Meta-analysis of HIV infection incidence and risk factors among men who have sex with men in China.

Yibing Feng; Kai BU; Meng LI; Xiayan Zhang; Shanshan Jin; Lu Wang; Email: Wanglu64@163com

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Meta-analysis of HIV infection incidence and risk factors among men who have sex with men in China.

Author: Yibing FENG ¹ ; Kai BU ¹ ; Meng LI ¹ ; Xiayan ZHANG ¹ ; Shanshan JIN ¹ ; Lu WANG ² ; Email: WANGLU64@163.COM.
Author Information

1. National Center for STD/AIDS Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
2. National Center for STD/AIDS Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Publication Type:Journal Article
MeSH: China; epidemiology; Educational Status; Ethnic Groups; statistics & numerical data; HIV Infections; epidemiology; Homosexuality, Male; psychology; statistics & numerical data; Humans; Incidence; Male; Minority Groups; statistics & numerical data; Prevalence; Risk Factors; Sex Work; statistics & numerical data; Sexual Partners; Syphilis; epidemiology; Unsafe Sex; statistics & numerical data
From: Chinese Journal of Epidemiology 2015;36(7):752-758
CountryChina
Language:Chinese
Abstract:
OBJECTIVETo understand the incidence of HIV infection among men who have sex with men (MSM) in China.
METHODSMeta-analysis was performed to systematically and quantitatively review all the original research papers and reports published during 2010-2015 on the incidence of HIV infection among MSM in China. Pooled incidence, pooled hazard ratios, publication bias, heterogeneity and sensitivity analysis for those studies were calculated or analyzed by using Stata 12.0 software.
RESULTSA total of 24 studies were analyzed. Pooled incidence of HIV infection among MSM in China was 5.0/100 person year; Based on HIV case report, severe epidemic areas had higher HIV incidence than other areas (4.9/100 person year vs. 3.4/100 person year). Low education level (HR = 1.61, 95% CI: 1.21-2.15), syphilis prevalence (HR = 3.22, 95% CI: 2.21-4.70), unprotected anal sex (HR = 2.92, 95% CI: 1.51-5.63), minority ethnic group (HR = 4.01, 95% CI: 1.96-8.21), commercial sex (HR = 4.11, 95% CI: 1.47-11.46) and multiple sexual partners (HR = 2.31, 95% CI: 1.60-3.34) were the risk factors for HIV incidence.
CONCLUSIONPooled incidence of HIV infection among MSM was 5.0% in China. Low education level, syphilis prevalence, unprotected anal sex, minority ethnic group, commercial sex and multiple sexual partners were the risk factors for HIV infection.