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Correlates of HIV-infection among men who have sex with men: results from a community-based, cross-sectional study in Tianjin, China.

Authors
  • Yu, Maohe1
  • Xu, Jie2
  • Jiang, Guohong1
  • Li, Zhijun3
  • Song, Weilu2
  • Gong, Hui1
  • Ning, Tielin1
  • Zheng, Minna1
  • Li, Long1
  • Gao, Yongjun4
  • Yang, Jie5
  • Fleming, Paul J6
  • King, Elizabeth J6
  • 1 Tianjin Centers for Disease Control and Prevention , Tianjin , People's Republic of China. , (China)
  • 2 National Center for AIDS/STD control and prevention, China CDC , Beijing , People's Republic of China. , (China)
  • 3 GAP program office of U.S CDC , Beijing , People's Republic of China. , (China)
  • 4 Tianjin HongQiao district Centers for Disease Control and Prevention , Tianjin , People's Republic of China. , (China)
  • 5 Tianjin ShenLan Public Health Counseling Service Center , Tianjin , People's Republic of China. , (China)
  • 6 Department of Health Behavior & Health Education, University of Michigan, School of Public Health , Ann Arbor , MI , USA.
Type
Published Article
Journal
AIDS care
Publication Date
Dec 01, 2019
Volume
31
Issue
12
Pages
1574–1579
Identifiers
DOI: 10.1080/09540121.2019.1612004
PMID: 31046418
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

China has 747,000 confirmed HIV/AIDS cases and sexual transmission between men who have sex with men (MSM) is the most prevalent mode of transmission. Our study aims to (a) examine HIV prevalence and behavioral risk factors for HIV infection among 1900 MSM recruited from a community-based organization in Tianjin, China, and (b) describe HIV treatment outcomes for those diagnosed with HIV. We used multivariable logistic regression to identify which socio-demographics and behaviors were associated with HIV infection. The overall HIV prevalence was 3.95%. Key behavioral risk factors included: receptive sex role, older age at first sex with man, condomless anal sex, and having used 2+ drugs. Of those living with HIV, 83% were successfully enrolled in antiretroviral therapy and those enrolled were all virally suppressed after one year. These findings highlight key behavioral risk factors for HIV infection in Tianjin, China and can inform interventions to preventing further HIV transmission.

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