Risk factors related to HIV new infections among men who have sex with men in a cohort study.

Wei Guo; Yi LI; Ning Zhou; Guo Hui WU; Wen Hui Chang; Xi Ping Huan; Shan Hui; Xue Tong; Yan Guo; Mao He YU; Rong Rong LU; Lin Ouyang; Li Fang Dong; Hua LI; Jian Jun LI; Xiao Yan Liu; Yan Lin Liu; Chao Luo; Xiao Li Wei; Xiao Dan Huang; Yan Cui

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Risk factors related to HIV new infections among men who have sex with men in a cohort study.

VernacularTitle:男男性行为人群艾滋病病毒新发感染风险的队列研究
Author: Wei GUO ¹ ; Yi LI ² ; Ning ZHOU ³ ; Guo Hui WU ⁴ ; Wen Hui CHANG ⁵ ; Xi Ping HUAN ⁶ ; Shan HUI ² ; Xue TONG ² ; Yan GUO ³ ; Mao He YU ³ ; Rong Rong LU ⁴ ; Lin OUYANG ⁴ ; Li Fang DONG ⁵ ; Hua LI ⁵ ; Jian Jun LI ⁶ ; Xiao Yan LIU ⁶ ; Yan Lin LIU ⁷ ; Chao LUO ⁷ ; Xiao Li WEI ⁸ ; Xiao Dan HUANG ⁸ ; Yan CUI ¹
Author Information

1. National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206.
2. Center for Disease Control and Prevention in Heilongjiang Province, Harbin 150036.
3. Center for Disease Control and Prevention in Tianjin, Tianjin 300011.
4. Center for Disease Control and Prevention in Chongqing, Chong qing 400042.
5. Center for Disease Control and Prevention in Shaanxi Province. Xi'an 710054.
6. Center for Disease Control and Prevention in Jiangsu Province, Nanjing 210009.
7. Center for Disease Control and Prevention at Harbin City, Harbin 150056.
8. Center for Disease Control and Prevention at Xi'an City, Xi'an 710054.
Publication Type:Journal Article
Keywords: Anal intercourse type; HIV; MSM; New infection; Poppers; Risk Factors
MeSH: Adult; Cohort Studies; HIV Infections/diagnosis*; Homosexuality, Male; Humans; Incidence; Male; Risk Factors; Risk-Taking; Sexual Behavior; Sexual Partners; Sexual and Gender Minorities; Surveys and Questionnaires; Unsafe Sex
From: Chinese Journal of Epidemiology 2018;39(1):16-20
CountryChina
Language:Chinese
Abstract: Objectives: To analyze and understand the risk factors related to HIV new infections among men who have sex with men (MSM). Methods: A longitudinal observational study among MSM was conducted to collect information on HIV related behaviors and sero-conversion. Univariate and multivariate generalized estimating equations (GEE) were used to discuss the risk factors for HIV new infection. Results: A total number of 4 305 MSM were followed during 2013-2015. Among those self-reported MSM who are seeking partners on the Interner tended to have higher proportion on receptive anal intercourse and consistent condom use during anal intercourse than the subgroups seeking their partners in gay bars or bathrooms. HIV incidence among followed MSM during the study period appeared as 4.3/100 person years, with adjusted RR (aRR) of HIV infection for receptive anal intercourse as group 2.20 (95% CI: 1.49-3.24) times than that of insertion anal intercourse group. Those who used rush-poppers (aRR=1.55, 95% CI: 1.10-2.17), unprotected anal intercourse (aRR=2.24, 95%CI: 1.62-3.08), and those with syphilis infection (aRR=2.95, 95%CI: 2.00-4.35) were also risk factors for HIV new infections. After controlling other factors, the relationship between the ways of seeking partners and HIV new infection was not statistical significant. Conclusion: Risk factors for HIV new infection among MSM appeared complex and interactive, suggesting that further studies are needed to generate tailored strategies for the prevention of HIV epidemic among MSM population.