National Centre in HIV Epidemiology and Clinical Research, The University of New South Wales, CFI Building, Corner of West and Boundary Streets, Darlinghurst, Sydney, NSW 2010, Australia.
AIDS Behav. 2012 Apr;16(3):653-63. doi: 10.1007/s10461-011-9935-9.
HIV is rapidly spreading among men who have sex with men (MSM) in China. We estimate and compare rates of condom use among MSM in different regions of China through a systematic literature review. Meta-analyses were conducted over a final set of 66 studies to estimate national and regional condom use rates among MSM with different types of male sex partners. Country-wide, there has been a modest increase in reported condom use at last sex among MSM, from 56.1% (95% CI: 53.4-58.7%) in 2003-2005 to 61.6% (95% CI: 58.4-64.8%) in 2006-2008. Consistent condom use has also increased, from 32.5% (95% CI: 28.6-36.7%) in 2003-2005 to 36.3% (95% CI: 33.7-38.9%) in 2006-2008. Condom use was greatest and increasing among commercial sex partners, from 49.8 to 75.2% at last anal sex. Further condom promotion is still required to reduce the incidence of HIV infection among MSM in China.
HIV 在我国男男性行为者（MSM）中迅速传播。我们通过系统文献回顾估计和比较了中国不同地区 MSM 的 condom 使用率。荟萃分析对最终的 66 项研究进行了分析，以估计不同男性性伴侣类型的 MSM 的 condom 使用率。全国范围内，报告的 MSM 最近一次性行为中 condom 的使用比例有所增加，从 2003-2005 年的 56.1%（95%CI：53.4-58.7%）增加到 2006-2008 年的 61.6%（95%CI：58.4-64.8%）。一致性 condom 使用也有所增加，从 2003-2005 年的 32.5%（95%CI：28.6-36.7%）增加到 2006-2008 年的 36.3%（95%CI：33.7-38.9%）。商业性性伴侣中的 condom 使用率最高且呈上升趋势，最近一次性肛交的 condom 使用率从 49.8%增加到 75.2%。仍需要进一步推广 condom，以减少中国 MSM 中 HIV 感染的发生率。
