Public health challenges of the emerging HIV epidemic among men who have sex with men in China
Publication in refereed journal


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摘要A 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.
著者Lau JTF, Lin C, Hao C, Wu X, Gu J
期刊名稱Public Health
出版年份2011
月份5
日期1
卷號125
期次5
出版社W B SAUNDERS CO LTD
頁次260 - 265
國際標準期刊號0033-3506
電子國際標準期刊號1476-5616
語言英式英語
關鍵詞China; Epidemic; HIV/ STD; Men who have sex with men
Web of Science 學科類別Public, Environmental & Occupational Health; PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH, SCI; PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH, SSCI

上次更新時間 2021-26-01 於 01:49