Early Sexual Debut and HIV Infection Among Men Who Have Sex with Men in Shenzhen, China

Overview

Journal Biomed Res Int

Publisher Wiley

Specialties Biomedical Engineering
Biotechnology
General Medicine

Date 2016 Dec 23

PMID 28004003

Citations 6

Authors

Ruiwei Xu

Wenjie Dai

Guanglu Zhao

Dan Tu

Lin Yang

Feng Wang

Yumao Cai

Lina Lan

Hongzhuan Tan

Aizhong Liu

Tiejian Feng

Atipatsa C Kaminga

Affiliations

Soon will be listed here.

Abstract

Studies investigating the association between early sexual debut and human immunodeficiency virus (HIV) infection have mainly focused on Africans or females but rarely on men who have sex with men (MSM) in China. This study, therefore, mainly aimed at exploring the association between early sexual debut and HIV infection among MSM in Shenzhen, China. A total of 533 MSM were enrolled in this study using a convenience sampling method. Information about sociodemographic characteristics and risky sexual behaviors was collected. It was found that the prevalence of HIV infection was 24.2% among this study population and 66.4% of the MSM reported having had vaginal sexual intercourse with females. The mean ages at first vaginal sexual intercourse, first anal sexual intercourse, and first sexual intercourse were 21.38, 22.43, and 19.87 years, respectively. Multivariable logistic regression analyses showed that the MSM who experienced early anal sexual debut were more likely to be infected with HIV than those who did not. The results indicate that HIV infection is quite prevalent among MSM in Shenzhen. Early and efficient intervention strategies should be taken, and the MSM experiencing early anal sexual debut should be given special attention.

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References

Das A, Li J, Zhong F, Ouyang L, Mahapatra T, Tang W . Factors associated with HIV and syphilis co-infection among men who have sex with men in seven Chinese cities. Int J STD AIDS. 2014; 26(3):145-55. PMC: 4198509. DOI: 10.1177/0956462414531560. View

Boileau C, Clark S, Bignami-Van Assche S, Poulin M, Reniers G, Watkins S . Sexual and marital trajectories and HIV infection among ever-married women in rural Malawi. Sex Transm Infect. 2009; 85 Suppl 1:i27-33. PMC: 2654116. DOI: 10.1136/sti.2008.033969. View

Gayles T, Kuhns L, Kwon S, Mustanski B, Garofalo R . Socioeconomic Disconnection as a Risk Factor for Increased HIV Infection in Young Men Who Have Sex with Men. LGBT Health. 2016; 3(3):219-24. PMC: 4894008. DOI: 10.1089/lgbt.2015.0102. View

Liu S, Su J, Zhang S, Dong H, Wang H, Luo W . Identification of HLA-A*11:01-restricted Mycobacterium tuberculosis CD8(+) T cell epitopes. J Cell Mol Med. 2016; 20(9):1718-28. PMC: 4988290. DOI: 10.1111/jcmm.12867. View

Zhang W, Xu J, Zou H, Zhang J, Wang N, Shang H . HIV incidence and associated risk factors in men who have sex with men in Mainland China: an updated systematic review and meta-analysis. Sex Health. 2016; . DOI: 10.1071/SH16001. View

Hong F, Zhou H, Cai Y, Pan P, Feng T, Liu X . Prevalence of syphilis and HIV infections among men who have sex with men from different settings in Shenzhen, China: implications for HIV/STD surveillance. Sex Transm Infect. 2008; 85(1):42-4. DOI: 10.1136/sti.2008.031682. View

Yang Z, Huang Z, Dong Z, Li J, Zhang S, Wu N . Risk Factors for HIV Diagnosis Among Men Who Have Sex with Men: Results of a Case-Control Study in One Sample of Eastern China. AIDS Res Hum Retroviruses. 2016; 32(12):1163-1168. DOI: 10.1089/AID.2016.0031. View

