1.Challenges and Opportunities: the Expanded Government-led HIV/AIDS Programs in China
Virologica Sinica 2007;22(6):493-500
HIV/AIDS has posed an increasingly serious issue in China. In recent years, Chinese government has taken further intensified efforts to combat HIV/AIDS with high-level political commitment, supportive policy development, increased financial allocation, large-scale of governmentled initiatives, expanded international cooperation and great involvement of non-governmental organizations. Meanwhile gaps and challenges coexist impacting the implementation and the results of national HIV/AIDS programs. Thus, further government efforts are needed to improve and tailor the actions to meet the requirement of HIV/AIDS control in China.
2.Theory of social network and its application in HIV control
Chinese Journal of Disease Control & Prevention 2008;0(05):-
Social network is a type of structure of social actors by their relations.Human immunodeficiency virus(HIV)transmits among population followed a type of structural and non-random mode,so we use social network concept and socio-metric analysis to conduct HIV related research that may enhance the understanding and prediction of HIV epidemic patterns and intervention measures.
3.A review of studies on sero-sorting among HIV positive men who have sex with men
Chinese Journal of AIDS & STD 2006;0(02):-
This article reviews studies regarding "sero-sorting" among MSM living with HIV/AIDS,for the purpose of analyzing its positive impact on reducing HIV incidence and promoting HIV testing and sero-status disclosure to sex partners. Contradictive issues in terms of implementing "sero-sorting" are also discussed in this article to provide some information for further conducting MSM related interventions in China.
4.Sexual behavior and risk factors of HIV-positive men who have sex with men:a review
Chinese Journal of AIDS & STD 2006;0(02):-
Sexual behavior of HIV-positive men who have sex with men (MSM) are different from the general MSM. HIV-positive men who know their HIV status are more likely to have sex with positive partner and to engage in receptive anal intercourse as a self harm reduction approach than the general MSM. It is important to strengthen behavioral interventions so as to practice safe sexual behavior to prevent HIV transmission and maintain high life quality among HIV-positive MSM.
5.Human immunodeficiency virus and hepatitis C virus infections among drug users in China
Chao XU ; Lin PANG ; Zunyou WU
Chinese Journal of Disease Control & Prevention 2009;0(02):-
In China,compared with other high risk population, drug users have higher rates of HIV infection, HCV infection and co-infection of HIV and HCV. These infections are major factors influencing this population’s health status. By describing and comparing the status of HIV infection, HCV infection, and HIV/HCV co-infection among drug users in China in terms of geographic distribution, demographic distribution, analyzing the interaction of the two viruses and the velocity of transmission and pathogenicity, this article provides recommendation for prevention and control of HIV and HCV.
6.Control of HIV/AIDS can be achieved with multi-strategies
Detels ROGER ; Jing WU ; Zunyou WU
Global Health Journal 2019;3(2):29-32
Over past three decades,many prevention strategies have been proven effective in reducing human immunodeficiency virus (HIV) transmission.However,none of these strategies alone are effective to stop the spread of HIV.This review discusses a few key prevention strategies,including testing,harm reduction,prevention,prophylaxis,and modern communication strategies.We argue that although there are great challenges remaining to stop HIV transmission via sexual contact and injecting drug use routes,the combination of these effective strategies,control HIV epidemic can be achieved.
7. Asymptomatic and pre-symptomatic cases of COVID-19 contribution to spreading the epidemic and need for targeted control strategies
Chinese Journal of Epidemiology 2020;41(0):E036-E036
The asymptomatic carrier state of COVID-19 has become a topic of concern for preventing a possible epidemic rebound. This review describes and defines the COVID-19 asymptomatic carrier state and outlines methods for identifying counting and reporting these cases. The author elaborates that the asymptomatic carrier state can be further divided into asymptomatic infection and pre-symptomatic infection after extended follow-up based on the nature of disease progression. The author presents the limited available data about infectiousness of asymptomatic and pre-symptomatic cases and their possible contributions to the overall epidemic of COVID-19 observed so far in China. Challenges of a possible second epidemic wave of COVID-19 caused by asymptomatic and pre-symptomatic cases are discussed and suggestions for control strategies and scientific research are provided.
