Skip to main content
Erschienen in: AIDS and Behavior 12/2016

16.03.2016 | Original Paper

Investigating HIV Infection and HIV Incidence Among Chinese Men Who Have Sex with Men with Recent Sexual Debut, Chongqing, China, 2011

verfasst von: Na Wang, Guohui Wu, Rongrong Lu, Liangui Feng, Yan Xiao, Willi McFarland, Yuhua Ruan, Yiming Shao, H. F. Raymond

Erschienen in: AIDS and Behavior | Ausgabe 12/2016

Einloggen, um Zugang zu erhalten

Abstract

HIV among men who have sex with men (MSM) with recent male–male sexual debut, such as within the past 5 years, may be a proxy for recent HIV infection. Using this definition, we explored factors associated with HIV infection in this group to understand the evolving HIV epidemic among MSM in Chongqing. We conducted a cross-sectional respondent-driven sampling survey among Chongqing MSM in 2011. Computer-assisted, self-administered questionnaires were used and blood specimens were collected for HIV and syphilis testing. Three hundred and ninety-one unique MSM were recruited of which 65.7 % (257) had their sexual debut with another man in the past 5 years. HIV prevalence among men with recent sexual debut was 18.7 % suggesting a possible HIV incidence of 3.7 %. Multivariable analysis among men with recent sexual debut suggests that lower education, having more than one male partner, and currently being infected with syphilis are associated with HIV among men with recent sexual debut. HIV prevalence is high among MSM with recent sexual debut in Chongqing, which may be a proxy a high incidence rate. HIV prevention efforts should focus on STD reduction among those MSM with lower educational attainment.
Literatur
2.
Zurück zum Zitat Bautista-Arredondo S, Colchero MA, Romero M, Conde-Glez CJ, Sosa-Rubi SG. Is the HIV epidemic stable among MSM in Mexico? HIV prevalence and risk behavior results from a nationally representative survey among men who have sex with men. PLoS ONE. 2013;8(9):e72616.CrossRefPubMedPubMedCentral Bautista-Arredondo S, Colchero MA, Romero M, Conde-Glez CJ, Sosa-Rubi SG. Is the HIV epidemic stable among MSM in Mexico? HIV prevalence and risk behavior results from a nationally representative survey among men who have sex with men. PLoS ONE. 2013;8(9):e72616.CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Beyrer C, Baral SD, van Griensven F, et al. Global epidemiology of HIV infection in men who have sex with men. The Lancet. 2012;380(9839):367–77.CrossRef Beyrer C, Baral SD, van Griensven F, et al. Global epidemiology of HIV infection in men who have sex with men. The Lancet. 2012;380(9839):367–77.CrossRef
4.
Zurück zum Zitat Jacobson JO, Sanchez-Gomez A, Montoya O, et al. A continuing HIV epidemic and differential patterns of HIV-STI risk among MSM in Quito, Ecuador: an urgent need to scale up HIV testing and prevention. AIDS Behav. 2014;18(1):88–98.CrossRefPubMed Jacobson JO, Sanchez-Gomez A, Montoya O, et al. A continuing HIV epidemic and differential patterns of HIV-STI risk among MSM in Quito, Ecuador: an urgent need to scale up HIV testing and prevention. AIDS Behav. 2014;18(1):88–98.CrossRefPubMed
5.
Zurück zum Zitat Meng X, Zou H, Beck J, et al. Trends in HIV prevalence among men who have sex with men in China 2003–09: a systematic review and meta-analysis. Sex Health. 2013;10(3):211–9.PubMed Meng X, Zou H, Beck J, et al. Trends in HIV prevalence among men who have sex with men in China 2003–09: a systematic review and meta-analysis. Sex Health. 2013;10(3):211–9.PubMed
6.
Zurück zum Zitat Li X, Lu H, Cox C, et al. Changing the landscape of the HIV epidemic among MSM in China: results from three consecutive respondent-driven sampling surveys from 2009 to 2011. BioMed Res Int. 2014;2014:563517.PubMedPubMedCentral Li X, Lu H, Cox C, et al. Changing the landscape of the HIV epidemic among MSM in China: results from three consecutive respondent-driven sampling surveys from 2009 to 2011. BioMed Res Int. 2014;2014:563517.PubMedPubMedCentral
7.
