Increasing HIV prevalence and injection drug use among men who have sex with men in Ho Chi Minh City, Vietnam

2020 ◽  
Vol 31 (13) ◽  
pp. 1247-1254
Author(s):  
Nguyen Anh Tuan ◽  
Lisa G Johnston ◽  
Duong Cong Thanh ◽  
Linh-Vi N Le ◽  
Tran Vu Hoang ◽  
...  

Vietnam has been conducting HIV/sexually transmitted infection (STI) integrated bio-behavioral surveillance surveys on men who have sex with men (MSM) as well as other key populations since 2005. Although HIV prevalence in the Vietnamese general population remains below 1%, it is expected to be much higher among MSM. Data on HIV prevalence and sexual and drug use behaviors were collected from MSM in Ho Chi Minh City (HCMC) in 2006 (n = 397), 2009 (n = 399) and 2013 (n = 350) using respondent-driven sampling. Eligible participants were males, aged ≥15 years who reported having manual, oral, or anal sexual activity with males in the past year and lived, worked or socialized in HCMC. HIV seroprevalence among MSM was 5.8% in 2006, 16.1% in 2009 and 12.1% in 2013 and prevalence of at least one STI (syphilis, gonorrhea and/or chlamydia infection) was 11.4% in 2006 and 15.6% in 2009 (no data for 2013). Significant, but small, increasing trends were found for MSM who reported ever testing and receiving results for HIV and for HIV prevalence. No significant changes for condom use, injecting and non-injecting drug use, or and receipt of free condoms were observed. Although a small percentage of MSM reported injecting drugs, HIV was positively associated with ever injecting drugs. Programs targeting MSM should include screening and treatment for injection drug use to most effectively control the HIV/AIDS epidemic among MSM in HCMC.

2020 ◽  
Vol 207 ◽  
pp. 107808 ◽  
Author(s):  
Jessica L. Maksut ◽  
Rachel E. Gicquelais ◽  
Kevon-Mark Jackman ◽  
Lisa A. Eaton ◽  
M. Revel Friedman ◽  
...  

1999 ◽  
Vol 54 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Mariangela Carneiro ◽  
Crystal Fuller ◽  
Meg C Doherty ◽  
David Vlahov

2016 ◽  
Vol 21 (12) ◽  
pp. 2799-2812 ◽  
Author(s):  
Martin J Downing ◽  
Mary Ann Chiasson ◽  
Sabina Hirshfield

The extent to which mental health problems, including current anxiety and depressive symptoms, may co-occur, or are associated, with the acquisition of sexually transmitted infections other than HIV remains largely unexplored among men who have sex with men. In a cross-sectional survey of 8,381 US men who have sex with men recruited from a sexual networking website, 15 percent reported a past 60-day sexually transmitted infection diagnosis. Among HIV-negative men, increased odds of reporting a sexually transmitted infection were associated with current anxiety symptoms and past 60-day drug use. Findings underscore the need to better understand causal pathways among anxiety, drug use, and sexually transmitted infection acquisition and transmission among men who have sex with men.


1998 ◽  
Vol 25 (7) ◽  
pp. 353-360 ◽  
Author(s):  
CORNELIS A. RIETMEIJER ◽  
RICHARD J. WOLITSKI ◽  
MARTIN FISHBEIN ◽  
NANCY H. CORBY ◽  
DAVID L. COHN

2016 ◽  
Vol 28 (1) ◽  
pp. 91-93 ◽  
Author(s):  
Z Ottaway ◽  
Fionnuala Finnerty ◽  
Aliza Amlani ◽  
Nicolas Pinto-Sander ◽  
Joshua Szanyi ◽  
...  