8.Epidemiology of HIV/AIDS in China: recent trends
Yan CUI ; Cynthia X.SHI ; Zunyou WU
Global Health Journal 2017;1(1):26-32
We used nationally reported cases (NCAIDS/China CDC,2016) and published literature to summarize up-to the end of 2015 epidemiologic trends in the HIV/AIDS epidemic in China.HIV-positive cases are distributed unevenly with most infections found in southwest China and the most affected population being men who have sex with men.Transmission mode of HIV infection has shifted from drug injection to sexual contact,which accounts for 95% of total reported cases.Two thirds of cases are from heterosexual transmission.Transmission pattern varies greatly throughout China.Some provinces in China reported heterosexual transmission accounted for over 90% of cases while other provinces reported homosexual transmission accounted for over 80% of cases.Patterns of heterosexually acquired HIV also vary widely,with 80% of cases attributed to commercial sex in some provinces,while in other provinces non-commercial extramarital sex accounted for over 70% of cases.Significant increase in HIV infection was observed among young students aged 15-24.China has successfully controlled blood transfusion-and injecting drug-related transmissions of HIV.Homosexual and non-commercial extramarital heterosexual transmissions have become new challenges for China's HIV/AIDS program.Urgent adoption of the UNAIDS/WHO 90-90-90 target will help overcome these new challenges.
9.Qualitative study of drug-using and sexual behaviors of drug users in Guangxi.
Zhongqiang MING ; Shaoling LIANG ; Lorraine YAP ; Wei LIU ; Zunyou WU
Chinese Journal of Epidemiology 2002;23(2):111-113
OBJECTIVETo understand where and how drug-using and sexual behaviors occurred among drug users.
METHODSTwenty-five drug users were recruited from detoxification centers and communities. In-depth interview was used to collect information about drug-using and sexual behaviors. Each subject was interviewed separately and privately for about 2 - 3 hours.
RESULTSMost drug users shifted from oral taking drugs to injecting drugs in order to reduce economic burden and look for "high feeling". Reasons for not injecting among few drug users included 'perceiving information on harm of injection', 'over-dose death' or 'infection with HIV'. Most drug users knew that HIV transmit through sharing needles or having sexual intercourse without using a condom. However, needles were shared at night when drug or needles were scarce. Promiscuous sexual relationship was common among drug users. Most female drug users had engaged in prostitution but few used condoms.
CONCLUSIONHigh-risk drug injecting behaviors and high-risk sexual behaviors were prevalent among drug users despite knowledge on HIV transmission and prevention. Thus, education alone would not work unless specific intervention programs are taken.
Adolescent ; Adult ; Female ; Humans ; Male ; Risk-Taking ; Sexual Behavior ; Substance-Related Disorders ; psychology
10.The prevalence and associated factors with depression and anxiety among the patients attending the community-based methadone maintenance treatment program in China
Wenyuan YIN ; Lin PANG ; Xiaobin CAO ; Congbin ZHANG ; Zhijun LI ; Yongkang XIAO ; Jinshui XU ; Changhe WANG ; Bo ZHANG ; Wei LUO ; Keming ROU ; Zunyou WU
Chinese Journal of Disease Control & Prevention 2009;0(03):-
Objective To understand the prevalence and the factors associated with depression and anxiety among patients attending the community-based methadone maintenance treatment(MMT) program.Methods 9 MMT clinics in 3 provinces were randomly selected,in which 1 301 MMT patients who met the criteria of recruitment were all interviewed.A cross-sectional study by administrative questionnaire was employed to investigate the demographics,drug abuse and MMT treatment status of the respondents.The 1301 respondents were also evaluated for depression and anxiety by SDS(Self-Rating Depression Scale) and SAS(Self-Rating Anxiety Scale) respectively.ANOVA and multivariate linear regressions analysis was used to verify the factors associated with depression and anxiety respectively.Results The prevalence of depression and anxiety among the MMT patients were 38.3%(498/1 301) and 18.4%(239/1 301).The multivariates linear regression analysis indicated that at the level of ?=0.05,gender,employment status were associated with depression,while gender,employnment status,educational level,drug abuse and methadone daily dosage were associated with anxiety.Conclusions There are certain proportions of MMT clients who suffer from depression and anxiety.The MMT clinic staff should put more emphasis on the efforts to reduce psychological disorders and its potential risks by enhancing psychological councelling,intervention and social support towards the MMT patients.