scholarly journals Sexual Roles, Risk Sexual Behaviours, and HIV Prevalence among Men who Have Sex with Men Seeking HIV Testing in Changsha, China

2018 ◽  
Vol 16 (2) ◽  
pp. 174-181 ◽  
Author(s):  
Yunxiao Lei ◽  
Kaili Zhang ◽  
Xueling Xiao ◽  
Chulei Tang ◽  
Xianhong Li ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Sexual Behaviors ◽  
Hiv Prevalence ◽  
Hiv Positive ◽  
Oral Sex ◽  
Government Organization ◽  
Sexual Roles ◽  
Sexual Behaviours ◽  
Sex With Men

Background: HIV infection is prevalent among men who have sex with men (MSM), and sexual roles may be important factors related to it. This study aims to describe the sexual roles, risky sexual behaviors and HIV prevalence among MSM, and to determine associated factors for HIV prevalence. Methods: A convenient sampling method was used to recruit participants in a non-government organization in Changsha, China. The participants were asked to complete a 38-item self-administered questionnaire regarding demographic characteristics and risky sexual behaviours before collecting blood samples for HIV testing. Chi-square tests and logistic regression analysis were conducted with the Statistical Package for the Social Sciences Version 18.0 and other indexes were statistically described. Results: A total of 601 MSMs who came to a local non-government organization for voluntary counseling and testing completed a pencil-and-paper survey and were tested for HIV. The overall HIV prevalence of this sample was 13.3%, and that of the bottoms (16.3%) was similar to the versatiles (15.9%) but higher than the tops (6.1%). Bivariate analyses showed that there were significant differences in age, marital status, monthly income, sexual orientation, age at first sex, sex of the first sex partner, sex with a woman in the last 6 months, oral sex with a man in the last 6 months and role of oral sex among 3 subgroups of MSM (p < 0.05). Multivariate analyses indicated that MSMs who played the role of either the bottoms or the versatiles were more likely to be HIV positive than the tops. While MSMs who used condoms in anal sex in the last 6 months, had sex with a woman in the last 6 months or had oral sex with a man in the last 6 months were less likely to be HIV positive. Conclusion: Different sexual roles are associated with high-risk sexual behaviors among MSMs and their HIV infection status. Further research should target preventive interventions, and improve the effectiveness of the intervention according to the characteristics of the subgroups to reduce the HIV transmission among Chinese MSM.

Syphilis with HIV in Florence, 2003–2009: a 7-year epidemiological study

2011 ◽  
Vol 140 (1) ◽  
pp. 168-171 ◽  
Author(s):  
C. V. MARTINELLI ◽  
L. TOGNETTI ◽  
G. COLAO ◽  
A. CAROCCI ◽  
P. CORSI ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Hiv Positive ◽  
Oral Sex ◽  
Hiv Status ◽  
Late Presenters ◽  
Sexual Behaviours ◽  
Route Of Transmission ◽  
Sex With Men ◽  
Old Men ◽  
The City

SUMMARYThe aims of this study were to describe the trend of acquired syphilis in the city of Florence and its province over a 7-year period, to investigate sexual behaviours in the syphilis-infected population and to analyse syphilis/HIV co-infection. A total of 259 patients were classified according to age, sex and HIV infection. We estimated that from 2004 to 2008 cases increased by 248%. Most patients with concurrent HIV infection were male (31–45 years), but 40- to 60-year-old men who had sex with men predominated in both male and HIV-positive patients. Oral sex was identified as the most significant route of transmission, although most patients did not consider it so. Late-presenters with HIV accounted for 33% of HIV-positive patients: they were unaware of their HIV status and showed syphilis lesions only. In these cases, syphilis heralded the presence of HIV infection and allowed earlier diagnosis.