Zurück zum Zitat Sanders EJ, Okuku HS, Smith AD, et al. High HIV-1 incidence, correlates of HIV-1 acquisition, and high viral loads following seroconversion among MSM. AIDS. 2013;27(3):437–46.CrossRefPubMedPubMedCentral Sanders EJ, Okuku HS, Smith AD, et al. High HIV-1 incidence, correlates of HIV-1 acquisition, and high viral loads following seroconversion among MSM. AIDS. 2013;27(3):437–46.CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Kiwanuka N, Ssetaala A, Nalutaaya A, et al. High incidence of HIV-1 infection in a general population of fishing communities around Lake Victoria, Uganda. PLoS ONE. 2014;9(5):e94932.CrossRefPubMedPubMedCentral Kiwanuka N, Ssetaala A, Nalutaaya A, et al. High incidence of HIV-1 infection in a general population of fishing communities around Lake Victoria, Uganda. PLoS ONE. 2014;9(5):e94932.CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Kassanjee R, Pilcher CD, Keating SM, et al. Independent assessment of candidate HIV incidence assays on specimens in the CEPHIA repository. AIDS. 2014;28(16):2439–49.CrossRefPubMedPubMedCentral Kassanjee R, Pilcher CD, Keating SM, et al. Independent assessment of candidate HIV incidence assays on specimens in the CEPHIA repository. AIDS. 2014;28(16):2439–49.CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Giuliani M, Vescio MF, Latini A, et al. Continuous increase in HIV-1 incidence after the year 2000 among men who have sex with men in Rome: insights from a 25-year retrospective cohort study. Euro Surveill. 2014;19(47):20969.CrossRefPubMed Giuliani M, Vescio MF, Latini A, et al. Continuous increase in HIV-1 incidence after the year 2000 among men who have sex with men in Rome: insights from a 25-year retrospective cohort study. Euro Surveill. 2014;19(47):20969.CrossRefPubMed
11.
Zurück zum Zitat Ackers ML, Greenberg AE, Lin CY, et al. High and persistent HIV seroincidence in men who have sex with men across 47 U.S. cities. PLoS ONE. 2012;7(4):e34972.CrossRefPubMedPubMedCentral Ackers ML, Greenberg AE, Lin CY, et al. High and persistent HIV seroincidence in men who have sex with men across 47 U.S. cities. PLoS ONE. 2012;7(4):e34972.CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Jansen IA, Geskus RB, Davidovich U, et al. Ongoing HIV-1 transmission among men who have sex with men in Amsterdam: a 25-year prospective cohort study. AIDS. 2011;25(4):493–501.CrossRefPubMed Jansen IA, Geskus RB, Davidovich U, et al. Ongoing HIV-1 transmission among men who have sex with men in Amsterdam: a 25-year prospective cohort study. AIDS. 2011;25(4):493–501.CrossRefPubMed
13.
Zurück zum Zitat Ekstrand ML, Stall RD, Paul JP, Osmond DH, Coates TJ. Gay men report high rates of unprotected anal sex with partners of unknown or discordant HIV status. AIDS. 1999;13(12):1525–33.CrossRefPubMed Ekstrand ML, Stall RD, Paul JP, Osmond DH, Coates TJ. Gay men report high rates of unprotected anal sex with partners of unknown or discordant HIV status. AIDS. 1999;13(12):1525–33.CrossRefPubMed
14.
Zurück zum Zitat Garofalo R, Herrick A, Mustanski BS, Donenberg GR. Tip of the Iceberg: young men who have sex with men, the Internet, and HIV risk. Am J Public Health. 2007;97(6):1113–7.CrossRefPubMedPubMedCentral Garofalo R, Herrick A, Mustanski BS, Donenberg GR. Tip of the Iceberg: young men who have sex with men, the Internet, and HIV risk. Am J Public Health. 2007;97(6):1113–7.CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Flores SA, Mansergh G, Marks G, Guzman R, Colfax G. Gay identity-related factors and sexual risk among men who have sex with men in San Francisco. AIDS Educ Prev. 2009;21(2):91–103.CrossRefPubMed Flores SA, Mansergh G, Marks G, Guzman R, Colfax G. Gay identity-related factors and sexual risk among men who have sex with men in San Francisco. AIDS Educ Prev. 2009;21(2):91–103.CrossRefPubMed
16.
Zurück zum Zitat Razani N, Schwarcz S, Klausner JD, Kohn RP, McFarland W. How well do trends in HIV prevalence in young people reflect HIV incidence? Results from 10 years of HIV serosurveillance in San Francisco. AIDS. 2006;20(9):1332–3.CrossRefPubMed Razani N, Schwarcz S, Klausner JD, Kohn RP, McFarland W. How well do trends in HIV prevalence in young people reflect HIV incidence? Results from 10 years of HIV serosurveillance in San Francisco. AIDS. 2006;20(9):1332–3.CrossRefPubMed
17.
