethi G, Holden BM, Gaffney J, Greene L, Ghani AC, Ward H. HIV, sexually transmitted infections, and risk behaviours in male sex workers in London over a 10 year period. Sex Transm Infect. 2006;82(5):359–63.PubMedCrossRef

14.

Cai WD, Zhao J, Zhao JK, et al. HIV prevalence and related risk factors among male sex workers in Shenzhen, China: results from a time-location sampling survey. Sex Transm Infect. 2010;86(1):15–20.PubMedCrossRef

15.

Lau JT, Cai WD, Tsui HY, Chen L, Cheng JQ. Psychosocial factors in association with condom use during commercial sex among migrant male sex workers living in Shenzhen, mainland China who serve cross-border Hong Kong male clients. AIDS Behav. 2009;13(5):939–48.PubMedCrossRef

16.

Geibel S, Luchters S, King’Ola N, Esu-Williams E, Rinyiru A, Tun W. Factors associated with self-reported unprotected anal sex among male sex workers in Mombasa, Kenya. Sex Transm Dis. 2008;35(8):746–52.PubMedCrossRef

17.

Kong TS. Risk factors affecting condom use among male sex workers who serve men in China: a qualitative study. Sex Transm Infect. 2008;84(6):444–8.PubMedCrossRef

18.

Wong FY, Huang ZJ, He N, et al. HIV risks among gay- and non-gay-identified migrant money boys in Shanghai, China. AIDS Care. 2008;20(2):170–80.PubMedCrossRef

19.

Liu H, Liu H, Cai Y, Rhodes AG, Hong F. Money boys, HIV risks, and the associations between norms and safer sex: a respondent-driven sampling study in Shenzhen, China. AIDS Behav. 2009;13(4):652–62.PubMedCrossRef

20.

He N, Wong FY, Huang ZJ, Thompson EE, Fu C. Substance use and HIV risks among male heterosexual and ‘money boy’ migrants in Shanghai, China. AIDS Care. 2007;19(1):109–15.PubMedCrossRef

21.

He N, Wong FY, Huang ZJ, et al. HIV risks among two types of male migrants in Shanghai, China: money boys vs. general male migrants. AIDS. 2007;21(Suppl 8):S73–9.PubMedCrossRef

22.

Mi G, Wu Z, Zhang B, Zhang H. Survey on HIV/AIDS-related high risk behaviors among male sex workers in two cities in China. AIDS. 2007;21(Suppl 8):S67–72.PubMedCrossRef

23.

Dare OO, Cleland JG. Reliability and validity of survey data on sexual behaviour. Hlth Transit Rev. 1994;4(Suppl):93–110.

24.

Tourangeau R, Yan T. Sensitive questions in surveys. Psychol Bull. 2007;133(5):859–83.PubMedCrossRef

25.

Geary C, Tchupo J, Johnson L, Cheta C, Nyiama T. Respondent perspectives on self-report measures of condom use. AIDS Educ Prev. 2003;15(6):499–515.PubMedCrossRef

26.

Paulhus D. Measures of personality and social psychological attitudes. In: Robinson J, Shaver P, Wrightsman L, editors. Measurement and control of response bias. New York: Academic Press; 1991. p. 17–59.

27.

Guest G, Bunce A, Johnson L, Akumatey B, Adeokun L. Fear, hope and social desirability bias among women at high risk for HIV in West Africa. J Fam Plan Reprod Health Care. 2005;31(4):285–7.CrossRef

28.

Schopper D, Doussantousse S, Orav J. Sexual behaviours relevant to HIV transmission in a rural African population: How much can a KAP survey tell us? Soc Sci Med. 1993;37:401–12.PubMedCrossRef

29.

Des Jarlais DC, Paone D, Milliken J, et al. Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users: a quasi-randomised trial. Lancet. 1999;353(9165):1657–61.PubMedCrossRef

30.

Kissinger P, Rice J, Farley T, et al. Application of computer-assisted interviews to sexual behavior research. Am J Epidemiol. 1999;149(10):950–4.PubMedCrossRef

31.

Macalino GE, Celentano DD, Latkin C, Strathdee SA, Vlahov D. Risk behaviors by audio computer-assisted self-interviews among HIV-seropositive and HIV-seronegative injection drug users. AIDS Educ Prev. 2002;14(5):367–78.PubMedCrossRef

32.

Navaline HA, Snider EC, Petro CJ, et al. Preparations for AIDS vaccine trials. An automated version of the risk assessment battery (RAB): enhancing the assessment of risk behaviors. AIDS Res Hum Retroviruses. 1994;10(Suppl 2):S281–3.PubMed

33.

Reichmann WM, Losina E, Seage GR, et al. Does modality of survey administration impact data quality: audio computer assisted self interview (ACASI) versus self-administered pen and paper? PLoS One. 2010;5(1):e8728.PubMedCrossRef

34.

Rogers SM, Willis G, Al-Tayyib A, et al. Audio computer assisted interviewing to measure HIV risk behaviours in a clinic population. Sex Transm Infect. 2005;81(6):501–7.PubMedCrossRef

35.

van der Elst EM, Okuku HS, Nakamya P, et al. Is audio computer-assisted self-interview (ACASI) useful in risk behaviour assessment of female and male sex workers, Mombasa, Kenya? PLoS One. 2009;4(5):e5340.PubMedCrossRef

36.

Williams ML, Freeman RC, Bowen AM, et al. A comparison of the reliability of self-reported drug use and sexual behaviors using computer-assisted versus face-to-face interviewing. AIDS Educ Prev. 2000;12(3):199–213.PubMed

37.

Wang L, Ding ZW, Ding GW, et al. Data analysis of national HIV comprehensive surveillance sites among female sex workers from 2004 to 2008. Zhonghua Yu Fang Yi Xue Za Zhi. 2009;43(11):1009–15.PubMed

38.

Hong FC, Zhou H, Cai YM, et al. Prevalence of syphilis and HIV infections among men who have sex with men from different settings in Shenzhen, China: implications for HIV/STD surveillance. Sex Transm Infect. 2009;85(1):42–4.PubMedCrossRef

39.

Xiao Y, Sun J, Li C, et al. Prevalence and correlates of HIV and syphilis infections among men who have sex with men in seven provinces in China with historically low HIV prevalence. J Acquir Immune Defic Syndr. 2010;53(Suppl 1):S66–73.PubMed

Titel: A Survey of Condom Use Behaviors and HIV/STI Prevalence Among Venue-Based Money Boys in Shenzhen, China
verfasst von: Shusen Liu
Jin Zhao
Keming Rou
Lin Chen
Wende Cai
Li Li
Zunyou Wu
Roger Detels
Publikationsdatum: 01.05.2012
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 4/2012
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-011-9978-y

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

25.04.2024 Allergien und Intoleranzreaktionen Nachrichten

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2012

A Multilevel Analysis of the Impact of Socio-Structural and Environmental Influences on Condom Use Among Female Sex Workers

Investigating Partner Abuse Among HIV-Positive Men Who have Sex with Men

A Venue-Based Approach to Reaching MSM, IDUs and the General Population with VCT: A Three Study Site in Kenya

HIV Transmission Rate Modeling: A Primer, Review, and Extension

Preventing Human Immunodeficiency Virus Infection Among Sexual Assault Survivors in Cape Town, South Africa: An Observational Study