Geosocial networking app use is correlated with increased high-risk sexual behaviors and prevalence of HIV among Chinese men who have sex with men university students: A mixed offline and online cross-sectional survey (Preprint)

2021 ◽  
Author(s):  
Hang Li ◽  
Sequoia I Leuba ◽  
Weiming Tang ◽  
Yangyang Gao ◽  
Erlei Peng ◽  
...  
Keyword(s):  
High Risk ◽  
University Students ◽  
Hiv Infection ◽  
Casual Sex ◽  
Hiv Prevalence ◽  
Infection Prevalence ◽  
Chinese Men ◽  
Sexual Behaviours ◽  
Geosocial Networking ◽  
Sex With Men

BACKGROUND The HIV infection prevalence is increasing rapidly among Chinese men who have sex with men (MSM) university students, and there is limited research on the association of mobile geosocial networking (GSN) apps use and HIV-related high-risk sexual behaviour and HIV prevalence among MSM university students. OBJECTIVE To provide evidence for tailored HIV intervention programs we conducted this study to examine the association between use of GSN apps and HIV-related behaviors and HIV prevalence among Chinese MSM attending university. METHODS Chinese MSM university students were recruited using mixed recruitment methods from 2017 to 2019. Data on sociodemographic, sexual behaviours, use of GSN apps, and eligibility for pre-exposure prophylaxis (PrEP) was collected. Participants were tested for HIV and syphilis, and positive cases were confirmed by laboratory testing. RESULTS We recruited 771 MSM university students: 76.3% (n=588) online and 23.7% (n=183) offline. Among all participants, the HIV prevalence was 3.5% (n=27), and 67.4% (n=520) were eligible for PrEP. GSN app users (81.2%, n=626) vs. GSN app nonusers (18.8%, n=145) were more likely to have used recreational drugs, have multiple male sexual partners, have casual sex, and have been tested for HIV in the past six months (all P < 0.05). After adjusting for age, residence, education, and recruitment method, GSN app users had an increased odds of HIV infection compared to GSN app nonusers (aOR=8.1 [95% CI: 1.05, 62.33]). CONCLUSIONS MSM university students who used GSN apps more frequently engaged in HIV-related high-risk sexual behaviours and had a higher prevalence of HIV infection compared to GSN app nonusers. GSN app platforms can reach Chinese MSM university students and should be used to promote HIV testing and implement sexual behavioural risk reduction interventions or PrEP.

Love and Intimacy as Vulnerability to HIV Infection: A Case Study of MSM

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Archana Kaushik
Keyword(s):  
Hiv Infection ◽  
Cultural Values ◽  
Sexual Behaviors ◽  
Sex Workers ◽  
Sexual Minorities ◽  
Suicide Attempts ◽  
Service Providers ◽  
Structural Barriers ◽  
Health Seeking ◽  
Sex With Men

Sexual minorities are among the most marginalized groups in the society. Sero-positivity accentuates social exclusion among the sexual minorities. The paper aims to appraise the factors that make Men who have Sex with Men (MSM) vulnerable to HIV infection and influence their health seeking behaviors. It highlights two major domains socio-cultural and interpersonal variables. Qualitative in nature and based on ten in-depth case studies of HIV infected MSM, the study is located in Delhi, India. Factors such as age, marital status, child sexual abuse, multiple sex partners, are crucial in influencing their vulnerability. Socio-cultural milieu puts structural barriers restricting integration of MSM in the society. Cultural values do not allow talking about sex, which hampers healthy sexual behaviors. Exhibiting aggression, sexual violence, visiting sex-workers etc. are considered as important aspects to prove manhood. At the interpersonal level, possessiveness, betrayal, infidelity, heartbreak, strong emotional whirlpool when love-relations go incongruent, all takes a heavy toll of their mental and physical health. These variables socially exclude the sexual minorities from the mainstream life. Findings show positive (disclosing to family, abstinence, spiritual growth) and negative (suicide-attempts, drug-use) ways of coping among the MSM respondents. Critical areas of concern for service-providers while planning interventions for empowering people with sexual minority are delineated.

scholarly journals Use of multiple recreational drugs is associated with new HIV infections among men who have sex with men in China: a multicenter cross-sectional survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiang Mao ◽  
Sequoia I. Leuba ◽  
Qinghai Hu ◽  
Hongjing Yan ◽  
Zhe Wang ◽  
...  
Keyword(s):  
High Risk ◽  
Hiv Infection ◽  
Risk Behaviors ◽  
Sexual Behaviors ◽  
Hiv Infections ◽  
Recreational Drugs ◽  
Limited Information ◽  
High Risk Behaviors ◽  
Sex With Men ◽  
Recent Hiv Infection

