HIV and syphilis infection among men who have sex with men in Beijing, China: potential for HIV rapid transmission
Background: There was no any study to document whether both of syphilis and pattern of risk behaviors associated with HIV infection among MSM. The aim of this study was to present whether both the prevalence of syphilis and risk factors with a focus on syphilis facilitating HIV transmission in Beijing, China.
Methods: During June 2005 and November 2005, a cross-sectional study was conducted to collect information on demographics and risk behaviors among MSM in Beijing. Blood samples were collected to test for syphilis and HIV infection. Of 526 study participants, 43.0% of the participants were recruited through community outreach, 38.6% through peer referring and 18.4% through Internet.
Results: Of 526 participants, 3.2% (17) and 11.2% (59) were infected with HIV and syphilis, respectively. Multivariate logistic regression analysis demonstrated that lifetime number of male sex partners >10 (OR, 4.30; 95% CI, 1.36-13.55) and syphilis infection (OR, 3.77; 95% CI, 1.31-10.82) were independently associated with HIV infection. 60.0% (315/526) and 66.7% (351/526) participants reported having a primary male sex partner and non-primary or new male sex partners in the past 6 months, respectively. Consistent condom use of insertive anal sex with primary or non-primary male sex partner(s), receptive anal sex with primary or non-primary male sex partner(s) was 21.9%, 41.4%, 23.6% and 35.4%, respectively. Of those interviewed, 2.5% participants reported sniffling drug of Ecstasy or Ketamine in the past 6 months.
Conclusions: High prevalence of syphilis and unprotected sex behaviors, and also including floating among MSM in Beijing may suggest a potential for rapid spread of HIV from core group and then to general population.
AIDS 2006 - XVI International AIDS Conference
"X.Li, et al.
HIV and syphilis infection among men who have sex with men in Beijing, China: potential for HIV rapid transmission.
AIDS 2006 - XVI International AIDS Conference: