AIDS and Behavior

, Volume 17, Issue 3, pp 1137–1143 | Cite as

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

  • Xiao B. Wang
  • Joseph D. Tucker
  • Ligang Yang
  • Heping Zheng
  • Fujie Zhang
  • Myron S. Cohen
  • Bin Yang
  • Weiping Cai
Original Paper


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.


China HIV/AIDS ART Sexually transmitted infections MSM IDU 



We would like to thank the nursing staff and Dr. Haolan He at the Guangzhou Municipal No. Eight People’s Hospital infectious disease outpatient clinic, Dr. Xuan Hong, and Dr. Cheng Wang at Guangdong Provincial Center for Skin Diseases and STD Control, and Dr. Bunnell and Dr. Eisele for sharing their questionnaires. This project was supported by the UNC Center for AIDS Research (NIH 5P30AI050410-13), the Doris Duke Charitable Foundation International Medical Student Program, and an International Research Scientist Developmental Award (NIH 1K01TW008200-01A1), and Twelve Fifth Key Research grant from the Ministry of Science and Technology, the People’s Republic of China (NO: 2012ZX10001003-003).


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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Xiao B. Wang
    • 1
  • Joseph D. Tucker
    • 2
  • Ligang Yang
    • 3
  • Heping Zheng
    • 3
  • Fujie Zhang
    • 4
  • Myron S. Cohen
    • 2
  • Bin Yang
    • 3
  • Weiping Cai
    • 5
  1. 1.Department of PediatricsDavid Geffen School of Medicine at UCLALos AngelesUSA
  2. 2.Department of MedicineUniversity of North Carolina School of MedicineChapel HillUSA
  3. 3.STD Control DepartmentGuangdong Provincial Center for Skin Diseases and STD ControlGuangzhouChina
  4. 4.Division of Treatment and Care, National Centre for AIDS/STD Control and PreventionChinese Centre for Disease Control and PreventionBeijingChina
  5. 5.Department of Medicine, Number Eight People’s Hospital of GuangzhouGuangzhou Medical UniversityGuangzhouChina

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