Abstract Background There is limited information about the types of recreational drugs used by men who have sex with men (MSM) in China or the consequent impact on sexual health and human immunodeficiency virus (HIV) acquisition. Methods We recruited MSM from seven cities in China between 2012 and 2013 using multiple approaches including advertisements on gay websites, collaborating with local MSM community-based organizations, peer referrals, and venues such as gay bars and bathrooms visited by MSM. We divided participants into four subgroups based on the number of recreational drugs (RDs) used in the previous 6 months. We defined use of multiple RDs as use of ≥2 types of RDs. Demographics and HIV-related high-risk behaviors were collected, and blood samples were tested for recent HIV infection by the HIV-1 subtypes B, E, and D immunoglobulin G capture enzyme immunoassay (BED-CEIA). We used multivariable logistic regression adjusted for sociodemographics to determine the adjusted odds ratios (aORs) and associated 95% confidence intervals (CIs) of the subgroups of RD use for recent or established HIV infection. Results A total of 4496 Chinese MSM participated; 28.4% used RDs, and 5% used multiple types of RDs. The prevalence of each RD use was as follows: poppers (25.9%), ecstasy (2.4%), ketamine (1.2%), amphetamine (0.6%), tramadol (0.4%), methamphetamine (3.8%), and codeine (1.9%). Users of multiple RDs commonly used poppers combined with one or more other types of RDs. Multiple RD users were likely to be aged 26–30 years (vs. 18–25 and > 30 years), live in non-local cities (vs. local cities), never married (vs. married), have a high monthly income (vs. no income and 1–599 USD), use versatile positions during anal intercourse (vs. top or bottom), and have inadequate HIV-related prevention knowledge (vs. adequate). As the number of RDs used in the previous 6 months increased, the prevalence of HIV-related high-risk behaviors increased (P < 0.05 for all). The odds of recent HIV infection were higher among those who used one type (aOR = 2.2, 95% CI: 1.5–3.0) or two types of RD (aOR=2.3, 95% CI: 1.0-5.2) in the previous 6 months compared to the odds among those who did not use RDs. Conclusion The level and pattern of multiple RD use among Chinese MSM were different from high-income countries. MSM who used more RDs are more likely to engage in high-risk sexual behaviors, and these behaviors may be associated with increases in new HIV infections.

An outbreak of syphilis in Oslo

2002 ◽  
Vol 13 (6) ◽  
pp. 370-372 ◽  
Author(s):  
A M Halsos ◽  
K Edgardh
Keyword(s):  
Public Health ◽  
Hiv Infection ◽  
Medical Records ◽  
University Hospital ◽  
Oral Sex ◽  
Sexual Contacts ◽  
Male Patients ◽  
Sex With Men ◽  
Latent Syphilis ◽  
Retrospective Investigation

During 1999 and 2000, an outbreak of syphilis occurred in Norway: 93 cases were reported to the National Institute of Public Health. This report summarizes a retrospective investigation of the medical records of 60 patients with primary, secondary and early latent syphilis treated during 1999–2000 at the Department of STD at the Ullevål University Hospital in Oslo. Five women and 55 men were treated, mean age 38.6 and 44.9 years, respectively. Of the 60 cases, 14 (23.3%) had primary, 39 (65.0) secondary and seven (11.7%) early latent syphilis. Men who have sex with men (MSM) constituted 78.2% (43/55) of the male patients. Transmission among MSM was related to casual sexual contacts in bathhouses in Oslo. Two cases occurred among men with previously diagnosed HIV infection. Two new cases of HIV were reported. Condom use was inconsistent, and seldom used for oral sex.

scholarly journals P3.311 Assessment of HIV Prevalence and Sexual Behaviours Among Men Who Have Sex with Men in Cyprus, 2011–2012

2013 ◽  
Vol 89 (Suppl 1) ◽  
pp. A246.1-A246
Author(s):  
M Pylli ◽  
V Raftopoulos ◽  
N Middleton ◽  
A Charalambous ◽  
D Paraskeva
Keyword(s):  
Hiv Prevalence ◽  
Sexual Behaviours ◽  
Sex With Men

scholarly journals Risk of Subsequent HIV Infection Following Sexually Transmissible Infections Among Men Who Have Sex With Men

2019 ◽  
Vol 6 (10) ◽  
Author(s):  
Brendan L Harney ◽  
Paul A Agius ◽  
Carol El-Hayek ◽  
Christopher K Fairley ◽  
Eric P F Chow ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Sexual Behaviors ◽  
Infection Risk ◽  
Linear Modeling ◽  
Sexually Transmissible Infections ◽  
History Of ◽  
Test Event ◽  
Sex With Men ◽  
The Relationship ◽  
Hiv Infection Risk

