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Type: Journal article
Title: Changes in HIV prevalence and sexual behavior among men who have sex with men in a northern Chinese city: 2002-2006
Author: Zhang, D.
Bi, P.
Iv, F.
Zhang, J.
Hiller, J.
Citation: Journal of Infection, 2007; 55(5):456-463
Publisher: W B Saunders Co Ltd
Issue Date: 2007
ISSN: 0163-4453
Statement of
Dapeng Zhang, Peng Bi, Fan lv, Jie Zhang and Janet E. Hiller
Abstract: <h4>Objective</h4>To examine HIV prevalence and sexual behavior changes among MSM in Harbin.<h4>Methods</h4>Three community-based cross-sectional surveys among MSM were conducted based on the same protocol and methodology in 2002, 2004 and 2006 in Harbin, China. Men who were eligible were interviewed with a standard questionnaire. Urine samples were collected to screen their HIV status.<h4>Results</h4>Among the MSM in Harbin, an increased trend was observed towards more self-identifying as homosexual (from 58% to 80%) and more living with a male partner (from 12% to 41%) over the study period. Although there was a trend towards a reduction in the rate of never using a condom and an increase in the rate of always using condoms during anal sex in the past six months, the prevalence of unprotected anal intercourse (UAI) was still at a high level (from 90% in 2002 to 72% in 2006). The HIV prevalence in 2006 (2.2%, 15/674) was higher than that in other study years, but no statistically significant change was detected.<h4>Conclusions</h4>Although an increase in condom use and a decline in drug use, STD infection and commercial sex have been monitored under current HIV prevention strategies, the MSM in Harbin is still highly vulnerable to HIV transmission given a high level of UAI and an increasing number of male sexual partners over the study period.
Keywords: Urine
HIV Infections
Cross-Sectional Studies
Sexual Behavior
Homosexuality, Male
Unsafe Sex
Middle Aged
Surveys and Questionnaires
Description: Copyright © 2007 The British Infection Society Published by Elsevier Ltd.
DOI: 10.1016/j.jinf.2007.06.015
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