Risk Factors for Syphilis and Prevalence of HIV, Hepatitis B and C Among Men Who Have Sex with Men in Beijing, China: Implications for HIV Prevention

Overview

Journal AIDS Behav

Specialty Infectious Diseases

Date 2008 Dec 17

PMID 19082879

Citations 52

Authors

Yuhua Ruan

Fengji Luo

Yujiang Jia

Xinxu Li

Qingchun Li

Hongyuan Liang

Xiaoxi Zhang

Dongliang Li

Wei Shi

Jennifer M Freeman

Sten H Vermund

Yiming Shao

Affiliations

Soon will be listed here.

Abstract

To examine the correlates for syphilis and the prevalence for HIV, hepatitis B, hepatitis C among men-who-have-sex-with-men (MSM) in Beijing, China. A total of 541 MSM was recruited using peer-referral, community outreach, and Internet. Questionnaire-based interviews provided information including, demographics, sexual and other risk behaviors. HIV prevalence was 4.8%, syphilis 19.8%, HCV 0.4% and HBsAg 6.5%. The median number of lifetime male sex partners was ten. In the past 3 months, 20.7% drank alcohol > or =1 times per week. In the past month, 21.3 and 14.6% had unprotected anal intercourse with regular and casual male sex partners, respectively. Syphilis infection was associated with less education, alcohol use, finding male sex partners through bathhouses/public washrooms/parks, and diagnoses of sexual transmitted diseases (STDs). Syphilis is now epidemic among Beijing's MSM. Prevention efforts are urgent as HIV prevalence is already near 5%. Education, condom promotion, STD control, and alcohol-related intervention are needed urgently.

Citing Articles

[Prevalence of viral hepatitis B and C in men who have sex with men enrolled in a demonstration study of pre-exposure prophylaxis for HIV in Cotonou, Benin].

Behanzin L, Diabate S, Guedou F, Goma Matsetse E, Olodo M, Dossouvo A Pan Afr Med J. 2024; 46:79.

PMID: 38282778 PMC: 10819840. DOI: 10.11604/pamj.2023.46.79.41013.

HIV Prevalence and Risk Factors Among Young Men Who Have Sex With Men in Southwest China: Cross-sectional Questionnaire Study.

Song L, Yu X, Su B, Geng W, Lan G, Zhang X JMIR Form Res. 2023; 7:e37344.

PMID: 36630166 PMC: 9893886. DOI: /37344.

Simple-to-use nomogram for predicting the risk of syphilis among MSM in Guangdong Province: results from a serial cross-sectional study.

Zhao P, Yang Z, Li B, Xiong M, Zhang Y, Zhou J BMC Infect Dis. 2021; 21(1):1199.

PMID: 34844553 PMC: 8628378. DOI: 10.1186/s12879-021-06912-z.

Prevalence and Predictors of Syphilis in Female Sex Workers in Eastern China: Findings from Six Consecutive Cross-Sectional Surveys.

Xie T, Wang G, Sun Q J Multidiscip Healthc. 2021; 14:853-860.

PMID: 33888989 PMC: 8057824. DOI: 10.2147/JMDH.S305492.

High Lifetime Prevalence of Syphilis in Men Who Have Sex With Men and Transgender Women Versus Low Lifetime Prevalence in Female Sex Workers in Lima, Peru.

Hung P, Osias E, Konda K, Calvo G, Reyes-Diaz E, Vargas S Sex Transm Dis. 2020; 47(8):549-555.

PMID: 32541611 PMC: 7357539. DOI: 10.1097/OLQ.0000000000001200.

References

Morrison T, DiClemente R, Wingood G, Collins C . Frequency of alcohol use and its association with STD/HIV-related risk practices, attitudes and knowledge among an African-American community-recruited sample. Int J STD AIDS. 1998; 9(10):608-12. DOI: 10.1258/0956462981921053. View

Zhang D, Bi P, Lv F, Zhang J, Hiller J . Changes in HIV prevalence and sexual behavior among men who have sex with men in a northern Chinese city: 2002-2006. J Infect. 2007; 55(5):456-63. DOI: 10.1016/j.jinf.2007.06.015. View

Zhang B, Liu D, Li X, Hu T . A survey of men who have sex with men: mainland China. Am J Public Health. 2000; 90(12):1949-50. PMC: 1446424. DOI: 10.2105/ajph.90.12.1949. View

