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Changing Epidemic of HIV and Syphilis Among Resident and Migrant Men Who Have Sex with Men in Jiangsu, China

Men who have sex with men (MSM) in China face high rates of HIV and syphilis infection exacerbated by internal migration. Studies on the differences of HIV and syphilis epidemics changing trends in high-risk behaviors and geographic distribution between resident and migrant MSM in Jiangsu, China wer...

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Autores principales: Chen, Yuheng, Tang, Weiming, Chen, Lusi, Shi, Lingen, Liu, Xiaoyan, Xu, Jinshui, Hu, Haiyang, Yang, Haitao, Huan, Xiping, Fu, Gengfeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573352/
https://www.ncbi.nlm.nih.gov/pubmed/28842553
http://dx.doi.org/10.1038/s41598-017-08671-x
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author Chen, Yuheng
Tang, Weiming
Chen, Lusi
Shi, Lingen
Liu, Xiaoyan
Xu, Jinshui
Hu, Haiyang
Yang, Haitao
Huan, Xiping
Fu, Gengfeng
author_facet Chen, Yuheng
Tang, Weiming
Chen, Lusi
Shi, Lingen
Liu, Xiaoyan
Xu, Jinshui
Hu, Haiyang
Yang, Haitao
Huan, Xiping
Fu, Gengfeng
author_sort Chen, Yuheng
collection PubMed
description Men who have sex with men (MSM) in China face high rates of HIV and syphilis infection exacerbated by internal migration. Studies on the differences of HIV and syphilis epidemics changing trends in high-risk behaviors and geographic distribution between resident and migrant MSM in Jiangsu, China were conducted. MSM were recruited from 14 surveillance sites in the serial cross-sectional study. Data on demographics, sexual behaviors, HIV and syphilis prevalence were collected. Participants were classified as residents or migrants based on household registration. During 2010–2014, 19,750 MSM were investigated. Engaged in anal sex (76.3% to 80.2%, P < 0.01) as well as received HIV-related services (72.1% to 79.2%, P < 0.01) were increasing. In contrast, engaged in commercial anal sex with males (7.4% to 5.0%, P < 0.01) and drug use (1.6% to 0.8%, P < 0.01) were decreasing. HIV prevalence ranged between 8.6% to 9.6%, while syphilis prevalence decreased over time (13.4–6.8%, P < 0.01). Further, we found that migrant MSM were more likely to engage in condomless anal sex, also had a higher HIV and syphilis prevalence than resident. During the study period, while syphilis prevalence decreased, higher rates of risk behaviors among migrant MSM called for targeted intervention strategies to reduce the HIV transmission.
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spelling pubmed-55733522017-09-01 Changing Epidemic of HIV and Syphilis Among Resident and Migrant Men Who Have Sex with Men in Jiangsu, China Chen, Yuheng Tang, Weiming Chen, Lusi Shi, Lingen Liu, Xiaoyan Xu, Jinshui Hu, Haiyang Yang, Haitao Huan, Xiping Fu, Gengfeng Sci Rep Article Men who have sex with men (MSM) in China face high rates of HIV and syphilis infection exacerbated by internal migration. Studies on the differences of HIV and syphilis epidemics changing trends in high-risk behaviors and geographic distribution between resident and migrant MSM in Jiangsu, China were conducted. MSM were recruited from 14 surveillance sites in the serial cross-sectional study. Data on demographics, sexual behaviors, HIV and syphilis prevalence were collected. Participants were classified as residents or migrants based on household registration. During 2010–2014, 19,750 MSM were investigated. Engaged in anal sex (76.3% to 80.2%, P < 0.01) as well as received HIV-related services (72.1% to 79.2%, P < 0.01) were increasing. In contrast, engaged in commercial anal sex with males (7.4% to 5.0%, P < 0.01) and drug use (1.6% to 0.8%, P < 0.01) were decreasing. HIV prevalence ranged between 8.6% to 9.6%, while syphilis prevalence decreased over time (13.4–6.8%, P < 0.01). Further, we found that migrant MSM were more likely to engage in condomless anal sex, also had a higher HIV and syphilis prevalence than resident. During the study period, while syphilis prevalence decreased, higher rates of risk behaviors among migrant MSM called for targeted intervention strategies to reduce the HIV transmission. Nature Publishing Group UK 2017-08-25 /pmc/articles/PMC5573352/ /pubmed/28842553 http://dx.doi.org/10.1038/s41598-017-08671-x Text en © The Author(s) 2017 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Chen, Yuheng
Tang, Weiming
Chen, Lusi
Shi, Lingen
Liu, Xiaoyan
Xu, Jinshui
Hu, Haiyang
Yang, Haitao
Huan, Xiping
Fu, Gengfeng
Changing Epidemic of HIV and Syphilis Among Resident and Migrant Men Who Have Sex with Men in Jiangsu, China
title Changing Epidemic of HIV and Syphilis Among Resident and Migrant Men Who Have Sex with Men in Jiangsu, China
title_full Changing Epidemic of HIV and Syphilis Among Resident and Migrant Men Who Have Sex with Men in Jiangsu, China
title_fullStr Changing Epidemic of HIV and Syphilis Among Resident and Migrant Men Who Have Sex with Men in Jiangsu, China
title_full_unstemmed Changing Epidemic of HIV and Syphilis Among Resident and Migrant Men Who Have Sex with Men in Jiangsu, China
title_short Changing Epidemic of HIV and Syphilis Among Resident and Migrant Men Who Have Sex with Men in Jiangsu, China
title_sort changing epidemic of hiv and syphilis among resident and migrant men who have sex with men in jiangsu, china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573352/
https://www.ncbi.nlm.nih.gov/pubmed/28842553
http://dx.doi.org/10.1038/s41598-017-08671-x
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