National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, People's Republic of China.
Sex Transm Dis. 2009 Oct;36(10):647-56. doi: 10.1097/OLQ.0b013e3181aac23d.
To examine the prevalence and correlates of HIV/syphilis infections and sexually transmitted diseases (STDs) among men who have sex with men (MSM) in Chongqing, China.
Cross-sectional surveys were conducted to provide information, including sociodemographics, sexual and drug use behaviors, HIV knowledge, and HIV-related services in 2006 and 2007, respectively. Multiple methods, including venue-based recruitment, community outreach, Internet advertisements, and peer referral, were used to identify men in Chongqing willing to participate in this study.
Of the 1692 participants, 10.8% were HIV-infected (range by district: 7.0%-15.0%), 8.6% were syphilis-infected, and 15.3% self-reported STD-related symptoms. HIV infection was associated with older age, recruitment from bathhouses/saunas, less education, more male sex partners, sex with a woman in the past 6 months, syphilis infection, and STD-related symptoms. Syphilis infection was associated with older age, less education, inconsistent condom use with a man, STD-related symptoms, and HIV infection. STD-related symptoms were associated with older age, being of nonlocal residency, inconsistent condom use with a humans, having ever paid for sex with a humans, HIV infection, and being from District 1.
HIV and syphilis infections have reached alarmingly high rates in Chongqing's MSM population. Better targeted, in-depth and comprehensive intervention strategies are needed urgently, including education, condom promotion and distribution, STD control, drug use-related intervention, and advocacy for HIV counseling and testing with bridges to HIV prevention and care services. Widespread testing for HIV, syphilis, and other major STDs in this risk group should be considered as measures for control.
调查中国重庆市男男性行为者（MSM）中 HIV/梅毒感染及性传播疾病（STD）的流行率及其相关因素。
2006 年和 2007 年分别进行了横断面调查，以提供社会人口学、性行为和吸毒行为、HIV 知识以及与 HIV 相关的服务方面的信息。采用多种方法，包括基于场所的招募、社区外展、互联网广告和同伴推荐，以确定重庆愿意参加此项研究的男性。
在 1692 名参与者中，10.8%（按区分布范围：7.0%-15.0%）为 HIV 感染者，8.6%为梅毒感染者，15.3%自述有与 STD 相关的症状。HIV 感染与年龄较大、招募来自洗浴/桑拿场所、教育程度较低、男性性伴侣较多、过去 6 个月与女性发生性行为、梅毒感染以及与 STD 相关的症状有关。梅毒感染与年龄较大、教育程度较低、与男性发生性行为时不使用安全套、与 STD 相关的症状以及 HIV 感染有关。与 STD 相关的症状与年龄较大、非本地居住、与人类发生性行为时不使用安全套、曾与人发生性行为并付费、HIV 感染以及来自第 1 区有关。
重庆市 MSM 人群中的 HIV 和梅毒感染率已达到令人震惊的高率。迫切需要更有针对性、深入和全面的干预策略，包括教育、推广和分发安全套、控制 STD、吸毒相关干预以及倡导 HIV 咨询和检测，并与 HIV 预防和护理服务相衔接。应考虑在该高危人群中广泛检测 HIV、梅毒和其他主要 STD，作为控制措施。