2020 ◽  
Vol 31 (3) ◽  
pp. 254-263
Author(s):  
Matthew P Hibbert ◽  
Caroline E Brett ◽  
Lorna A Porcellato ◽  
Vivian D Hope

Previous research has focused on acceptability of pre-exposure prophylaxis (PrEP) use, but few community-based studies have been conducted regarding actual use, and PrEP use in the context of sexualised drug use remains understudied. A national online cross-sectional study recruited men who have sex with men (MSM) via social media (April–June 2018). Multivariable logistic regression was used to investigate factors associated with PrEP use. Bivariate analyses compared engaging in condomless anal intercourse (CAI) under the influence of specific drugs and recent sexually transmitted infection (STI) diagnoses (past 12 months) between MSM taking PrEP and those not. Overall, 6% (99/1581) MSM reported current PrEP use. Factors associated with PrEP use were increasing age, recent genitourinary medicine (GUM) attendance (95% versus 45%, aOR = 6.25, 95%CI 2.05, 19.03), an HIV test in the past three months (89% versus 23%, aOR = 14.22, 95%CI 6.76, 29.90), and recent engagement in chemsex (21% versus 4%, aOR = 3.56, 95%CI 1.78, 7.11). MSM taking PrEP were more likely to have had an STI diagnosis (42% versus 8%), most commonly chlamydia (26% versus 3%) and gonorrhoea (25% versus 4%). Considering the elevated levels of self-reported STI diagnoses among those on PrEP, there was a high level of engagement with sexual health services, which may help reduce onward STI transmission.


2019 ◽  
Vol 49 (2) ◽  
pp. 296-307 ◽  
Author(s):  
John Hembling ◽  
Jane Bertrand ◽  
Giovanni Melendez ◽  
Laura Ponchick

Injection drug use is a known risk factor for HIV transmission, but research suggests non-injection drug use also heightens HIV risk. This study measures HIV prevalence and examines sexual behavior among drug users in Guatemala City. The multiplier method and respondent-driven sampling (RDS) were used to estimate the size of the population, generating a representative sample of 299 drug users 18+ years old living in Guatemala City. The study found that drug users tended to be males with low education and income; 6% were HIV positive. Most drug users reported sexual behaviors that heightened the risk of HIV transmission like multiple sexual partners, buying or selling sex, low rates of consistent condom use, and exchanging sex for drugs. HIV prevalence is low in Guatemala, but non-injection drug use likely increases behaviors that heighten risk of HIV transmission.


2011 ◽  
Vol 15 (7) ◽  
pp. 1561-1569 ◽  
Author(s):  
Angie Ghanem ◽  
Susan J. Little ◽  
Lydia Drumright ◽  
Lin Liu ◽  
Sheldon Morris ◽  
...  

2013 ◽  
Vol 18 (27) ◽  
Author(s):  
M J Tuneu ◽  
X Vallès ◽  
D Carnicer-Pont ◽  
M J Barberá ◽  
P Godoy ◽  
...  

We conducted a cross-sectional study in 10 primary care centres in Catalonia, to determine applicability, acceptability and effectiveness of partner notification cards used by patients diagnosed of a sexually transmitted infection (STI) and to characterise these and their sexual partners. Statutorily notifiable STIs included Chlamydia infection, gonorrhoea, syphilis, human immunodeficiency virus (HIV) infection or other STIs as deemed necessary by the treating physician. Between June 2010 and June 2011, 219 index cases were enrolled, of whom 130 were men (59.4%), 71 of them men who have sex with men (54.6%). Chlamydia infection (41.1%), gonorrhoea (17.8%) and syphilis (16.0%) were the STIs most frequently diagnosed. HIV infection accounted for 4% of cases. A total of 687 sexual partners were reported, and 300 of these were traceable through the notification card (45.7%). Those who did not report traceable contacts were older (mean age: 34 years versus 31 years, p=0.03). The main reason for not distributing the card was anonymous sexual intercourse (38%). Patient referral notification cards can reach a high percentage of sexual partners at risk. However, only few notified sexual partners attended participating health centres. Internet-based partner notification may be considered in order to reach those partners not otherwise traceable.


2010 ◽  
Author(s):  
Angie Ghanem ◽  
Susan Little ◽  
Lin Liu ◽  
Sheldon Morris ◽  
Richard Garfein

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