Li Xuefeng, Wu Guohui, Lu Rongrong, Feng Liangui, Fan Wensheng, Xiao Yan, Sun Zheya, Zhang Heng, Xing Hui, Shao Yiming, Ruan Yuhua
From the State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Beijing (XL, YX, ZS, HZ, HX, YS, YR); Karamay Center for Disease Control and Prevention, Karamay (XL); Chongqing Center for Disease Control and Prevention, Chongqing, P.R. China (GW, RL, LF); and Department of Public Health, College of Health and Human Services, Western Kentucky University, Bowling Green, Kentucky (WF). Drs Xuefeng Li, Guohui Wu, and Rongrong Lu contributed equally to the writing of this article.
Medicine (Baltimore). 2014 Dec;93(27):e124. doi: 10.1097/MD.0000000000000124.
The high and climbing human immunodeficiency virus (HIV) rates among Chinese men who have sex with men (MSM) bring huge pressure and challenge to acquired immune deficiency syndrome response work in China. This study examined HIV-testing behavior and describes the characteristics of recently tested MSM in Chongqing to address targeting HIV prevention interventions. Two consecutive cross-sectional surveys were conducted among Chongqing MSM using respondent-driven sampling in 2009 and 2010. Information was collected regarding details on demographic characteristics, sexual practices with male and female partners, and HIV-testing experiences. Univariate and multivariate logistic regression analyses were performed to identify factors independently associated with recent HIV testing.The final sample size included in our analyses was 992. The overall HIV prevalence was 13.4%, and HIV prevalence increased significantly from 11.6% in 2009 to 15.4% in 2010 (P = 0.08). The overall rate of HIV testing in the past 12 months was 44.6%, and the self-reported rates decreased significantly from 47.8% in 2009 to 41.1% in 2010 (P = 0.03). Factors independently associated with recent HIV testing included living in Chongqing >1 year (adjusted odds ratio [AOR] 1.8, 95% confidence interval [CI] 1.1-2.9), the age of most recent male partner ≤ 25 (AOR 1.5, 95% CI 1.1-2.1), not having unprotected insertive anal sex with most recent male partner in the past 6 months (AOR 1.5, 95% CI 1.1-2.0), disclosing HIV status to most recent male partner (AOR 2.8, 95% CI 2.0-3.8), and holding lower level of HIV-related stigma (AOR 1.1 per scale point, 95% CI 1.0-1.1). The extremely high HIV prevalence and low annual testing level put MSM at high risk of HIV infection and transmission, and it is a priority to promote regular HIV testing among this group in order to control the spread of HIV in Chongqing, China.
中国男男性行为者中不断攀升的高艾滋病毒感染率给中国的艾滋病防治工作带来了巨大压力和挑战。本研究调查了艾滋病毒检测行为，并描述了重庆近期接受检测的男男性行为者的特征，以确定艾滋病预防干预措施的目标人群。2009年和2010年，采用应答者驱动抽样方法，对重庆的男男性行为者进行了连续两次横断面调查。收集了有关人口统计学特征、与男性和女性伴侣的性行为以及艾滋病毒检测经历的详细信息。进行单因素和多因素逻辑回归分析，以确定与近期艾滋病毒检测独立相关的因素。我们分析纳入的最终样本量为992人。艾滋病毒总体感染率为13.4%，艾滋病毒感染率从2009年的11.6%显著上升至2010年的15.4%（P = 0.08）。过去12个月的艾滋病毒总体检测率为44.6%，自我报告率从2009年的47.8%显著下降至2010年的41.1%（P = 0.03）。与近期艾滋病毒检测独立相关的因素包括在重庆居住超过1年（调整后的优势比[AOR]为1.8，95%置信区间[CI]为1.1 - 2.9）、最近男性伴侣的年龄≤25岁（AOR为1.5，95%CI为1.1 - 2.1）、在过去6个月内未与最近男性伴侣进行无保护插入式肛交（AOR为1.5，95%CI为1.1 - 2.0）、向最近男性伴侣披露艾滋病毒感染状况（AOR为2.8，95%CI为2.0 - 3.8）以及艾滋病毒相关耻辱感较低（每增加一个量表得分AOR为1.1，95%CI为1.0 - 1.1）。极高的艾滋病毒感染率和较低的年度检测水平使男男性行为者面临艾滋病毒感染和传播的高风险，为控制中国重庆艾滋病毒的传播，优先促进该群体定期进行艾滋病毒检测至关重要。
