Commercial sex and risk of HIV, syphilis, and herpes simplex virus-2 among men who have sex with men in six Chinese cities

BMC Infectious Diseases

Research Article

Qing-hai Hu¹  Yong-jun Jiang¹  Yan-qiu Yu¹  Wen-qing Geng¹  Xiao-xu Han¹  Zhen-xing Chu¹  Jun-jie Xu¹  Jing Zhang¹  Hong Shang¹  Zhe Wang²  Xi Chen³  Hong-jing Yan⁴  Ji-hua Fu⁵  Cunge Zheng⁶  Han-Zhu Qian⁷  Sten H. Vermund⁸  Lin Lu⁹ 

[1] Department of Laboratory Medicine, Key Laboratory of AIDS Immunology of National Health and Family Planning Commission, The First Affiliated Hospital, China Medical University, 155 Nanjing North Street, Heping District, 110001, Shenyang, China;Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou, China;Henan Provincial Centers for Disease Control and Prevention, Zhengzhou, Henan, China;Hunan Provincial Centers for Disease Control and Prevention, Changsha, Hunan, China;Jiangsu Provincial Centers for Disease Control and Prevention, Nanjing, Jiangsu, China;Shandong Provincial Centers for Disease Control and Prevention, Ji’nan, Shandong, China;Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA;Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA;Department of Laboratory Medicine, Key Laboratory of AIDS Immunology of National Health and Family Planning Commission, The First Affiliated Hospital, China Medical University, 155 Nanjing North Street, Heping District, 110001, Shenyang, China;Division of Epidemiology, Departments of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA;Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA;Departments of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA;Yunnan Provincial Centers for Disease Control and Prevention, Kunming, Yunnan, China;

关键词: Men who have sex with men;    Commercial sex;    HIV;    Sexually transmitted infection China;   

DOI  :  10.1186/s12879-016-2130-x

 received in 2016-05-20, accepted in 2016-10-15,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundMen who have sex with men (MSM) are at high risk of HIV and sexually transmitted infections (STIs) in China and globally. Engaging in commercial sex put them at even greater risk. This study estimated the prevalence of HIV/STIs among three subgroups of MSM: MSM who sold sex (MSM-selling), MSM who bought sex (MSM-buying), and non-commercial MSM (NC-MSM) and evaluated the relationship between commercial sex and HIV/STIs.MethodsWe conducted a cross-sectional survey among MSM in six Chinese cities (Shenyang, Ji’nan, Changsha, Zhengzhou, Nanjing, and Kunming) from 2012 to 2013. Data on socio-demographics and sexual behaviors were collected. Serological tests were conducted to detect HIV, syphilis, and human simplex virus type 2 (HSV-2).ResultsOf 3717 MSM, 6.8% were engaged in commercial sex. The overall prevalence of HIV, syphilis and HSV-2 infections was 11.1, 8.8 and 12.1%, respectively. MSM-selling had higher prevalence of HIV (13.4%), syphilis (12.1%) and HSV-2 (17.9%) than NC-MSM (10.9, 8.7 and 11.9% for HIV, syphilis and HSV-2, respectively), though the differences are not statistically significant. Among MSM-selling, HIV prevalence was significantly higher for those who found sex partners via Internet than those did not (19.4% vs. 8.1%, P = 0.04). Compared to NC-MSM, MSM-selling were more likely to use recreation drugs (59.3% vs. 26.3%), have unprotected anal intercourse (77.9% vs. 61.7%), and have ≥10 male sex partners (46.2% vs. 6.2%) in the past 6 months (each P < 0.05).ConclusionsAll three subgroups of MSM in six large Chinese cities have high prevalence of HIV/STIs. Those who sell sex only have a particularly high risk of acquiring and transmitting disease, and therefore, they should be considered as a priority group in HIV/STIs surveillance and intervention programs.

【 授权许可】

CC BY   
© The Author(s). 2016