Impact of HIV/sexually transmitted infection testing on risky sexual behaviors among men who have sex with men in Langfang, China |
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Authors: | GUO Wei WU Zun-you SONG Ai-jun Katharine Poundstone |
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Affiliation: | 1. National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China 2. Division of AIDS/STD Control and prevention, Diseases Control and Prevention in Langfang, Langfang, Hebei 065000, China |
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Abstract: | Background Men who have sex with men (MSM) in China remain at high risk for HIV infection,the proportion of reported HIV/AIDS cases that occurred among MSM rose greatly from 2005 to 2011.HIV testing and counseling is a critical HIV prevention strategy among HIV related high-risk population,including MSM in China.This article aimed to assess the association between receiving HIV testing and high-risk sexual behaviors among MSM in Langfang,Hebei Province,China.Methods Between September and November 2007,233 MSM were recruited to receive an HIV testing intervention.Face-to-face interviews were conducted before HIV testing and 3 months later HIV-related risk behaviors were assessed.Serological testing for HIV and other sexually transmitted infections (STIs) was performed.Results Of the recruited 233 MSM,200 completed follow-up.Baseline prevalence was 7.8% for HIV,21.0% for syphilis,15.8% for gonorrhea,and 5.0% for chlamydia.Multivariate analysis indicated that inconsistent condom use (OR=7.9,95% CI:0.9-66.7,P=-0.059) and bleeding during anal sex (OR=5.9,95% CI:1.3-26.2,P=0.019) were risk factors for HIV infection,and group sex (OR=6.6,95% Cl:2.2-19.7,P=-0.001) was a risk factor for syphilis infection at baseline.At 3 months follow-up,among STI-positive MSM,self-reported anal sex fell from 73.1% to 38.5% (P <0.001); group sex fell from 19.2% to 5.8% (P <0.001); and bleeding during anal sex fell from 23.1% to 5.8% (P <0.001).Among STI-negative MSM,the frequency of one-night stands fell from 32.5% to 17.2% (P <0.001),and oral sex rose from 57% to 78.5% (P <0.001).STI-positive MSM were less likely to engage in anal sex compared to STI-negative MSM (x2=5.189,P=0.023).Conclusions HIV testing is an important intervention strategy among MSM.HIV testing services among MSM need to be scaled up,along with comprehensive,tailored interventions including condom promotion and STI treatment. |
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Keywords: | men who have sex with men sexually transmitted infections HIV testing and counseling sexual behavior |
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