Cai W, Zhao J, Zhao J, Raymond H, Feng Y, Liu J . HIV prevalence and related risk factors among male sex workers in Shenzhen, China: results from a time-location sampling survey. Sex Transm Infect. 2009; 86(1):15-20. DOI: 10.1136/sti.2009.037440. View

Outlaw A, Phillips 2nd G, Hightow-Weidman L, Fields S, Hidalgo J, Halpern-Felsher B . Age of MSM sexual debut and risk factors: results from a multisite study of racial/ethnic minority YMSM living with HIV. AIDS Patient Care STDS. 2011; 25 Suppl 1:S23-9. DOI: 10.1089/apc.2011.9879. View

10.

Huan X, Hao C, Yan H, Guan W, Xu X, Yang H . High prevalence of HIV and syphilis among men who have sex with men recruited by respondent-driven sampling in a city in Eastern China. Asia Pac J Public Health. 2013; 27(2):NP854-65. DOI: 10.1177/1010539513480230. View

11.

Mor Z, Davidovich U . Same-sex sexual attraction, behavior, and practices of Jewish men in Israel and the association with HIV prevalence. AIDS Care. 2016; 28 Suppl 1:64-7. PMC: 4828613. DOI: 10.1080/09540121.2016.1146400. View

12.

Zuma K, Mzolo T, Makonko E . Determinants of age at sexual debut and associated risks among South African youths. Afr J AIDS Res. 2015; 10(3):189-94. DOI: 10.2989/16085906.2011.626283. View

13.

Wang B, Li X, Stanton B, Liu Y, Jiang S . Socio-demographic and behavioral correlates for HIV and syphilis infections among migrant men who have sex with men in Beijing, China. AIDS Care. 2012; 25(2):249-57. PMC: 3563352. DOI: 10.1080/09540121.2012.701714. View

14.

Pascoe S, Langhaug L, Durawo J, Woelk G, Ferrand R, Jaffar S . Increased risk of HIV-infection among school-attending orphans in rural Zimbabwe. AIDS Care. 2010; 22(2):206-20. DOI: 10.1080/09540120903111528. View

15.

Chen J, Han M, Liao Z, Dai Z, Liu L, Chen H . HIV-related behaviors, social support and health-related quality of life among men who have sex with men and women (MSMW): a cross-sectional study in Chongqing, China. PLoS One. 2015; 10(2):e0118651. PMC: 4336282. DOI: 10.1371/journal.pone.0118651. View

16.

Hallett T, Lewis J, Lopman B, Nyamukapa C, Mushati P, Wambe M . Age at first sex and HIV infection in rural Zimbabwe. Stud Fam Plann. 2007; 38(1):1-10. DOI: 10.1111/j.1728-4465.2007.00111.x. View

17.

Jin M, Yang Z, Dong Z, Han J . Correlates of consistent condom use among men who have sex with men recruited through the Internet in Huzhou city: a cross-sectional survey. BMC Public Health. 2013; 13:1101. PMC: 3912932. DOI: 10.1186/1471-2458-13-1101. View

18.

Vu Nguyen T, Van Khuu N, Nguyen P, Tran H, Phan H, Phan L . Sociodemographic Factors, Sexual Behaviors, and Alcohol and Recreational Drug Use Associated with HIV Among Men Who Have Sex with Men in Southern Vietnam. AIDS Behav. 2016; 20(10):2357-2371. PMC: 4945473. DOI: 10.1007/s10461-015-1265-x. View

19.

Zuma K, Setswe G, Ketye T, Mzolo T, Rehle T, Mbelle N . Age at sexual debut: a determinant of multiple partnership among South African youth. Afr J Reprod Health. 2011; 14(2):47-54. View

20.

Pettifor A, OBrien K, MacPhail C, Miller W, Rees H . Early coital debut and associated HIV risk factors among young women and men in South Africa. Int Perspect Sex Reprod Health. 2009; 35(2):82-90. DOI: 10.1363/ifpp.35.082.09. View