Factors Associated with Unprotected Anal Intercourse Among Men Who Have Sex with Men: Results from a Respondent Driven Sampling Survey in Nanjing, China, 2008

被引:0
作者
Weiming Tang
Xiping Huan
Tanmay Mahapatra
Songyuan Tang
Jianjun Li
Hongjing Yan
Gengfeng Fu
Haitao Yang
Jinkou Zhao
Roger Detels
机构
[1] UCLA Fielding School of Public Health,Department of Epidemiology
[2] University of California,Department of Epidemiology and Biostatistics
[3] Los Angeles,undefined
[4] Jiangsu Provincial Centre for Disease Control and Prevention,undefined
[5] School of Public Health,undefined
[6] Nanjing Medical University,undefined
[7] Monitoring and Evaluation Unit,undefined
[8] The Global Fund to Fight AIDS,undefined
[9] Tuberculosis and Malaria,undefined
来源
AIDS and Behavior | 2013年 / 17卷
关键词
Unprotected anal intercourse (UAI); HIV; Respondent-driven sampling (RDS); Men who have sex with men (MSM); Sexually transmitted diseases (STDs); China; Sexo anal sin protección; VIH; Muestro dirigido por los participantes; Hombres que tienen sexo con hombres; Infecciones transmitidas sexualmente; China;
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中图分类号
学科分类号
摘要
Unprotected anal intercourse (UAI) is a well-documented risk factor for acquiring HIV, but not well-studied in China. We studied demographic and behavioral correlates for UAI among men who have sex with men (MSM) in a respondent-driven-sampling (RDS) survey in Nanjing, China. Four hundred and thirty MSM (including ten seeds) participated in this study, rendering an adjusted rate of UAI as 62.3 % (95 % CI 56.4–68.4 %). Adjusted HIV and syphilis prevalence rates were 6.6 % (95 % CI 3.0–10.4) and 12.6 % (95 % CI 8.1–18.3), respectively. HIV- and syphilis-positive cases were more likely to have engaged in UAI. Being unwilling to use condoms, meeting partners in non-conventional venues, having multiple male sex-partners in the past 6 months, having sex with regular and casual male partners in the past 6 months, and consumption of alcohol before sex were all positively associated with UAI. Based on the observed high prevalence of UAI among MSM in Nanjing, we can conclude that implementation of strategies to motivate MSM with high-risk behaviors to use condoms is urgently required in Nanjing.
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页码:1415 / 1422
页数:7
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