AIDS and Behavior

, Volume 17, Issue 3, pp 1137–1143

Unsafe Sex and STI Prevalence Among HIV-Infected Adults in Guangzhou, China: Opportunities to Deamplify Sexual HIV Transmission

Authors

  • Xiao B. Wang
    • Department of PediatricsDavid Geffen School of Medicine at UCLA
  • Joseph D. Tucker
    • Department of MedicineUniversity of North Carolina School of Medicine
  • Ligang Yang
    • STD Control DepartmentGuangdong Provincial Center for Skin Diseases and STD Control
  • Heping Zheng
    • STD Control DepartmentGuangdong Provincial Center for Skin Diseases and STD Control
  • Fujie Zhang
    • Division of Treatment and Care, National Centre for AIDS/STD Control and PreventionChinese Centre for Disease Control and Prevention
  • Myron S. Cohen
    • Department of MedicineUniversity of North Carolina School of Medicine
  • Bin Yang
    • STD Control DepartmentGuangdong Provincial Center for Skin Diseases and STD Control
    • Department of Medicine, Number Eight People’s Hospital of GuangzhouGuangzhou Medical University
Original Paper

DOI: 10.1007/s10461-012-0322-y

Cite this article as:
Wang, X.B., Tucker, J.D., Yang, L. et al. AIDS Behav (2013) 17: 1137. doi:10.1007/s10461-012-0322-y

Abstract

This project examined sexual behavior and STI prevalence among HIV-infected individuals in South China. Adult HIV-infected outpatients in Guangzhou, Guangdong Province, China completed a self-administered survey about behaviors and antiretroviral treatment. Participants were screened for syphilis, gonorrhea, and chlamydia. Univariate and multivariate relationships with any STI were calculated using logistic regression. 810 HIV-infected individuals participated and 3 refused. 52.5 % (n = 415) of individuals reported having sex in the past 3 months, among whom 26.4 % (n = 111) reported inconsistent condom use. 10.4 % (n = 84) of all individuals had at least one sexually transmitted infection (STI). HIV-infected individuals not on antiretroviral treatment had an increased STI risk (aOR 2.5, 95 % CI: 1.4–4.5, P = 0.002). Unsafe sex was markedly reduced among HIV-infected individuals on treatment, possibly a reflection of integrated ART initiation counseling. Improved STI services among HIVinfected individuals are urgently needed to deamplify sexual HIV transmission.

Keywords

ChinaHIV/AIDSARTSexually transmitted infectionsMSMIDU

Copyright information

© Springer Science+Business Media New York 2012