Huan Xiping, Hao Chun, Yan Hongjing, Guan Wenhui, Xu Xiaoqin, Yang Haitao, Wang Na, Zhang Min, Tang Weimin, Gu Jing, Lau Joseph T F
Jiangsu Provincial Central for Disease Control and Prevention, Nanjing, China.
Sun Yat-sen University, Guangzhou, China The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong Special Administrative Region, China University of Maryland College Park, MD, USA.
Asia Pac J Public Health. 2015 Mar;27(2):NP854-65. doi: 10.1177/1010539513480230. Epub 2013 Mar 27.
Increasing prevalence of sexually transmitted diseases (STD) was reported among men who have sex with men (MSM) in China. A total of 407 MSMs were recruited by respondent-driven sampling (RDS) from May to July 2008 in Nanjing, China. Face-to-face interviews were conducted to collect information on demographic and risk behaviors; blood samples were collected for HIV and syphilis antibodies testing. The adjusted HIV and syphilis prevalence were, respectively, 7.3% (confidence interval [CI] = 2.6%-10.2%) and 14.4% (95% CI = 9.3%-21.1%). Recruiting male sex partners mostly from saunas and receptive anal intercourse with men in the last 6 months were independently associated with positive HIV status. Risk factors for positive syphilis status included being older than 28 years, low level of HIV-related knowledge, having been a male sex worker, and having unprotected anal sex with casual male sex partners in the past 6 months. High HIV/STD prevalence was detected. HIV/STD prevention strategies are urgently warranted.
据报告，中国男男性行为者（MSM）中性传播疾病（STD）的患病率呈上升趋势。2008年5月至7月，在中国南京通过应答者驱动抽样（RDS）共招募了407名男男性行为者。进行面对面访谈以收集人口统计学和风险行为信息；采集血样进行艾滋病毒和梅毒抗体检测。经调整后的艾滋病毒和梅毒患病率分别为7.3%（置信区间[CI]=2.6%-10.2%）和14.4%（95%CI=9.3%-21.1%）。在过去6个月中，主要从桑拿浴室招募男性性伴侣以及与男性进行接受性肛交与艾滋病毒阳性状态独立相关。梅毒阳性状态的危险因素包括年龄超过28岁、艾滋病毒相关知识水平低、曾为男性性工作者以及在过去6个月中与随意的男性性伴侣进行无保护肛交。检测到艾滋病毒/性传播疾病的高患病率。迫切需要采取艾滋病毒/性传播疾病预防策略。
