Skip to main content

Advertisement

SpringerLink
Log in

Prevalence and Correlates of HIV Infection and Unrecognized HIV Status Among Men Who Have Sex with Men and Women in Chengdu and Guangzhou, China

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

To know the status of HIV infection and the correlates for HIV infection among MSMW in China. This research examined the risks for HIV in 600 MSMW in Chengdu and Guangzhou, China. Participants completed a structured behavioral risk survey and were tested for HIV status. Overall, 26.2 % (n = 157) of the sample were HIV-positive, and 7 % (n = 41) were newly diagnosed and previously unaware of their HIV-positive status. Independent correlates of new HIV infection were Chengdu residence, being currently married, and sometimes using condoms during anal intercourse. Compared with previously diagnosed participants, newly diagnosed participants were more likely to have unprotected sex in the anal and vaginal sexes. Given the high risk for HIV in MSMW in these Chinese cities, public health interventions are needed to promote frequent HIV testing and to address sexual risk behaviors with both male and female partners.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. State Council AIDS Working Committee Office, UN Theme Group on HIV/AIDS in China. A joint assessment of HIV/AIDS prevention, treatment and care in China (2007). Beijing, China: State Council AIDS Working Committee Office; December 1, 2007. http://www.chinaids.org.cn/n443289/n443292/6438.html Accessed 18 Aug 2010.

  2. Ministry of Health of the People’s Republic of China, Joint United Nations Program on HIV AIDS (UNAIDS), World Health Organization. Report on the estimation of HIV/AIDS epidemic in China. Beijing: Ministry of Health of China; 2009. p. 2010.

    Google Scholar 

  3. Ma XY, Zhang QY, He X, et al. Trends in prevalence of HIV, syphilis, hepatitis C, hepatitis B, and sexual risk behavior among men who have sex with men. J Acquir Immune Defic Syndr. 2007;45:581–7.

    Article  PubMed  Google Scholar 

  4. Feng L, Ding X, Lu R, et al. High HIV prevalence detected in 2006 and 2007 among men who have sex with men in China’s largest municipality: an alarming epidemic in Chongqing, China. J Acquir Immune Defic Syndr. 2009;52:79–85.

    Article  PubMed  Google Scholar 

  5. He QY, Wu XQ, Han DL, et al. HIV infection and risk behavior of men having sex with men in Chengdu city from 2004 to 2007. J Occup Health Damage. 2008;23:222–4.

    Google Scholar 

  6. Chow EP, Wilson DP, Zhang L, et al. Human immunodeficiency virus prevalence is increasing among men who have sex with men in China: findings from a review and meta-analysis. Sex Transm Dis. 2011;38(9):845–57.

    Article  PubMed  Google Scholar 

  7. Choi KH, Liu H, Guo Y, et al. Emerging HIV-1 epidemic in China in men who have sex with men. Lancet. 2003;361:2125–6.

    Article  PubMed  Google Scholar 

  8. Zhang K, Li D, Li H, et al. Changing sexual attitudes and behavior in China: implications for the spread of HIV and other sexually transmitted diseases. AIDS Care. 1999;11:581–9.

    Article  PubMed  CAS  Google Scholar 

  9. Feng Y, Wu Z, Detels R. Evolution of MSM community and experienced stigma among MSM in Chengdu, China. J Acquir Immune Defic Syndr. 2010;53(Suppl 1):S98–103.

    Article  PubMed  Google Scholar 

  10. Guo Y, Li X, Stanton B. HIV-related behavioral studies of men who have sex with men in China: a systematic review and recommendations for future research. AIDS Behav. 2011;15(3):521–34.

    Article  PubMed  Google Scholar 

  11. Xu J, Han D, Liu Z, et al. The prevalence of HIV infection and the risk factors among MSM in 4 cities, China. Chin J Prev Med. 2010;44:975–80.

    Google Scholar 

  12. Xu J, Xu J, Mi G, et al. Comparison of AIDS related sexual behaviors between married and unmarried MSM. Chin J Dis Control Prev. 2010;14:404–7.

    Google Scholar 

  13. Yun K, Xu JJ, Reilly KH, et al. Prevalence of bisexual behavior among bridge population of men who have sex with men in China: a meta-analysis of observational studies. Sex Transm Infect. 2011; Epub ahead of print.

  14. Li CM, Jia YJ, Ding XB, et al. HIV infections and heterosexual behaviors among men who have sex with men in Chongqing municipality, China. Zhonghua Liu Xing Bing Xue Za Zhi. 2009;30:882–6.

    PubMed  Google Scholar 

  15. Liao M, Kang D, Jiang B, et al. Bisexual behavior and infection with HIV and syphilis among men who have sex with men along the East Coast of China. AIDS Patient Care STDS. 2011;25:683–91.

    Article  PubMed  Google Scholar 

  16. Lau J, Wang M, Wong H, et al. Prevalence of bisexual behaviors among men who have sex with men (MSM) in China and associations between condom use in MSM and heterosexual behaviors. Sex Transm Dis. 2008;35:406–13.

