Prevalence and Trends of HIV, Syphilis, and HCV in Migrant and Resident Men Who Have Sex with Men in Shandong, China: Results from a Serial Cross-Sectional Study

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2017 Jan 20

PMID 28103295

Citations 15

Authors

Jun Hu

Xu Gu

Xiaorun Tao

Yaosheng Qian

Giridhara R Babu

Guoyong Wang

Meizhen Liao

Larry Han

Dianmin Kang

Weiming Tang

Affiliations

Soon will be listed here.

Abstract

Background: Migrant men who have sex with men (MSM) have a higher predisposition for HIV transmission. We aimed to determine and compare the prevalence and trends of HIV, Syphilis, and HCV between migrant and resident MSM in Shandong, China.

Methods: A serial cross-sectional study was conducted in eight cities in Shandong, China from 2010 to 2014. The surveys collected information on demographics, HIV-related knowledge, and HIV-related behaviors including the serologic status of HIV, syphilis, and HCV. Bivariate and multivariable logistic regressions were used to determine differences between migrant and resident MSM.

Results: The overall prevalence of HIV among the 15,705 MSM (14120 were resident, 1580 were migrant and 5 were missing) was 2.6%, with an increase of 1.0% in 2010 to 4.4% in 2014. Prevalence of HIV was higher among migrant MSMs (5.5%) compared to resident MSMs (2.3%). Compared to residents, migrants also had higher prevalence of syphilis (7.5% vs 4.9%) and HCV (1.1% vs 0.6%). We found that there was an increase in the proportion of migrant MSM engaging in anal sex [adjusted OR (AOR) = 1.41 in migrants vs 1.12 in residents], condom use during last anal sex (AOR = 1.14 in residents, P for trend = 0.32), consistent condom use (AOR = 1.04 residents, P for trend = 0.11) and drug use (AOR = 1.51 in migrants and 1.29 among residents). Except in the year 2011, receiving some health services in last year was significant for people who were HIV-positive compared to negative. (P for trend <0.05).

Conclusions: Prevalence of HIV increased in resident as well as migrant MSMs. The migrant MSMs had higher STIs compared to resident MSMs and therefore, should be targeted for effective interventions aimed at reducing their risk behaviors. Deeper understanding of the role of migration in health issues is required for combating the persistently high and gradually increasing HIV burden in MSM in China.

Citing Articles

Condom use and drug consumption in migrants: a systematic review.

Ruiz-Bugarin C, Lopez-Sanchez U, Aranda-Ibarra J, Hernandez-Vergara C, Caro-Jocelyn J, Sanchez-Rojas M Rev Esc Enferm USP. 2023; 57(spe):e20230032.

PMID: 37992303 PMC: 10665119. DOI: 10.1590/1980-220X-REEUSP-2023-0032en.

[High seroprevalence of syphilis and genital herpes in migrants in transit in Chiapas, MexicoAlta soroprevalência de sífilis e herpes genital em migrantes em trânsito por Chiapas, México].

Sanchez-Aleman M, Rogel-Gonzalez A, Garcia-Cisneros S, Olamendi-Portugal M, Vergara-Ortega D, Rincon-Leon H Rev Panam Salud Publica. 2023; 47:e71.

PMID: 37082541 PMC: 10100594. DOI: 10.26633/RPSP.2023.71.

Predicting the risk of HIV infection among internal migrant MSM in China: An optimal model based on three variable selection methods.

Liu S, Xia D, Wang Y, Xu H, Xu L, Yuan D Front Public Health. 2022; 10:1015699.

PMID: 36388367 PMC: 9641070. DOI: 10.3389/fpubh.2022.1015699.

Systematic Review of Hepatitis C Virus Prevalence in the WHO Western Pacific Region.

Iversen J, Wand H, Chan P, Le L, Maher L Viruses. 2022; 14(7).

PMID: 35891529 PMC: 9320901. DOI: 10.3390/v14071548.

HIV incidence and risk factors among transgender women and cisgender men who have sex with men in two cities of China: a prospective cohort study.

Shan D, Ning Z, Yu M, Zheng H, Yang J, Gong H Infect Dis Poverty. 2022; 11(1):26.

PMID: 35256001 PMC: 8900389. DOI: 10.1186/s40249-022-00947-3.

