Use of multiple recreational drugs is associated with new HIV infections among men who have sex with men in China: a multicenter cross-sectional survey
Autor: | Sequoia I. Leuba, Xiang Mao, Lin Lu, Minghua Zhuang, Yongjun Jiang, Qinghai Hu, Zhe Wang, Junjie Xu, Jihua Fu, Xi Chen, Hong Shang, Wenqing Geng, Hongjing Yan |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Chinese MSM
Adult Male medicine.medical_specialty China Cross-sectional study Sexual Behavior HIV Infections Logistic regression Recent HIV infection Men who have sex with men 03 medical and health sciences Sexual and Gender Minorities 0302 clinical medicine Risk-Taking Risk Factors Epidemiology Prevalence Medicine Humans 030212 general & internal medicine Cities Homosexuality Male Reproductive health 030505 public health business.industry Illicit Drugs lcsh:Public aspects of medicine Public Health Environmental and Occupational Health lcsh:RA1-1270 Odds ratio Recreational drug use Cross-Sectional Studies HIV-related high-risk behaviors Biostatistics 0305 other medical science business multiple recreation drug use Demography Research Article |
Zdroj: | BMC Public Health BMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021) |
ISSN: | 1471-2458 |
Popis: | Background There is limited information about the types of recreational drugs used by men who have sex with men (MSM) in China or the consequent impact on sexual health and human immunodeficiency virus (HIV) acquisition. Methods We recruited MSM from seven cities in China between 2012 and 2013 using multiple approaches including advertisements on gay websites, collaborating with local MSM community-based organizations, peer referrals, and venues such as gay bars and bathrooms visited by MSM. We divided participants into four subgroups based on the number of recreational drugs (RDs) used in the previous 6 months. We defined use of multiple RDs as use of ≥2 types of RDs. Demographics and HIV-related high-risk behaviors were collected, and blood samples were tested for recent HIV infection by the HIV-1 subtypes B, E, and D immunoglobulin G capture enzyme immunoassay (BED-CEIA). We used multivariable logistic regression adjusted for sociodemographics to determine the adjusted odds ratios (aORs) and associated 95% confidence intervals (CIs) of the subgroups of RD use for recent or established HIV infection. Results A total of 4496 Chinese MSM participated; 28.4% used RDs, and 5% used multiple types of RDs. The prevalence of each RD use was as follows: poppers (25.9%), ecstasy (2.4%), ketamine (1.2%), amphetamine (0.6%), tramadol (0.4%), methamphetamine (3.8%), and codeine (1.9%). Users of multiple RDs commonly used poppers combined with one or more other types of RDs. Multiple RD users were likely to be aged 26–30 years (vs. 18–25 and > 30 years), live in non-local cities (vs. local cities), never married (vs. married), have a high monthly income (vs. no income and 1–599 USD), use versatile positions during anal intercourse (vs. top or bottom), and have inadequate HIV-related prevention knowledge (vs. adequate). As the number of RDs used in the previous 6 months increased, the prevalence of HIV-related high-risk behaviors increased (P Conclusion The level and pattern of multiple RD use among Chinese MSM were different from high-income countries. MSM who used more RDs are more likely to engage in high-risk sexual behaviors, and these behaviors may be associated with increases in new HIV infections. |
Databáze: | OpenAIRE |
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