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Gay Saunas and the Risks of HIV and Syphilis Transmissions in China—Results of a Meta‐Analysis

INTRODUCTION: Previous studies suggest the risk of human immunodeficiency virus (HIV) transmission among men who have sex with men (MSM) is associated with characteristics of venues. However, very few studies have systematically compared HIV/sexually transmitted disease (STD) prevalence among MSM ac...

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Autores principales: Lau, JosephT. F., Zhao, Jin-Kou, Wu, Xiao-Bing, Gu, Jing, Hao, Chun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Society for Sexual Medicine. Published by Elsevier Inc. 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105074/
https://www.ncbi.nlm.nih.gov/pubmed/23458215
http://dx.doi.org/10.1111/j.1743-6109.2012.02956.x
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author Lau, JosephT. F.
Zhao, Jin-Kou
Wu, Xiao-Bing
Gu, Jing
Hao, Chun
author_facet Lau, JosephT. F.
Zhao, Jin-Kou
Wu, Xiao-Bing
Gu, Jing
Hao, Chun
author_sort Lau, JosephT. F.
collection PubMed
description INTRODUCTION: Previous studies suggest the risk of human immunodeficiency virus (HIV) transmission among men who have sex with men (MSM) is associated with characteristics of venues. However, very few studies have systematically compared HIV/sexually transmitted disease (STD) prevalence among MSM according to key venue type for sourcing sex partners. AIMS: The aim of this study was to investigate the associations between HIV/syphilis prevalence and the types of venues, namely saunas, parks, gay bars, and the Internet, which are mostly used for sourcing male sex partners by MSM in China. METHODS: Meta‐analyses using fixed‐effect and random‐effect methods were conducted. Secondary data were obtained from 10 concurrent surveys conducted in 10 cities basing on a common protocol. Pairwise comparisons (e.g., “saunas” vs. “parks”) were made. MAIN OUTCOMES MEASURES: Odds ratios (OR) for HIV/syphilis infection in relations to venue type for partner sourcing. RESULTS: The distribution of the most commonly used source to recruit male sex partner was 59.32% (Internet), 18.47% (gay bars), 14.18% (gay saunas), and 8.02% (parks). The median prevalence of HIV/syphilis was 10.49% and 19.38% (gay saunas), 2.12% and 16.25% (parks), 6.06% and 15.45% (Internet), and 4.41% and 11.90% (gay bars). We found significant between‐group differences when comparing “sauna” against “Internet” (HIV: OR = 2.27, 95% confidence interval [CI] = 1.65–3.12; syphilis: OR = 1.61, 95% CI = 1.07–2.41), “sauna” against “bars” (HIV: OR = 1.65, 95% CI = 1.14–2.39; syphilis: OR = 1.35, 95% CI = 1.02–1.78), and “parks” against “Internet” (syphilis: OR = 1.55, 95% CI = 1.12–2.15) as the main source to recruit male sex partners. Other pairwise comparisons were not statistically significant. CONCLUSIONS: The results of this study suggest that those sourcing partners mainly from gay saunas have higher prevalence of HIV/syphilis when compared with those doing so via the Internet or gay bars. Venue based (sauna‐based) interventions using socio‐ecological approaches are greatly warranted in order to reduce HIV and syphilis prevalence among MSM in China. Lau JTF, Zhao J‐K, Wu X‐B, Gu J, and Hao C. Gay saunas and the risks of HIV and syphilis transmissions in China—results of a meta‐analysis. J Sex Med 2013;10:642–652.
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spelling pubmed-71050742020-03-31 Gay Saunas and the Risks of HIV and Syphilis Transmissions in China—Results of a Meta‐Analysis Lau, JosephT. F. Zhao, Jin-Kou Wu, Xiao-Bing Gu, Jing Hao, Chun J Sex Med Reviews INTRODUCTION: Previous studies suggest the risk of human immunodeficiency virus (HIV) transmission among men who have sex with men (MSM) is associated with characteristics of venues. However, very few studies have systematically compared HIV/sexually transmitted disease (STD) prevalence among MSM according to key venue type for sourcing sex partners. AIMS: The aim of this study was to investigate the associations between HIV/syphilis prevalence and the types of venues, namely saunas, parks, gay bars, and the Internet, which are mostly used for sourcing male sex partners by MSM in China. METHODS: Meta‐analyses using fixed‐effect and random‐effect methods were conducted. Secondary data were obtained from 10 concurrent surveys conducted in 10 cities basing on a common protocol. Pairwise comparisons (e.g., “saunas” vs. “parks”) were made. MAIN OUTCOMES MEASURES: Odds ratios (OR) for HIV/syphilis infection in relations to venue type for partner sourcing. RESULTS: The distribution of the most commonly used source to recruit male sex partner was 59.32% (Internet), 18.47% (gay bars), 14.18% (gay saunas), and 8.02% (parks). The median prevalence of HIV/syphilis was 10.49% and 19.38% (gay saunas), 2.12% and 16.25% (parks), 6.06% and 15.45% (Internet), and 4.41% and 11.90% (gay bars). We found significant between‐group differences when comparing “sauna” against “Internet” (HIV: OR = 2.27, 95% confidence interval [CI] = 1.65–3.12; syphilis: OR = 1.61, 95% CI = 1.07–2.41), “sauna” against “bars” (HIV: OR = 1.65, 95% CI = 1.14–2.39; syphilis: OR = 1.35, 95% CI = 1.02–1.78), and “parks” against “Internet” (syphilis: OR = 1.55, 95% CI = 1.12–2.15) as the main source to recruit male sex partners. Other pairwise comparisons were not statistically significant. CONCLUSIONS: The results of this study suggest that those sourcing partners mainly from gay saunas have higher prevalence of HIV/syphilis when compared with those doing so via the Internet or gay bars. Venue based (sauna‐based) interventions using socio‐ecological approaches are greatly warranted in order to reduce HIV and syphilis prevalence among MSM in China. Lau JTF, Zhao J‐K, Wu X‐B, Gu J, and Hao C. Gay saunas and the risks of HIV and syphilis transmissions in China—results of a meta‐analysis. J Sex Med 2013;10:642–652. International Society for Sexual Medicine. Published by Elsevier Inc. 2013-03 2015-12-16 /pmc/articles/PMC7105074/ /pubmed/23458215 http://dx.doi.org/10.1111/j.1743-6109.2012.02956.x Text en Copyright © 2013 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Reviews
Lau, JosephT. F.
Zhao, Jin-Kou
Wu, Xiao-Bing
Gu, Jing
Hao, Chun
Gay Saunas and the Risks of HIV and Syphilis Transmissions in China—Results of a Meta‐Analysis
title Gay Saunas and the Risks of HIV and Syphilis Transmissions in China—Results of a Meta‐Analysis
title_full Gay Saunas and the Risks of HIV and Syphilis Transmissions in China—Results of a Meta‐Analysis
title_fullStr Gay Saunas and the Risks of HIV and Syphilis Transmissions in China—Results of a Meta‐Analysis
title_full_unstemmed Gay Saunas and the Risks of HIV and Syphilis Transmissions in China—Results of a Meta‐Analysis
title_short Gay Saunas and the Risks of HIV and Syphilis Transmissions in China—Results of a Meta‐Analysis
title_sort gay saunas and the risks of hiv and syphilis transmissions in china—results of a meta‐analysis
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105074/
https://www.ncbi.nlm.nih.gov/pubmed/23458215
http://dx.doi.org/10.1111/j.1743-6109.2012.02956.x
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