He Q, Wang Y, Lin P, Liu Y, Yang F, Fu X . Potential bridges for HIV infection to men who have sex with men in Guangzhou, China. AIDS Behav. 2006; 10(4 Suppl):S17-23. DOI: 10.1007/s10461-006-9125-3. View

McEwan R, McCallum A, Bhopal R, Madhok R . Sex and the risk of HIV infection: the role of alcohol. Br J Addict. 1992; 87(4):577-84. DOI: 10.1111/j.1360-0443.1992.tb01959.x. View

Liu J, Choi K . Experiences of social discrimination among men who have sex with men in Shanghai, China. AIDS Behav. 2006; 10(4 Suppl):S25-33. DOI: 10.1007/s10461-006-9123-5. View

Choi K, Ning Z, Gregorich S, Pan Q . The influence of social and sexual networks in the spread of HIV and syphilis among men who have sex with men in Shanghai, China. J Acquir Immune Defic Syndr. 2007; 45(1):77-84. DOI: 10.1097/QAI.0b013e3180415dd7. View

Li X, Shi W, Li D, Ruan Y, Jia Y, Vermund S . Predictors of unprotected sex among men who have sex with men in Beijing, China. Southeast Asian J Trop Med Public Health. 2008; 39(1):99-108. PMC: 2730761. View

Leigh B, Stall R . Substance use and risky sexual behavior for exposure to HIV. Issues in methodology, interpretation, and prevention. Am Psychol. 1993; 48(10):1035-45. PMC: 2585544. DOI: 10.1037//0003-066x.48.10.1035. View

10.

Nasio J, Nagelkerke N, Mwatha A, Moses S, Ndinya-Achola J, Plummer F . Genital ulcer disease among STD clinic attenders in Nairobi: association with HIV-1 and circumcision status. Int J STD AIDS. 1996; 7(6):410-4. DOI: 10.1258/0956462961918374. View

11.

Lauchli S, Heusser R, Tschopp A, Gutzwiller F . Safer sex behavior and alcohol consumption. Research Group of the Swiss HIV Prevention Study. Ann Epidemiol. 1996; 6(4):357-64. DOI: 10.1016/s1047-2797(96)00055-5. View

12.

Hart T, Peterson J . Predictors of risky sexual behavior among young African American men who have sex with men. Am J Public Health. 2004; 94(7):1122-4. PMC: 1448408. DOI: 10.2105/ajph.94.7.1122. View

13.

. HIV prevalence among populations of men who have sex with men--Thailand, 2003 and 2005. MMWR Morb Mortal Wkly Rep. 2006; 55(31):844-8. View

14.

Hao W, Chen H, Su Z . China: alcohol today. Addiction. 2005; 100(6):737-41. DOI: 10.1111/j.1360-0443.2005.01036.x. View

15.

Ruan Y, Cao X, Qian H, Zhang L, Qin G, Jiang Z . Syphilis among female sex workers in southwestern China: potential for HIV transmission. Sex Transm Dis. 2006; 33(12):719-23. DOI: 10.1097/01.olq.0000218881.01437.99. View

16.

Ding Y, Detels R, Zhao Z, Zhu Y, Zhu G, Zhang B . HIV infection and sexually transmitted diseases in female commercial sex workers in China. J Acquir Immune Defic Syndr. 2005; 38(3):314-9. View

17.

Rottingen J, Cameron D, Garnett G . A systematic review of the epidemiologic interactions between classic sexually transmitted diseases and HIV: how much really is known?. Sex Transm Dis. 2001; 28(10):579-97. DOI: 10.1097/00007435-200110000-00005. View

18.

Leigh B, Temple M, Trocki K . The relationship of alcohol use to sexual activity in a U.S. national sample. Soc Sci Med. 1994; 39(11):1527-35. DOI: 10.1016/0277-9536(94)90004-3. View

19.

Graves K . Risky sexual behavior and alcohol use among young adults: results from a national survey. Am J Health Promot. 1995; 10(1):27-36. DOI: 10.4278/0890-1171-10.1.27. View

20.

Fenton K, Lowndes C . Recent trends in the epidemiology of sexually transmitted infections in the European Union. Sex Transm Infect. 2004; 80(4):255-63. PMC: 1744866. DOI: 10.1136/sti.2004.009415. View