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Investigating HIV Infection and HIV Incidence Among Chinese Men Who Have Sex with Men with Recent Sexual Debut, Chongqing, China, 2011

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Abstract

HIV among men who have sex with men (MSM) with recent male–male sexual debut, such as within the past 5 years, may be a proxy for recent HIV infection. Using this definition, we explored factors associated with HIV infection in this group to understand the evolving HIV epidemic among MSM in Chongqing. We conducted a cross-sectional respondent-driven sampling survey among Chongqing MSM in 2011. Computer-assisted, self-administered questionnaires were used and blood specimens were collected for HIV and syphilis testing. Three hundred and ninety-one unique MSM were recruited of which 65.7 % (257) had their sexual debut with another man in the past 5 years. HIV prevalence among men with recent sexual debut was 18.7 % suggesting a possible HIV incidence of 3.7 %. Multivariable analysis among men with recent sexual debut suggests that lower education, having more than one male partner, and currently being infected with syphilis are associated with HIV among men with recent sexual debut. HIV prevalence is high among MSM with recent sexual debut in Chongqing, which may be a proxy a high incidence rate. HIV prevention efforts should focus on STD reduction among those MSM with lower educational attainment.

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Author notes

    Authors and Affiliations

    1. Department of Public Health, Baotou Medical College, Baotou, China

      Na Wang

    2. School of Public Health, Guangxi Medical University, Nanning, China

      Na Wang

    3. State Key Laboratory of Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Beijing, China

      Na Wang, Yan Xiao, Yuhua Ruan & Yiming Shao

    4. Chongqing Center for Disease Control and Prevention, Chongqing, People’s Republic of China

      Guohui Wu, Rongrong Lu & Liangui Feng

    5. San Francisco Department of Public Health, 25 Van Ness, Suite 500, San Francisco, CA, 94102, USA

      Willi McFarland & H. F. Raymond

    6. Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, 94105, USA

      Willi McFarland & H. F. Raymond

    Authors
    1. Na Wang
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    2. Guohui Wu
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    3. Rongrong Lu
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    4. Liangui Feng
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    5. Yan Xiao
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    9. H. F. Raymond
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    Corresponding author

    Correspondence to H. F. Raymond.

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    Conflict of Interest

    None declared.

    Ethical Approval

    All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

    Informed Consent

    Informed consent was obtained from all individual participants included in the study.

    Additional information

    Na Wang and Guohui Wu have contributed equally to this work.

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    Cite this article

    Wang, N., Wu, G., Lu, R. et al. Investigating HIV Infection and HIV Incidence Among Chinese Men Who Have Sex with Men with Recent Sexual Debut, Chongqing, China, 2011. AIDS Behav 20, 2976–2982 (2016). https://doi.org/10.1007/s10461-016-1356-3

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    • DOI: https://doi.org/10.1007/s10461-016-1356-3

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