Author:
Qin Qi-rong,Qiao Ni-ni,Zhu Hong-bin,Mei Yu-nan,Zhang Qian,Fan Yin-guang
Abstract
Abstract
Background
This study conducted a survey of men who have sex with men (MSM) in Maanshan City of Anhui Province to assess the risk behaviors related to human immunodeficiency virus (HIV) infection.
Methods
A cross-sectional survey was conducted from June 2016 to June 2019. The MSM were recruited by a peer-driven sampling method. A face-to-face interview with anonymous questionnaire was used for data collection. The information collected by the survey was summarized and epidemiology described the basic characteristics of MSM, and then the related factors were statistically analyzed.
Results
A total of 934 MSM were recruited with a average age was 30.5 (SD = 8.90) years old, including 816 (87.4%) HIV negative participants and 118 (12.6%) HIV positive ones. This study showed that freelancer (OR = 4.02, 95% CI: 1.96–8.23), scope of sexual partners distribution (OR = 1.78, 95% CI: 1.36–2.33), number of male sexual partners (OR = 2.11, 95% CI: 1.47–3.02), role of anal sex with men was receptive (OR = 2.54, 95% CI: 1.25–5.13) and versatile (OR = 2.34, 95% CI: 1.31–4.19) and non-steady sex partners (OR = 2.14, 95% CI: 1.56–2.93) were risk factors for HIV infection, while monthly income (OR = 0.68, 95% CI: 0.57–0.82), education level (OR = 0.79, 95% CI: 0.66–0.95), frequency of condom use (OR = 0.53, 95% CI: 0.35–0.81) and number of oral sex partners (OR = 0.35, 95% CI: 0.24–0.51) in the past 6 months were protective factors for HIV infection.
Conclusion
Risk behaviors were common in MSM, and urgent need for targeted and comprehensive interventions to reduce risky sexual behaviour and to prevent HIV infection in MSM.
Funder
Anhui Science and technology department
key project of natural science research in Universities of Anhui Province
Publisher
Springer Science and Business Media LLC
Subject
Pharmacology (medical),Virology,Molecular Medicine
Reference29 articles.
1. The Joint United Nations Programme on HIV/AIDS. Confronting inequalities: lessons for pandemic responses from 40 years of AIDS. https://www.unaids.org/sites/default/files/media_asset/2021-global-aids-update_en.pdf. Accessed 25 December 2021.
2. Daniels J, Struthers H, Soler J, Ricco E, Blackmon J, Teklehaimanot S, et al. Building self-advocacy in HIV care: the use of role-play to examine healthcare access for HIV-positive MSM in rural South Africa. Glob Health Promot. 2021;28(3):32–40. https://doi.org/10.1177/1757975920974008.
3. Center for STD HIV/AIDS Control and Prevention the China Center for Disease Control and Prevention. Guidelines for AIDS prevention intervention work in male and male behavior groups. http://ncaids.chinacdc.cn/xxgx/jszl/201804/t20180419_164378.htm. Accessed 25 December 2021.
4. Werner RN, Gaskins M, Nast A, Dressler C, Correction. Incidence of sexually transmitted infections in men who have sex with men and who are at substantial risk of HIV infection-A meta-analysis of data from trials and observational studies of HIV pre-exposure prophylaxis. PLoS ONE. 2019;14(12):e0226209. https://doi.org/10.1371/journal.pone.0226209.
5. Tang WM, Wei CY, Cao BL, Wu D, Li KT, Lu H, et al. Crowdsourcing to expand HIV testing among men who have sex with men in China: a closed cohort stepped wedge cluster randomized controlled trial. PLoS Med. 2018;15(8):e1002645. https://doi.org/10.1371/journal.pmed.1002645.