Abstract Background HIV and bacterial sexually transmissible infection (STI) notifications among men who have sex with men (MSM) have increased in Australia and many other countries. The relationship between HIV infection and other STIs has been demonstrated previously. However, the relationship between the cumulative history of STIs and subsequent HIV infection remains largely unexplored and limits our understanding of the mechanisms underpinning the elevated HIV risk. Methods Data from HIV-negative MSM who attended high–HIV caseload primary care clinics in Melbourne, Australia, from 2007 to 2014 with 2 or more HIV and STI tests were included. Controlling for sexual behaviors self-reported at clinic visits, discrete time survival analyses using generalized linear modeling estimated the effect of an STI at the prior test event and the cumulative history of STIs (none, 1, 2, or more [repeated]) on risk of HIV infection. Results A total of 8941 MSM met the study criteria; 227 (2.5%) were diagnosed with HIV over the follow-up period. Adjusting for sexual behaviors, a cumulative history of repeated rectal gonorrhea infections (adjusted hazard ratio [aHR], 6.27; 95% confidence interval [CI], 2.68–14.50) and a single rectal gonorrhea infection (aHR, 2.09; 95% CI, 1.15–3.79) were associated with increased HIV infection risk. Conclusions Repeated and single rectal gonorrhea infections were independently associated with increased HIV infection risk. These findings suggest that MSM with any history of rectal gonorrhea, particularly repeat rectal gonorrhea, represent a group for whom preventive interventions for HIV should be emphasized.

scholarly journals Psychosocial Characteristics and Sexual Behaviors of People in Care for HIV Infection: An Examination of Men Who Have Sex with Men, Heterosexual Men and Women

2009 ◽  
Vol 13 (6) ◽  
pp. 1129-1142 ◽  
Author(s):  
Carol Golin ◽  
Gary Marks ◽  
Julie Wright ◽  
Mary Gerkovich ◽  
Hsiao-Chuan Tien ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Sexual Behaviors ◽  
Heterosexual Men ◽  
Psychosocial Characteristics ◽  
Men And Women ◽  
Sex With Men

scholarly journals Trends in HIV prevalence and risk behaviours among men who have sex with men from 2013 to 2017 in Nanjing, China: a consecutive cross-sectional survey

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e021955 ◽  
Author(s):  
Zhengping Zhu ◽  
Hongjing Yan ◽  
Sushu Wu ◽  
Yuanyuan Xu ◽  
Wenjiong Xu ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Hiv Testing ◽  
Protective Factor ◽  
Hiv Prevalence ◽  
Secondary Outcome ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
The Past ◽  
Testing Rate ◽  
Sex With Men

ObjectiveTo examine the trends of HIV prevalence, risk behaviours and HIV testing among men who have sex with men (MSM) in Nanjing.DesignFive consecutive cross-sectional surveys.SettingNanjing, China.Primary and secondary outcome measuresHIV and syphilis prevalence, HIV testing rate and factors associated with HIV infection; demographic characteristics and behaviours.Results649, 669, 577, 633, 503 MSM were recruited from 2013 to 2017. HIV prevalence was 9.9%, 12.3%, 12.5%, 9.8% and 10.1%, respectively. Syphilis prevalence decreased with a range from 10.6% to 5.6%. Risk behaviours like unprotected anal intercourse (UAI) and unprotected virginal sex in the past 6 months decreased, but multiple sex partners and ever used rush popper rose significantly. MSM tested for HIV in the previous year remained stable from 57.0% to 64.1% (P=0.633). Multivariate analysis showed that tested for HIV in the past year was protective factor against HIV infection. MSM who had UAI in the past 6 months, sex role as receptive and dual, diagnosed with sexually transmitted diseases (STDs) in the past year and currently syphilis infected were risk factors for HIV infection.ConclusionsWe observed stable high HIV prevalence, a steady HIV testing rate, decreasing syphilis prevalence and UAI among MSM in Nanjing. However, rush popper use rose dramatically. The HIV preventive strategies for MSM including condom promotion, HIV testing expansion and reduction of rush popper use, STDs screening and standardised treatment should be strengthened.

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