    Article  PubMed  Google Scholar 

  17. Jimenez A. Triple jeopardy: targeting older men of color who have sex with men. J Acquir Immune Defic Syndr. 2003;33(suppl 2):S222–5.

    Article  PubMed  Google Scholar 

  18. Wohl AR, Johnson DF, Lu S, et al. HIV risk behaviors among African American men in Los Angeles County who self-identify as heterosexual. J Acquir Immune Defic Syndr. 2002;2002(31):354–60.

    Article  Google Scholar 

  19. Preeti P, Hajat A, Schillinger J, et al. Discordance between sexual behavior and self-reported sexual identity: a population-based survey of New York City men. Ann Intern Med. 2006;145:416–25.

    Article  Google Scholar 

  20. Wheeler DP, Lauby JL, Liu KL, et al. A comparative analysis of sexual risk characteristics of black men who have sex with men or with men and women. Arch Sex Behav. 2008;37:697–707.

    Article  PubMed  Google Scholar 

  21. Malebranche DJ. Bisexually active black men in the United States and HIV: acknowledging more than the “Down Low”. Arch Sex Behav. 2008;37:810–6.

    Article  PubMed  Google Scholar 

  22. Lu L, Jia M, Zhang X, et al. Analysis for epidemic trend of acquired immunodeficiency syndrome in Yunnan Province of China. Zhonghua Yu Fang Yi Xue Za Zhi. 2004;38:309–12.

    PubMed  Google Scholar 

  23. Cohen J. HIV/AIDS in China. Changing course to break the HIV-heroin connection. Science. 2004;304:1434–5.

    Article  PubMed  CAS  Google Scholar 

  24. Bui TX, Yang DC, Jones WD, Li JZ. China’s economic power-house: economic reform in Guangdong Province. New York: Palgrave Macmillan; 2003.

    Google Scholar 

  25. Li C, Jia Y, Ding X, et al. HIV infections and heterosexual behaviors among men who have sex with men in Chongqing municipality, China. Chin J Epidemiol. 2009;30(9):882–6.

    Google Scholar 

  26. Feng Y, We Z, Detels R, et al. HIV/STD prevalence among MSM in Chengdu, China and associated risk factors for HIV infection. J Acquir Immune Defic Syndr. 2010;53(suppl 1):S74–80.

    Article  PubMed  Google Scholar 

  27. Xu J, Han D, Liu Z, et al. The prevalence of HIV infection and the risk factors among MSM in 4 cities, China. Chin J Prev Med. 2010;44(11):975–80 (in Chinese).

    Google Scholar 

  28. Mou C, Wang Q, Zhong Y, et al. Correlation between HIV antibody and sexual behaviors of men who have sex with men in Guangzhou in 2010. Nan Fang Yi Ke Da Xue Xue Bao. 2012;32(1):113–5.

    PubMed  Google Scholar 

  29. Zhang BC, Wang QY, Suo LD. Review of HIV/AIDS prevention among Adolescent MSM in China: United Nations Educational, Scientific and Cultural Organization (UNESCO) Financing Project 2006.

Download references

Acknowledgments

This work was supported by Chinese Center for Disease Control and Prevention, AIDS Applied Research Project grant No. 2010146. We would like to thank Delin Han from Center for Disease Control of Chengdu and Liping Dai from Center for Disease Control of Yuexiu district in Guangzhou for their aid in HIV testing, as well as MSM volunteers from Chengdu Tongle Consulting Center and Guangzhou Xiaoqi culture spread company for their aid in the data collection and HIV testing during our research.

Author information

Authors and Affiliations

  1. School of Public Health, Anhui Medical University, 69 Meishan Road, Hefei, 230032, Anhui Province, People’s Republic of China

    Dandan Song, Hongbo Zhang, Jun Wang, Min She & Min Wang

  2. Guangzhou Xiaoqi Culture Spread Company, 3 Dongchuan Road, Guangzhou, 510000, Anhui Province, People’s Republic of China

    Qi Liu

  3. Chengdu Tongle Consulting Center, 19 Hengxin Road, Chengdu, 610000, Anhui Province, People’s Republic of China

    Xiaodong Wang

  4. Department of Behavioral and Social Sciences, Brown University, 121 South Main Street, G-S121-5, Providence, RI, USA

    Don Operario

  5. Division of Infectious Diseases, Alpert Medical School, 164 Summit Avenue, CFAR Building, Providence, RI, 02906, USA

    Nickolas Zaller

Authors
  1. Dandan Song
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hongbo Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jun Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Qi Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Xiaodong Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Don Operario
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Min She
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Min Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Nickolas Zaller
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hongbo Zhang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Song, D., Zhang, H., Wang, J. et al. Prevalence and Correlates of HIV Infection and Unrecognized HIV Status Among Men Who Have Sex with Men and Women in Chengdu and Guangzhou, China. AIDS Behav 17, 2395–2404 (2013). https://doi.org/10.1007/s10461-012-0334-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-012-0334-7

Keywords

Search

Navigation