Public health challenges of the emerging HIV epidemic among men who have sex with men in China
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AbstractA large-scale national survey was conducted in 2008 across 61 cities throughout China, covering over 18,000 men who have sex with men (MSM). The prevalence of human immunodeficiency virus (HIV) was 4.9% and incidence ranged from 2.6 to 5.4 per 100 person-years. The prevalence of sexually transmitted diseases ranged from 2.0% to 29.9% among MSM in different parts of China. Syphilis status, recruitment of sexual partners mainly from gay saunas, duration of MSM experience, and unprotected sex with regular male sex partners and multiple male sex partners predicted HIV seroconversion. The prevalence of consistent condom use was low during anal sex, ranging from 29.4% to 37.3%. Within this context, this paper considers the factors surrounding HIV prevention activity, and identifies a number of public health challenges which need to be considered if optimum outcomes are to be achieved. HIV prevention targeting MSM is a delayed response. The high risk associated with gay saunas and the need for steady condom supply at these venues needs urgent consideration. In addition, approximately one-third of MSM in China reported bisexual behavior, which may be attributed to sociocultural reasons and stigma against MSM. Female sex partners of MSM are seldom aware of their exposure to high risk of HIV transmission. Finally, the primitive nature of non-government organizations for HIV prevention and issues around their sustainability pose another serious challenge for the future of HIV prevention campaigns targeting MSM in China. (C) 2011 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
All Author(s) ListLau JTF, Lin C, Hao C, Wu X, Gu J
Journal namePublic Health
Year2011
Month5
Day1
Volume Number125
Issue Number5
PublisherW B SAUNDERS CO LTD
Pages260 - 265
ISSN0033-3506
eISSN1476-5616
LanguagesEnglish-United Kingdom
KeywordsChina; Epidemic; HIV/ STD; Men who have sex with men
Web of Science Subject CategoriesPublic, Environmental & Occupational Health; PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH, SCI; PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH, SSCI

Last updated on 2020-01-12 at 00:19