Sexual Risk Behaviors and HIV Infection among Men Who Have Sex with Men and Women in China: Evidence from a Systematic Review and Meta-Analysis.
AuthorWang, H-Y; Xu, J-J; Zou, H-C; Reilly, KH; Zhang, CM; Yun, K; Li, Y-Z; Jiang, Y-J; Geng, W-Q; Shang, H; ...
Source TitleBioMed Research International
University of Melbourne Author/sZOU, HUACHUN
AffiliationMelbourne School of Population and Global Health
Document TypeJournal Article
CitationsWang, H. -Y., Xu, J. -J., Zou, H. -C., Reilly, K. H., Zhang, C. M., Yun, K., Li, Y. -Z., Jiang, Y. -J., Geng, W. -Q., Shang, H. & Wang, N. (2015). Sexual Risk Behaviors and HIV Infection among Men Who Have Sex with Men and Women in China: Evidence from a Systematic Review and Meta-Analysis.. Biomed Res Int, 2015, pp.850132-. https://doi.org/10.1155/2015/850132.
Access StatusOpen Access
Open Access at PMChttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4686633
OBJECTIVES: To understand the current risk of HIV infection and transmission and further elucidate the underlying risk factors among men who have sex with men and women (MSMW) in China. METHODS: Following PRISMA guidelines, we conducted a systematic review and meta-analysis of searching through Chinese and English available literature databases between January 2000 and June 2014 to identify articles. RESULTS: Thirty-six articles (including 19,730 MSMW and 53,536 MSMO) met the selection criteria and the aggregated results found that MSMW have significantly higher HIV prevalence than MSMO (6.6% versus 5.4%, OR = 1.27, 95% CI = 1.01-1.58). A higher proportion of MSMW had commercial male partners in the past 6 months (18.3% versus 12.2%, OR = 1.56, 95% CI = 1.01-2.42). Additionally, substance use in the past 6 months was significantly more frequent among MSMW than MSMO (alcohol use: 27.1% versus 13.1%, OR = 2.53, 95% CI = 2.14-2.99; illicit drug use: 5.3% versus 2.5%, OR = 2.09, 95% CI = 1.48-2.95). CONCLUSION: A higher proportion of commercial sex and substance use among MSMW may be a potentially indicative factor for significantly higher HIV prevalence compared to MSMO. Targeted interventions should aim at increasing the frequency of HIV/STIs screening and preventing high risk commercial sex and substance use among MSMW to decrease their HIV transmission to the general population.
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