Trends of HIV and Sexually Transmitted Infections, Estimated HIV Incidence, and Risky Sexual Behaviors Among Gay Bathhouse Attendees in Taiwan: 2004–2008
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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.
KeywordsHIV infection Sexually transmitted infections HIV incidence Gay bathhouses Risky behaviors Men who have sex with men
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).
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