HIV Prevalence and Correlates of Unprotected Anal Intercourse Among Men Who Have Sex with Men, Jinan, China |
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Authors: | Shiman Ruan Hui Yang Yanwen Zhu Yanhui Ma Jinxing Li Jinkou Zhao Willi McFarland H Fisher Raymond |
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Institution: | (1) Jinan Center for Disease Control and Prevention, Jinan, China;(2) Jiangsu Center for Disease Control and Prevention, Nanjing, China;(3) San Francisco Department of Public Health, 25 Van Ness Avenue, Suite 500, San Francisco, CA 94102-6033, USA |
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Abstract: | China’s HIV epidemic may be shifting towards predominantly sexual transmission and emerging data point to potential increases
in HIV prevalence among men who have sex with men (MSM). There is particular need to assess the extent of risk behavior among
MSM outside of China’s most cosmopolitan cities. We conducted a respondent-driven sampling survey (N = 428) to measure HIV seroprevalence and risk behavior among MSM in Jinan, China, the provincial capital of Shandong. HIV
prevalence was 0.5% (95% confidence interval CI] 0.1–1.0). Unprotected anal intercourse (UAI) in the last 6 months (reported
by 61.4%) was associated with buying or selling sex to a man in the last 6 months, syphilis infection, multiple partners in
the last month, low HIV knowledge and migrant status. No participant had previously tested for HIV. Risk for HIV transmission
is widespread among MSM throughout China; basic prevention programs are urgently needed. |
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Keywords: | MSM China RDS HIV Risk behaviors |
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