HIV risk behavior and HIV testing among rural and urban men who have sex with men in Zhejiang Province, China: A respondent-driven sampling study

Autor: Hui Wang, Qiaoqin Ma, Jun Jiang, Jiaquan Qiu, Jiezhe Yang, Wei Wang, Yazhou Zou, Dongshe Zhao, Tingting Jiang, Ping Wang, Xiaohong Pan, Lin He
Rok vydání: 2020
Předmět:
RNA viruses
Male
Rural Population
Safe Sex
Sexual partner
Epidemiology
Cross-sectional study
HIV Infections
Pathology and Laboratory Medicine
law.invention
Men who have sex with men
Sexual and Gender Minorities
0302 clinical medicine
Immunodeficiency Viruses
law
Medicine and Health Sciences
Mass Screening
Medicine
Homosexuals
030212 general & internal medicine
Homosexuality
Young adult
Geographic Areas
media_common
Multidisciplinary
Geography
Rural health
virus diseases
HIV diagnosis and management
Sexual Partners
Medical Microbiology
HIV epidemiology
Viral Pathogens
Viruses
Infectious diseases
Bisexuality
Female
Pathogens
0305 other medical science
Research Article
Urban Areas
Adult
China
Adolescent
Sexual Behavior
Science
media_common.quotation_subject
Men WHO Have Sex with Men
Viral diseases
Microbiology
Sampling Studies
Young Adult
03 medical and health sciences
Risk-Taking
Condom
Environmental health
Retroviruses
Humans
Homosexuality
Male
Microbial Pathogens
030505 public health
business.industry
Lentivirus
Organisms
Biology and Life Sciences
HIV
Rural Areas
Diagnostic medicine
Cross-Sectional Studies
People and Places
Earth Sciences
Population Groupings
Rural area
business
Sexuality Groupings
Zdroj: PLoS ONE, Vol 15, Iss 4, p e0231026 (2020)
PLoS ONE
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0231026
Popis: BackgroundCurrently, human immunodeficiency virus (HIV) sentinel surveillance among men who have sex with men (MSM) in China conducted in large and medium-sized cities, and no HIV sentinel surveillance conducted in rural areas. HIV testing and intervention is predominantly conducted in urban areas, there have been a limited number of studies in rural areas MSM, it is necessary to conduct the investigation of HIV risk sexual behavior, HIV testing among rural and urban MSM.MethodBetween December 2013 and August 2015, a cross-sectional study was conducted in rural and urban areas in Zhejiang Province using respondent-driven sampling (RDS). Participants completed face-to-face interviewer-administered questionnaire surveys and were tested for HIV.ResultsA total of 710 MSM participants were recruited, of whom 36.1% were from rural areas. The overall HIV prevalence was 16.6%, and was considerably lower among MSM living in rural areas (3.9%) than those living in urban areas (24.2%). 61.1% participants had not condom use with male sexual behavior in the past 6 months (86.7% in rural areas and 46.7% in urban areas). The social demographic and behavioral characteristics had significance difference among rural and urban MSM. Multivariate logistic regression revealed that, compared to men living in urban areas, MSM living in rural areas MSM were more likely to use dating apps to find sexual partners, were more likely to engage in bisexual behavior, and had lower condom use. 43.0% participants had been tested for HIV in the past year (41.8% in rural areas and 43.6% in urban areas). Multivariate logistic regression also revealed that among participants living in rural areas, having rural health insurance and not accepting HIV intervention were associated with lower HIV testing rates, while a higher monthly income and through use of internet to find sexual partner were associated with higher rates of HIV testing.ConclusionHigh risk behavior was prevalent, and HIV testing rates were low among MSM living in rural areas compare to urban areas in Zhejiang Province, therefore, preventative intervention measures should be immediately among rural MSM urgently to reduce HIV transmission and to promote HIV testing.
Databáze: OpenAIRE
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