References

Tao X, Gai R, Zhang X, Zhang N, Zheng W, Xu A . Prevalence of HIV infection and HIV-related sex risk behaviors in men who have sex with men in Shandong Province, China. Biosci Trends. 2010; 2(3):97-100. View

Beyrer C, Baral S, van Griensven F, Goodreau S, Chariyalertsak S, Wirtz A . Global epidemiology of HIV infection in men who have sex with men. Lancet. 2012; 380(9839):367-77. PMC: 3805037. DOI: 10.1016/S0140-6736(12)60821-6. View

. Prevalence and awareness of HIV infection among men who have sex with men --- 21 cities, United States, 2008. MMWR Morb Mortal Wkly Rep. 2010; 59(37):1201-7. View

Mao H, Ma W, Lu H, Wang L, Zheng H, Zhu Y . High incidence of HIV and syphilis among migrant men who have sex with men in Beijing, China: a prospective cohort study. BMJ Open. 2014; 4(9):e005351. PMC: 4166416. DOI: 10.1136/bmjopen-2014-005351. View

Zou X, Chow E, Zhao P, Xu Y, Ling L, Zhang L . Rural-to-urban migrants are at high risk of sexually transmitted and viral hepatitis infections in China: a systematic review and meta-analysis. BMC Infect Dis. 2014; 14:490. PMC: 4169821. DOI: 10.1186/1471-2334-14-490. View

He Q, Peng W, Zhang J, Wang B, Wang J . Prevalence of unprotected anal intercourse and unprotected vaginal intercourse among HIV-positive men who have sex with men in China: a meta-analysis. Sex Transm Infect. 2011; 88(3):229-33. DOI: 10.1136/sextrans-2011-050230. View

Qin Q, Tang W, Ge L, Li D, Mahapatra T, Wang L . Changing trend of HIV, Syphilis and Hepatitis C among Men Who Have Sex with Men in China. Sci Rep. 2016; 6:31081. PMC: 4989164. DOI: 10.1038/srep31081. View

Wang W, Wei C, Buchholz M, Martin M, Smith B, Huang Z . Prevalence and risks for sexually transmitted infections among a national sample of migrants versus non-migrants in China. Int J STD AIDS. 2010; 21(6):410-5. PMC: 3628539. DOI: 10.1258/ijsa.2009.008518. View

Yang X, Derlega V, Luo H . Migration, behaviour change and HIV/STD risks in China. AIDS Care. 2007; 19(2):282-8. DOI: 10.1080/09540120600909414. View

10.

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

11.

Wong F, Huang Z, He N, Smith B, Ding Y, Fu C . HIV risks among gay- and non-gay-identified migrant money boys in Shanghai, China. AIDS Care. 2008; 20(2):170-80. DOI: 10.1080/09540120701534707. View

12.

Cohen M, Chen Y, McCauley M, Gamble T, Hosseinipour M, Kumarasamy N . Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011; 365(6):493-505. PMC: 3200068. DOI: 10.1056/NEJMoa1105243. View

13.

Guo Y, Li X, Song Y, Liu Y . Bisexual behavior among Chinese young migrant men who have sex with men: implications for HIV prevention and intervention. AIDS Care. 2011; 24(4):451-8. PMC: 8185875. DOI: 10.1080/09540121.2011.613914. View

14.

Meng X, Zou H, Beck J, Xu Y, Zhang X, Miao X . Trends in HIV prevalence among men who have sex with men in China 2003-09: a systematic review and meta-analysis. Sex Health. 2013; 10(3):211-9. DOI: 10.1071/SH12093. View

15.

Song Y, Li X, Zhang L, Fang X, Lin X, Liu Y . HIV-testing behavior among young migrant men who have sex with men (MSM) in Beijing, China. AIDS Care. 2011; 23(2):179-86. PMC: 3076143. DOI: 10.1080/09540121.2010.487088. View

16.

Sullivan P, Hamouda O, Delpech V, Geduld J, Prejean J, Semaille C . Reemergence of the HIV epidemic among men who have sex with men in North America, Western Europe, and Australia, 1996-2005. Ann Epidemiol. 2009; 19(6):423-31. DOI: 10.1016/j.annepidem.2009.03.004. View

17.

Estcourt C, Marks C, Rohrsheim R, Johnson A, Donovan B, Mindel A . HIV, sexually transmitted infections, and risk behaviours in male commercial sex workers in Sydney. Sex Transm Infect. 2000; 76(4):294-8. PMC: 1744173. DOI: 10.1136/sti.76.4.294. View