Advertisement

AIDS and Behavior

, Volume 15, Issue 2, pp 292–297 | Cite as

Trends of HIV and Sexually Transmitted Infections, Estimated HIV Incidence, and Risky Sexual Behaviors Among Gay Bathhouse Attendees in Taiwan: 2004–2008

  • Nai-Ying Ko
  • Hsin-Chun Lee
  • Chien-Ching Hung
  • Fan-Chen Tseng
  • Jui-Ling Chang
  • Nan-Yao Lee
  • Chia-Ming Chang
  • Meng-Ping Lee
  • Bo-Jie Chen
  • Shainn-Wei WangEmail author
  • Wen-Chien Ko
ORIGINAL PAPER

Abstract

Five serial cross-sectional surveys were done at eight gay bathhouses in Taiwan to investigate the trends of HIV and sexually transmitted infections (STIs) and estimated HIV incidence between 2004 and 2008. Bathhouse attendees completed a questionnaire and tests for HIV, syphilis, hepatitis C virus, and amoebiasis. Twenty-nine (38.6%) were identified as having recent HIV-1 infections. There was a significant increase in HIV incidence, from 7.8% in 2004 to 15% in 2007 (χ2 = 17.59, P-trend <0.001). Recreational drug use is the primary risk behavior. Comprehensive screening programs in gay bathhouses for early detection of HIV and STIs are important.

Keywords

HIV infection Sexually transmitted infections HIV incidence Gay bathhouses Risky behaviors Men who have sex with men 

Notes

Acknowledgments

We thank all study participants. We are grateful to our laboratory staff: Lin-Wun Mao, Wen-Chuan Liu, Hung-Muo Chen, and Wen-Jai Chang. We thank Associate Professor Susan J. Fetzer, MBA, RN, PhD, for reviewing this manuscript. This study was supported by grants from the Center for Disease Control, Department of Health, Executive Yuan, Taiwan and National Health Research Institutes (HNRI-CN-CL9603S).

References

  1. 1.
    van Wijngaarden JW, Brown T, Girault P, Sarkar S, van Griensven F. The epidemiology of human immunodeficiency virus infection, sexually transmitted infections, and associated risk behaviors among men who have sex with men in the Mekong Subregion and China: implications for policy and programming. Sex Transm Dis. 2009;36:319–24.CrossRefGoogle Scholar
  2. 2.
    Thiede H, Jenkins RA, Carey JW, et al. Determinants of recent HIV infection among Seattle-area men who have sex with men. Am J Public Health. 2009;99(Suppl 1):S157–64.PubMedGoogle Scholar
  3. 3.
    Ko NY, Lee HC, Chang JL, et al. Prevalence of human immunodeficiency virus and sexually transmitted infections and risky sexual behaviors among men visiting gay bathhouses in Taiwan. Sex Transm Dis. 2006;33:467–73.CrossRefPubMedGoogle Scholar
  4. 4.
    Lai SF, Hong CP, Lan YC, et al. Molecular epidemiology of HIV-1 in men who have sex with men from gay saunas in Taiwan from 2000 to 2003. The XV international AIDS conference, vol WePeC6097. Bangkok: International AIDS Society; 2004.Google Scholar
  5. 5.
    Yu MC, Li LH, Lu TH, Tang LH, Tsai CH, Chen KT. Aetiology of sexually transmitted disease (STD) and comparison of STD syndromes and aetiological diagnosis in Taipei, Taiwan. Clin Microbiol Infect. 2005;11:914–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Tsai JJ, Sun HY, Ke LY, et al. Higher seroprevalence of Entamoeba histolytica infection is associated with human immunodeficiency virus type 1 infection in Taiwan. Am J Trop Med Hyg. 2006;74:1016–9.PubMedGoogle Scholar
  7. 7.
    Taiwan CDC. Updated HIV/AIDS statistics in Taiwan, vol 2009. Taipei: Centers for Disease Control; 2009.Google Scholar
  8. 8.
    Des Jarlais DC, Perlis T, Arasteh K, et al. HIV incidence among injection drug users in New York City, 1990 to 2002: use of serologic test algorithm to assess expansion of HIV prevention services. Am J Public Health. 2005;95:1439–44.CrossRefPubMedGoogle Scholar
  9. 9.
    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;45:581–7.CrossRefPubMedGoogle Scholar
  10. 10.
    Stall R, Duran L, Wisniewski SR, et al. Running in place: implications of HIV incidence estimates among urban men who have sex with men in the United States and other industrialized countries. AIDS Behav. 2009;13:615–29.CrossRefPubMedGoogle Scholar
  11. 11.
    Brejt N, Gilleece Y, Fisher M. Acute hepatitis C: changing epidemiology and association with HIV infection. J HIV Ther. 2007;12:3–6.PubMedGoogle Scholar
  12. 12.
    Woods WJ, Binson D, Blair J, Han L, Spielberg F, Pollack LM. Probability sample estimates of bathhouse sexual risk behavior. J Acquir Immune Defic Syndr. 2007;45:231–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Nai-Ying Ko
    • 1
  • Hsin-Chun Lee
    • 2
    • 3
  • Chien-Ching Hung
    • 4
  • Fan-Chen Tseng
    • 5
  • Jui-Ling Chang
    • 6
  • Nan-Yao Lee
    • 3
  • Chia-Ming Chang
    • 3
  • Meng-Ping Lee
    • 7
  • Bo-Jie Chen
    • 8
  • Shainn-Wei Wang
    • 9
    Email author
  • Wen-Chien Ko
    • 2
    • 3
    • 5
  1. 1.Department of NursingNational Cheng Kung University College of MedicineTainanTaiwan, ROC
  2. 2.Department of MedicineNational Cheng Kung University College of MedicineTainanTaiwan, ROC
  3. 3.Department of Internal MedicineNational Cheng Kung University HospitalTainanTaiwan, ROC
  4. 4.Department of Internal MedicineNational Taiwan University Hospital and National Taiwan University College of MedicineTaipeiTaiwan, ROC
  5. 5.National Health Research InstitutesTainanTaiwan, ROC
  6. 6.Taiwan Love and Hope AssociationKaoshiungTaiwan, ROC
  7. 7.AIDS Care AssociationTaichungTaiwan, ROC
  8. 8.Tongzhi Hotline AssociationTaipeiTaiwan, ROC
  9. 9.Institute of Molecular MedicineNational Cheng Kung UniversityTainanTaiwan, ROC

Personalised recommendations