Coverage of HIV related follow-up intervention and antiretroviral treatment and its correlation among HIV-positive men who have sex with men of 3 cities in China.
- Author:
Xiaosong HU
1
;
Fang CHEN
;
Fan DING
;
Xiaojie LIN
;
Xiaodong WANG
;
Huan HE
;
Wen HUANG
;
Qiaohong YANG
;
Hongbo ZHANG
2
Author Information
- Publication Type:Journal Article
- MeSH: Anti-Retroviral Agents; therapeutic use; CD4 Lymphocyte Count; China; Cities; Condoms; Demography; Emigrants and Immigrants; Follow-Up Studies; HIV Infections; drug therapy; epidemiology; Health Knowledge, Attitudes, Practice; Homosexuality, Male; Humans; Logistic Models; Male; Risk Factors; Risk-Taking; Safe Sex; Sexual Behavior; Sexual Partners; Surveys and Questionnaires
- From:Chinese Journal of Preventive Medicine 2015;49(11):945-949
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo understand the coverage of HIV related intervention and antiviral treatment among HIV-positive men who have sex with men (MSM) and to examine factors of initiating antiretroviral treatment.
METHODSA total of 501 HIV-positive MSM were recruited by "snowballing" sampling in Chengdu (160), Chongqing (168) and Guangzhou (173) from January to June, 2013. Participants who were older than18 years, had sex with men, HIV-infected, were living in these 3 cities when survey was conducted were eligible for subjects of this survey. The data were collected by computer assisted survey, including social demography, the coverage of HIV related follow-up intervention and ART, related knowledge level, sexual behaviors in the last 6 months, as well as notification to sexual partners and family. We analyzed the influence factors for initiating ART by Multiple Unconditioned Logistic Regression.
RESULTSAmong 501 HIV-positive MSM, the ratio of CD4 counting and HIV viral load testing were 90.8% (455) and 19.4% (97), respectively. The percentage of the latest CD4 counting not more than 350 per µl was 33.0% (150/455). The coverage of initiated ART among the participants who met the qualification was 56.0% (84/150). The multivariable Logistic regression analysis showed that the possibility of not on ART among participants who were migrants increased to 5.21(2.33-11.66) times of the local residents and the possibility among participants who were diagnosed STD in the last year increased to 2.70(1.12-6.55) times of those who were not infected STD, the possibility of not on ART among participants who had sex with male occasional or commercial partner in the last 6 months increased to 2.16(1.03-4.50) times of those who hadn't, and the possibility among participants who had anal sex with condom use in the past 6 months increased to 2.68(1.10-6.50) times of those who couldn't insist using condom.
CONCLUSIONThere were low coverage of series of HIV/AIDS related intervention services among HIV-positive MSM in Chengdu, Chongqi and Guangzhou. Migrants, had sex with male occasional or commercial partner, had anal sex with condom use in the past 6 months, not infected STD in the last year may be the independent risk factors for HIV-positive MSM to not initiating ART.
