Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology Wuhan, Hubei, China.
Centers for Disease Control and Prevention Suizhou, Hubei, China.
Sex Med. 2015 Mar;3(1):24-31. doi: 10.1002/sm2.55.
The primary transmission of human immunodeficiency virus (HIV) has been recently changing worldwide. In China, HIV transmission through heterosexual contact remains the predominant mode, but the prevalence of men who have sex with men (MSM) has been increasing.
This article investigated the overall epidemic trend and associated high-risk behavior among MSM in Suizhou City and explored the government's responses to the epidemic.
We conducted yearly cross-sectional behavioral surveillance surveys among MSM in Suizhou City from 2009 to 2013. Participation was anonymous and self-completed. Recruitment methods were consistently applied in each survey.
Semi-structured questionnaire surveys and yearly work summaries were conducted.
Most of the MSM groups in Suizhou City were young adults (P < 0.05), well educated (P < 0.05), and married (P < 0.05). Two years after our interventions, we found an increasing trend of condom use during anal sex (P < 0.05), as well as commercial sex trade (P < 0.05).
HIV continues to spread rapidly among MSM in Suizhou City. The high-risk behavior among MSM remains a hindrance to HIV prevention. Innovative intervention approaches are essential for HIV surveillance and prevention among MSM in Suizhou City. Yang F, Shi X, He W, Wu S, Wang J, Zhao K, Yuan H, Martin K, and Zhang H. Factors of the HIV transmission in men who have sex with men in Suizhou City from 2009 to 2013. Sex Med 2015;3:24-31.
人类免疫缺陷病毒（HIV）的主要传播途径在全球范围内发生了变化。在中国，HIV 通过异性性接触传播仍是主要途径，但男男性接触者（MSM）的流行率一直在上升。
本研究旨在调查随州市男男性接触者（MSM）的整体流行趋势及相关高危行为，并探讨政府对该疫情的应对措施。
我们于 2009 年至 2013 年期间每年在随州市对 MSM 进行横断面行为监测调查。参与者匿名并自行完成问卷调查。每次调查均采用相同的招募方法。
进行半结构式问卷访谈和年度工作总结。
随州市的 MSM 群体大多为年轻成年人（P<0.05）、受教育程度较高（P<0.05）和已婚（P<0.05）。干预两年后，我们发现肛交时安全套使用率呈上升趋势（P<0.05），商业性性行为（P<0.05）也有所增加。
HIV 在随州市 MSM 中继续快速传播。MSM 的高危行为仍是 HIV 预防的障碍。创新的干预措施对于随州市 MSM 的 HIV 监测和预防至关重要。
