1
|
Guo W, Li Y, Zhou N, Wu GH, Chang WH, Huan XP, Hui S, Tong X, Guo Y, Yu MH, Lu RR, Ouyang L, Dong LF, Li H, Li JJ, Liu XY, Liu YL, Luo C, Wei XL, Huang XD, Cui Y. [Risk factors related to HIV new infections among men who have sex with men in a cohort study]. Zhonghua Liu Xing Bing Xue Za Zhi 2018; 39:16-20. [PMID: 29374888 DOI: 10.3760/cma.j.issn.0254-6450.2018.01.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objectives: To analyze and understand the risk factors related to HIV new infections among men who have sex with men (MSM). Methods: A longitudinal observational study among MSM was conducted to collect information on HIV related behaviors and sero-conversion. Univariate and multivariate generalized estimating equations (GEE) were used to discuss the risk factors for HIV new infection. Results: A total number of 4 305 MSM were followed during 2013-2015. Among those self-reported MSM who are seeking partners on the Interner tended to have higher proportion on receptive anal intercourse and consistent condom use during anal intercourse than the subgroups seeking their partners in gay bars or bathrooms. HIV incidence among followed MSM during the study period appeared as 4.3/100 person years, with adjusted RR (aRR) of HIV infection for receptive anal intercourse as group 2.20 (95% CI: 1.49-3.24) times than that of insertion anal intercourse group. Those who used rush-poppers (aRR=1.55, 95% CI: 1.10-2.17), unprotected anal intercourse (aRR=2.24, 95%CI: 1.62-3.08), and those with syphilis infection (aRR=2.95, 95%CI: 2.00-4.35) were also risk factors for HIV new infections. After controlling other factors, the relationship between the ways of seeking partners and HIV new infection was not statistical significant. Conclusion: Risk factors for HIV new infection among MSM appeared complex and interactive, suggesting that further studies are needed to generate tailored strategies for the prevention of HIV epidemic among MSM population.
Collapse
Affiliation(s)
- W Guo
- National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206
| | - Y Li
- Center for Disease Control and Prevention in Heilongjiang Province, Harbin 150036
| | - N Zhou
- Center for Disease Control and Prevention in Tianjin, Tianjin 300011
| | - G H Wu
- Center for Disease Control and Prevention in Chongqing, Chong qing 400042
| | - W H Chang
- Center for Disease Control and Prevention in Shaanxi Province. Xi'an 710054
| | - X P Huan
- Center for Disease Control and Prevention in Jiangsu Province, Nanjing 210009
| | - S Hui
- Center for Disease Control and Prevention in Heilongjiang Province, Harbin 150036
| | - X Tong
- Center for Disease Control and Prevention in Heilongjiang Province, Harbin 150036
| | - Y Guo
- Center for Disease Control and Prevention in Tianjin, Tianjin 300011
| | - M H Yu
- Center for Disease Control and Prevention in Tianjin, Tianjin 300011
| | - R R Lu
- Center for Disease Control and Prevention in Chongqing, Chong qing 400042
| | - L Ouyang
- Center for Disease Control and Prevention in Chongqing, Chong qing 400042
| | - L F Dong
- Center for Disease Control and Prevention in Shaanxi Province. Xi'an 710054
| | - H Li
- Center for Disease Control and Prevention in Shaanxi Province. Xi'an 710054
| | - J J Li
- Center for Disease Control and Prevention in Jiangsu Province, Nanjing 210009
| | - X Y Liu
- Center for Disease Control and Prevention in Jiangsu Province, Nanjing 210009
| | - Y L Liu
- Center for Disease Control and Prevention at Harbin City, Harbin 150056
| | - C Luo
- Center for Disease Control and Prevention at Harbin City, Harbin 150056
| | - X L Wei
- Center for Disease Control and Prevention at Xi'an City, Xi'an 710054
| | - X D Huang
- Center for Disease Control and Prevention at Xi'an City, Xi'an 710054
| | - Y Cui
- National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206
| |
Collapse
|