Thumbnail Image
Item

HIV and syphilis prevalence among men who have sex with men : A cross-sectional survey of 61 cities in China

Wu, Zunyou
; 
Xu, Jie
; 
Liu, Enwu
; 
Mao, Yurong
; 
Xiao, Yan
; 
Sun, Xinhua
; 
Liu, Yufen
; 
Jiang, Yan
; 
McGoogan, Jennifer M.
; 
Dou, Zhi
... show 10 more
Citations
Google Scholar:
Lookup
Altmetric:
Author
Wu, Zunyou
Xu, Jie
Liu, Enwu
Mao, Yurong
Xiao, Yan
Sun, Xinhua
Liu, Yufen
Jiang, Yan
McGoogan, Jennifer M.
Dou, Zhi
Mi, Guodong
Wang, Ning
Sun, Jiangping
Liu, Zhongfu
Wang, Lu
Rou, Keming
Pang, Lin
Xing, Wenge
Xu, Juan
Wang, Shuo
Cui, Yan
Li, Zhijun
Bulterys, Marc
Lin, Wen
Zhao, Jinkou
Yip, Ray
Wu, You
Hao, Yang
Wang, Yu
National MSM Survey Group
Abstract
Background. Human immunodeficiency virus (HIV) has rapidly spread among men who have sex with men (MSM) in China in recent years; the magnitude of the epidemic is unclear. We sought to test 3 hypotheses: (1) The prevalence of both HIV and syphilis among MSM in China is high, (2) the 2 epidemics each have unique geographical distributions, and (3) demographic and sexual behavior characteristics are different among segments of the MSM population in China. Methods. A total of 47 231 MSM from 61 cities in China participated in a cross-sectional survey conducted from February 2008 to September 2009. Demographic and behavioral data were collected and analyzed and blood samples tested for HIV and syphilis. Three subgroups among the broader MSM sample were described. Main outcome measures were HIV and syphilis prevalence. Results. An overall prevalence of 4.9% (2314/47 231; 95% confidence interval [CI], 4.7%–5.1%) for HIV and 11.8% (5552/47 231; 95% CI, 11.5%–12.0%) for syphilis was found. Syphilis-positive MSM had the highest HIV prevalence, 12.5% (693/5552; 95% CI, 11.6%–13.4%). However, correlations between HIV and syphilis prevalence were found in only 3 of 6 geographical regions (Northwest: r = 0.82, P = .0253; East: r = 0.78, P = .0004; and South-central: r = 0.63, P = .0276). Three subgroups—nonlocal MSM, Internet-using MSM, and female-partnering MSM—were found to have different profiles of characteristics and behaviors. Conclusions. HIV and syphilis prevalences among MSM in China are high and the 2 epidemics are largely separate geographically. Three segments of the Chinese MSM population each have different demographic and sexual risk “profiles” that suggest high potential for bridging infection across geographies, generations, and sexes.
Keywords
HIV, syphilis, MSM, China
Date
2013
Type
Journal article
Journal
Clinical Infectious Diseases
Book
Volume
57
Issue
2
Page Range
298-309
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Collections
Mary MacKillop Institute for Health Research
Show all metadata
URI
https://hdl.handle.net/20.500.14802/22319
Relation URI
DOI
10.1093/cid/cit210
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled
Notes