AIDS and Behavior

, Volume 15, Issue 5, pp 1058–1066

Possible Increase in HIV and Syphilis Prevalence Among Men Who Have Sex with Men in Guangzhou, China: Results from a Respondent-Driven Sampling Survey

  • Fei Zhong
  • Peng Lin
  • Huifang Xu
  • Ye Wang
  • Ming Wang
  • Qun He
  • Lirui Fan
  • Yan Li
  • Fang Wen
  • Yingru Liang
  • H. Fisher Raymond
  • Jinkou Zhao
Original Paper

Abstract

A respondent-driven sampling survey was conducted to investigate HIV related serological and behavioral characteristics of men who have sex with men (MSM) in Guangzhou, China, and to identify associated factors potentially driving the epidemic. Respondent- Driven Sampling Analysis Tool and SPSS were used to generate adjusted estimates and to explore associated factors. Three hundred seventy-nine eligible participants were recruited. The adjusted prevalence of HIV and current syphilis infection are 5.2% and 17.5% respectively. 60.3% have unprotected anal sex in the past 6 months. Unprotected anal sex, having receptive anal sex and current syphilis infection are significant factors associated with HIV infection. The potential for a rapid rise of HIV and syphilis infections among MSM in Guangzhou exists. Targeted interventions with voluntary counseling and testing (VCT) and sexually transmitted infection (STI) services are needed to address the epidemic, with a focus on such subgroups as those of with current syphilis, and non-official Guangzhou residence status.

Keywords

HIV Syphilis Men who have sex with men Respondent-driven sampling Guangzhou China 

