A cross-sectional study of HIV and syphilis infections among male students who have sex with men (MSM) in northeast China: implications for implementing HIV screening and intervention programs

BMC Public Health

Research Article

Jun-Jie Xu¹  Zhen-Xing Chu¹  Min Zhang¹  Hong Shang¹  Ke Yun¹  Ning Ma²  Chun-Ming Lu²  Jun-Jie Wang³  Kathleen Heather Reilly⁴ 

[1] From Key Laboratory of AIDS Immunology of Ministry of Health, Department of Laboratory Medicine, No.1 Hospital of China Medical University, 110001, Shenyang, China;Liaoning Provincial CDC, Shenyang, China;National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention(CDC), Beijing, China;National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention(CDC), Beijing, China;Tulane University Health Sciences Center, School of Public Health and Tropical Medicine, New Orleans, LA, USA;

关键词: HIV;    syphilis;    China;    men who have sex with men (MSM);    high school students;    college students;   

DOI  :  10.1186/1471-2458-11-287

 received in 2010-12-27, accepted in 2011-05-10,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundChina has 76.2 million high school and college students, in which the number of reported HIV/AIDS cases is increasing rapidly. Most of these cases are attributed to male-to-male sexual contact. Few studies have explored HIV prevalence and behavioural characteristics of Chinese male students who have sex with men (MSM).MethodsA cross-sectional study of MSM high school and college students in Liaoning Province was conducted. Data were collected through face-to-face interviews and blood specimens were obtained and tested for HIV and syphilis.ResultsThere were 436 eligible participants. HIV and syphilis prevalence was 3.0% and 5.0%, respectively. In multivariate analysis, sexual orientation known by family members (OR: 7.3; 95% CI: 1.5-34.6), HIV/AIDS information obtained from clinical doctors (OR: 6.7; 95% CI: 1.7-25.9), HIV/AIDS information obtained through free educational services and materials such as voluntary counseling and testing (VCT) and condom distribution services (OR: 0.2; 95% CI: 0.4-1.0), inconsistent condom use (OR: 5.7; 95%: 1.3-25.3), sexual partner experienced anal bleeding after insertive anal intercourse (OR: 6.8; 95% CI: 1.6-28.4), and history of illegal drug use (OR: 18.9; 95% CI: 2.2-165.3) were found to be significantly associated with HIV infection.ConclusionsGreater effort should be made towards stemming the HIV and syphilis epidemics among Chinese student MSM. Immediate screening and comprehensive interventions towards student MSM should be implemented in order to curb the spread of HIV. Family and school-based interventions should be considered to target this educated, yet vulnerable, population.

【 授权许可】

Unknown   
© Xu et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.