Zurück zum Zitat Feng L, Ding X, Lu R, Liu J, Sy A, Ouyang L, Pan C, Yi H, Liu H, Xu J, Zhao J. High HIV prevalence detected in 2006 and 2007 among men who have sex with men in China’s largest municipality: an alarming epidemic in Chongqing, China. J Acquir Immune Defic Syndr. 2009;52(1):79–85. doi:10.1097/QAI.0b013e3181a4f53e.CrossRefPubMed Feng L, Ding X, Lu R, Liu J, Sy A, Ouyang L, Pan C, Yi H, Liu H, Xu J, Zhao J. High HIV prevalence detected in 2006 and 2007 among men who have sex with men in China’s largest municipality: an alarming epidemic in Chongqing, China. J Acquir Immune Defic Syndr. 2009;52(1):79–85. doi:10.​1097/​QAI.​0b013e3181a4f53e​.CrossRefPubMed
19.
Zurück zum Zitat Raymond HF, Chen YH, McFarland W. Estimating incidence of HIV infection among men who have sex with men, San Francisco, 2004–2014. AIDS Behav. 2015;20(1):17–21.CrossRef Raymond HF, Chen YH, McFarland W. Estimating incidence of HIV infection among men who have sex with men, San Francisco, 2004–2014. AIDS Behav. 2015;20(1):17–21.CrossRef
20.
Zurück zum Zitat Li X, Lu H, Ma X, et al. HIV/AIDS-related stigmatizing and discriminatory attitudes and recent HIV testing among men who have sex with men in Beijing. AIDS Behav. 2012;16(3):499–507.CrossRefPubMedPubMedCentral Li X, Lu H, Ma X, et al. HIV/AIDS-related stigmatizing and discriminatory attitudes and recent HIV testing among men who have sex with men in Beijing. AIDS Behav. 2012;16(3):499–507.CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Ruan Y, Wu G, Lu H, Xiao Y, Zhao Y, Lu R, He X, Leng L, McFarland W, Shao Y, Raymond HF. Sexual partnerships with men and women among men who have sex with men in Beijing and Chongqing, China, 2010. AIDS Behav. 2013;18(1):180–8. doi:10.1007/s10461-013-0505-1.CrossRef Ruan Y, Wu G, Lu H, Xiao Y, Zhao Y, Lu R, He X, Leng L, McFarland W, Shao Y, Raymond HF. Sexual partnerships with men and women among men who have sex with men in Beijing and Chongqing, China, 2010. AIDS Behav. 2013;18(1):180–8. doi:10.​1007/​s10461-013-0505-1.CrossRef
22.
Zurück zum Zitat Zhou C, Raymond HF, Ding X, Lu R, Xu J, Wu G, Feng L, Fan S, Li X, McFarland W, Xiao Y, Ruan Y, Shao Y. Anal sex role, circumcision status and HIV infection among MSM in Chongqing, China, 2010. Arch Sex Behav. 2012;42(7):1275–83. doi:10.1007/s10508-012-0008-6.CrossRefPubMed Zhou C, Raymond HF, Ding X, Lu R, Xu J, Wu G, Feng L, Fan S, Li X, McFarland W, Xiao Y, Ruan Y, Shao Y. Anal sex role, circumcision status and HIV infection among MSM in Chongqing, China, 2010. Arch Sex Behav. 2012;42(7):1275–83. doi:10.​1007/​s10508-012-0008-6.CrossRefPubMed
23.
Zurück zum Zitat Ghys PD, Kufa E, George MV. Measuring trends in prevalence and incidence of HIV infection in countries with generalised epidemics. Sex Transm Infect. 2006;82(Suppl 1):i52–6.CrossRefPubMedPubMedCentral Ghys PD, Kufa E, George MV. Measuring trends in prevalence and incidence of HIV infection in countries with generalised epidemics. Sex Transm Infect. 2006;82(Suppl 1):i52–6.CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Zhang Y, Chen P, Lu R, et al. Prevalence of HIV among men who have sex with men in Chongqing, China, 2006–2009: cross-sectional biological and behavioural surveys. Sex Transm Infect. 2012;88(6):444–50.CrossRefPubMed Zhang Y, Chen P, Lu R, et al. Prevalence of HIV among men who have sex with men in Chongqing, China, 2006–2009: cross-sectional biological and behavioural surveys. Sex Transm Infect. 2012;88(6):444–50.CrossRefPubMed
25.
Zurück zum Zitat Paunonen SV, LeBel EP. Socially desirable responding and its elusive effects on the validity of personality assessments. J Pers Soc Psychol. 2012;103(1):158–75.CrossRefPubMed Paunonen SV, LeBel EP. Socially desirable responding and its elusive effects on the validity of personality assessments. J Pers Soc Psychol. 2012;103(1):158–75.CrossRefPubMed
Metadaten
Titel
Investigating HIV Infection and HIV Incidence Among Chinese Men Who Have Sex with Men with Recent Sexual Debut, Chongqing, China, 2011
verfasst von
Na Wang
Guohui Wu
Rongrong Lu
Liangui Feng
Yan Xiao
Willi McFarland
Yuhua Ruan
Yiming Shao
H. F. Raymond
Publikationsdatum
16.03.2016
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 12/2016
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1356-3

Weitere Artikel der Ausgabe 12/2016

AIDS and Behavior 12/2016 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

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