References

  1. 1.
    Joint United Nations Programme on HIV/AIDS (UNAIDS), World Health Organization (WHO). AIDS Epidemic Update, December 2007. Geneva, Switzerland: Joint United Nations Programme on HIV/AIDS; 2007 [UNAIDS/07.27EJC1322E].Google Scholar
  2. 2.
    Joint United Nations Programme on HIV/AIDS (UNAIDS), World Health Organization (WHO). Guidelines for Second Generation HIV Surveillance. Geneva, Switzerland: Joint United Nations Programme on HIV/AIDS; 2000 [WHO/CDS/CSR/EDC/2000.5, UNAIDS/00.03E].Google Scholar
  3. 3.
    Lu F, Wang N, Wu Z, et al. Estimating the number of people at risk for and living with HIV in China in 2005: methods and results. Sex Transm Infect. 2006;82(Suppl 3):iii87–91.PubMedCrossRefGoogle Scholar
  4. 4.
    van Griensven F, Thanprasertsuk S, Jommaroeng R, et al. Evidence of a previously undocumented epidemic of HIV infection among men who have sex with men in Bangkok, Thailand. AIDS. 2005;19(5):521–6.PubMedCrossRefGoogle Scholar
  5. 5.
    Centers for Disease Control and Prevention (CDC). HIV prevalence among populations of men who have sex with men—Thailand, 2003 and 2005. Morb Mortal Wkly Rep. 2006;55(31):844–8.Google Scholar
  6. 6.
    Gupta A, Mehta S, Godbole SV, et al. Same-sex behavior and high rates of HIV among men attending sexually transmitted infection clinics in Pune, India (1993–2002). J Acquir Immune Defic Syndr. 2006;43(4):483–90.PubMedGoogle Scholar
  7. 7.
    Ma X, Zhang Q, He X, et al. Trends in prevalence of HIV, syphilis, hepatitis C, hepatitis B, and sexual risk behavior among men who have sex with men. Results of 3 consecutive respondent-driven sampling surveys in Beijing, 2004 through 2006. J Acquir Immune Defic Syndr. 2007;45(5):581–7.PubMedCrossRefGoogle Scholar
  8. 8.
    Ruan FF, Tsai YM. Male homosexuality in contemporary mainland China. Arch Sex Behav. 1988;17(2):189–99.PubMedCrossRefGoogle Scholar
  9. 9.
    Neilands TB, Steward WT, Choi KH. Assessment of stigma towards homosexuality in China: a study of men who have sex with men. Arch Sex Behav. 2008;37(5):838–44.PubMedCrossRefGoogle Scholar
  10. 10.
    Zhang B, Li X, Hu T. Survey on the high risk behaviors related to acquired immunologic deficiency syndrome and sexually transmitted diseases among men who have sex with men in mainland China. Zhonghua Liu Xing Bing Xue Za Zhi. 2001;22(5):337–40. Chinese.PubMedGoogle Scholar
  11. 11.
    Wang Q, Ross MW. Differences between chat room and e-mail sampling approaches in Chinese men who have sex with men. AIDS Educ Prev. 2002;14(5):361–6.PubMedCrossRefGoogle Scholar
  12. 12.
    Choi KH, Liu H, Guo Y, Han L, Mandel JS, Rutherford GW. Emerging HIV-1 epidemic in China in men who have sex with men. Lancet. 2003;361(9375):2125–6.PubMedCrossRefGoogle Scholar
  13. 13.
    He Q, Wang Y, Lin P, et al. Potential bridges for HIV infection to men who have sex with men in Guangzhou, China. AIDS Behav. 2006;10(Suppl 4):S17–23.PubMedCrossRefGoogle Scholar
  14. 14.
    Malekinejad M, Johnston LG, Kendall C, Kerr LR, Rifkin MR, Rutherford GW. Using respondent-driven sampling methodology for HIV biological and behavioral surveillance in international settings: a systematic review. AIDS Behav. 2008;12(Suppl 4):S105–30.PubMedCrossRefGoogle Scholar
  15. 15.
    Abdul-Quader AS, Heckathorn DD, Sabin K, Saidel T. Implementation and analysis of respondent driven sampling: lessons learned from the field. J Urban Health. 2006;83(Suppl 6):i1–5.PubMedCrossRefGoogle Scholar
  16. 16.
    Des Jarlais DC, Arasteh K, Perlis T, et al. Convergence of HIV seroprevalence among injecting and non-injecting drug users in New York City. AIDS. 2007;21(2):231–5.PubMedCrossRefGoogle Scholar
  17. 17.
    Lansky A, Abdul-Quader AS, Cribbin M, et al. Developing an HIV behavioral surveillance system for injecting drug users: the National HIV Behavioral Surveillance System. Public Health Rep. 2007;122(Suppl 1):48–55.PubMedGoogle Scholar
  18. 18.
    Bui TX, Yang DC, Jones WD, Li JZ. China’s economic powerhouse: economic reform in Guangdong Province. New York, NY: Palgrave Macmillan; 2003.Google Scholar
  19. 19.
    He Q, Wang Y, Lin P, Zhang Z, Zhao Q, Xu H. KAP study on AIDS among men who have sex with men in Guangzhou, Guangdong province. Ji Bing Kong Zhi Za Zhi. 2005;9(2):06–108. Chinese.Google Scholar
  20. 20.
    He Q, Wang Y, Li Y, et al. Accessing men who have sex with men through long-chain referral recruitment, Guangzhou, China. AIDS Behav. 2008;12(Suppl 4):S93–6.PubMedCrossRefGoogle Scholar
  21. 21.
    Heckathorn DD. Respondent-driven sampling II: deriving valid population estimates from chain-referral samples of hidden populations. Soc Probl. 2002;49:11–34.CrossRefGoogle Scholar
  22. 22.
    Magnani R, Sabin K, Saidel T, Heckathorn D. Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS. 2005;19(Suppl 2):S67–72.PubMedCrossRefGoogle Scholar
  23. 23.
    China State Council AIDS Working Committee Office. Monitoring and Evaluation Framework for China’s HIV/AIDS Prevention, Treatment and Care Program. Beijing: People’s Health Publishing House; 2007.Google Scholar
  24. 24.
    Hong FC, Zhou H, Cai YM, et al. Prevalence of syphilis and HIV infections among men who have sex with men from different settings in Shenzhen, China: implications for HIV/STD surveillance. Sex Transm Infect. 2009;85(1):42–4.PubMedCrossRefGoogle Scholar
  25. 25.
    Joint United Nations Programme on HIV/AIDS (UNAIDS). 2008 Report on the global AIDS epidemic. Geneva, Switzerland: Joint United Nations Programme on HIV/AIDS; 2008 [UNAIDS/08.25E/JC1510E].Google Scholar
  26. 26.
    Buchacz K, Greenberg A, Onorato I, Janssen R. Syphilis epidemics and human immunodeficiency virus (HIV) incidence among men who have sex with men in the United States: implications for HIV prevention. Sex Transm Dis. 2005;32(Suppl 10):S73–9.PubMedGoogle Scholar
  27. 27.
    Rieg G, Lewis RJ, Miller LG, Witt MD, Guerrero M, Daar ES. Asymptomatic sexually transmitted infections in HIV-infected men who have sex with men: prevalence, incidence, predictors, and screening strategies. AIDS Patient Care STDS. 2008;22(12):947–54.PubMedCrossRefGoogle Scholar
  28. 28.
    Genberg BL, Kulich M, Kawichai S, et al. HIV risk behaviors in sub-Saharan Africa and Northern Thailand: baseline behavioral data from Project Accept. J Acquir Immune Defic Syndr. 2008;49(3):309–19.PubMedCrossRefGoogle Scholar
  29. 29.
    Jia Y, Lu F, Zeng G, et al. Predictors of HIV infection and prevalence for syphilis infection among injection drug users in China: Community-based surveys along major drug trafficking routes. Harm Reduct J. 2008;5:29.PubMedCrossRefGoogle Scholar
  30. 30.
    Mahendradhata Y, Ahmad RA, Kusuma TA, et al. Voluntary counseling and testing uptake and HIV prevalence among tuberculosis patients in Jogjakarta, Indonesia. Trans R Soc Trop Med Hyg. 2008;102(10):1003–10.PubMedCrossRefGoogle Scholar
  31. 31.
    Vajpayee M, Mojumdar K, Raina M, Mishra S, Sreenivas V. HIV voluntary counseling and testing: an experience from India. AIDS Care. 2008;17:1–8.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Fei Zhong
    • 1
  • Peng Lin
    • 2
  • Huifang Xu
    • 1
  • Ye Wang
    • 2
  • Ming Wang
    • 1
  • Qun He
    • 2
  • Lirui Fan
    • 1
  • Yan Li
    • 2
  • Fang Wen
    • 1
  • Yingru Liang
    • 1
  • H. Fisher Raymond
    • 3
  • Jinkou Zhao
    • 4
    • 5
  1. 1.Guangzhou Municipal Center for Disease Control and PreventionGuangzhouChina
  2. 2.Guangdong Provincial Center for Disease Control and PreventionGuangzhouChina
  3. 3.San Francisco Department of Public HealthSan FranciscoUSA
  4. 4.Bill & Melinda Gates Foundation, Beijing Representative OfficeBeijingChina
  5. 5.Ping’an International Financial CenterBeijing, Chaoyang DistrictChina

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