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Sociodemographic Factors, Sexual Behaviors, and Alcohol and Recreational Drug Use Associated with HIV Among Men Who Have Sex with Men in Southern Vietnam

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Abstract

A total of 2768 MSM participated in a survey in southern Vietnam. Univariate and multivariate logistic regression analyses were performed to determine predictors of HIV infection. The prevalence of HIV among MSM was 2.6 %. HIV infection was more likely in MSM who were older, had a religion, had engaged in anal sex with a foreigner in the past 12 months, previously or currently used recreational drugs, perceived themselves as likely or very likely to be infected with HIV, and/or were syphilis seropositive. MSM who had ever married, were exclusively or frequently receptive, sometimes consumed alcohol before sex, and/or frequently used condoms during anal sex in the past 3 months were less likely to be infected with HIV. Recreational drug use is strongly associated with HIV infection among MSM in southern Vietnam. HIV interventions among MSM should incorporate health promotion, condom promotion, harm reduction, sexually transmitted infection treatment, and address risk behaviors.

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References

  1. UNAIDS Epidemiology Slides. 2014. (cited 2015 Feb). http://www.unaids.org/sites/default/files/media_asset/01_Epi_slides_2014July.pdf.

  2. Baral S, et al. Elevated risk for HIV infection among men who have sex with men in low- and middle-income countries 2000–2006: a systematic review. PLoS Med. 2007;4(12):e339.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Caceres C, et al. Estimating the number of men who have sex with men in low and middle income countries. Sex Transm Infect. 2006;82(Suppl 3):iii3–9.

    PubMed  PubMed Central  Google Scholar 

  4. Ministry of Health—Vietnam Authority of HIV/AIDS Control, Vietnam HIV/AIDS estimates and projections 2011–2015, Hanoi; 2012.

  5. Garcia MC, Meyer SB, Ward P. Elevated HIV prevalence and risk behaviours among men who have sex with men (MSM) in Vietnam: a systematic review. BMJ Open. 2012;2(5):e001511.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Pasteur Institute, Report on HIV/AIDS Activities in 2012 and 2013. Planning for Southern Vietnam Year 2013, Hochiminh City; 2013.

  7. Tuan NA, et al. Prevalence and risk factors associated with HIV infection among men having sex with men in Ho Chi Minh City, Vietnam. AIDS Behav. 2008;12(3):476–82.

    Article  Google Scholar 

  8. Pham QD, et al. Prevalence of HIV/STIs and associated factors among men who have sex with men in An Giang, Vietnam. Sex Transm Dis. 2012;39(10):799–806.

    Article  PubMed  Google Scholar 

  9. WHO, Guidelines for management for sexually transmitted infections. HIV_AIDS, ed. WHO; 2001.

  10. Hosmer DW. In: WS Shewhart, editor. Applied logistic regression, 2nd edn. Wiley, New York; 2000.

  11. National Institute of Hygiene Epidemiology (NIHE) and Family Health International (FHI), Results from HIV/STI integrated behavioral and biological surveillance (IBBS) in Vietnam, 2005–2006. Ministry of Health, Government of Vietnam, Hanoi, Vietnam; 2007.

  12. Tuan NA, et al. Human immunodeficiency virus (HIV) infection patterns and risk behaviours in different population groups and provinces in Viet Nam. Bull World Health Organ. 2007;85(1):35–41.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Malta M, et al. HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: a systematic review and meta-analysis. BMC Public Health. 2010;10:317.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Chariyalertsak S, et al. HIV incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in Northern Thailand. PLoS One. 2011;6(9):e24295.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Ruan Y, et al. Risk factors for syphilis and prevalence of HIV, hepatitis B and C among men who have sex with men in Beijing, China: implications for HIV prevention. AIDS Behav. 2009;13(4):663–70 Epub 2008 Dec 12.

    Article  PubMed  Google Scholar 

  16. Baral S, et al. HIV prevalence, risks for HIV infection, and human rights among men who have sex with men (MSM) in Malawi, Namibia, and Botswana. PLoS One. 2009;4(3):e4997.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Xiao Y, et al. Prevalence and correlates of HIV and syphilis infections among men who have sex with men in Chongqing Municipality, China. Sex Transm Dis. 2009;36(10):647–56.

    Article  PubMed  Google Scholar 

  18. Zhang L, et al. Prevalence of HIV infection and associated risk factors among men who have sex with men (MSM) in Harbin, P. R. China. PLoS One. 2013;8(3):e58440.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Benagiano G, et al. Condoms, HIV and the Roman Catholic Church. Reprod Biomed Online. 2011;22(7):701–9.

    Article  PubMed  Google Scholar 

  20. Hawkes M, et al. HIV and religion in the Congo: a mixed-methods study. Curr HIV Res. 2013;11(3):246–53.

    Article  CAS  PubMed  Google Scholar 

  21. James CA, et al. Religion versus ethnicity as predictors of unprotected vaginal intercourse among young adults. Sex Health. 2011;8(3):363–71.

    Article  PubMed  Google Scholar 

  22. Menza TW, et al. Prediction of HIV acquisition among men who have sex with men. Sex Transm Dis. 2009;36(9):547–55.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Baral S, et al. Risks for HIV infection among gay, bisexual, and other men who have sex with men in Moscow and St. Petersburg, Russia. AIDS Res Hum Retroviruses. 2012;28(8):874–9.

    Article  PubMed  Google Scholar 

  24. Huan X, et al. High prevalence of HIV and syphilis among men who have sex with men recruited by respondent-driven sampling in a city in Eastern China. Asia Pac J Public Health. 2015;27(2):NP854–65.

    Article  PubMed  Google Scholar 

  25. Lafferty WE, Hughes JP, Handsfield HH. Sexually transmitted diseases in men who have sex with men. Acquisition of gonorrhea and nongonococcal urethritis by fellatio and implications for STD/HIV prevention. Sex Transm Dis. 1997;24(5):272–8.

    Article  CAS  PubMed  Google Scholar 

  26. Sanders EJ, et al. High HIV-1 incidence, correlates of HIV-1 acquisition, and high viral loads following seroconversion among MSM. AIDS. 2013;27(3):437–46.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Wang B, et al. Socio-demographic and behavioral correlates for HIV and syphilis infections among migrant men who have sex with men in Beijing, China. AIDS Care. 2013;25(2):249–57.

    Article  CAS  PubMed  Google Scholar 

  28. Ngo DA, et al. Male homosexual identities, relationships, and practices among young men who have sex with men in Vietnam: implications for HIV prevention. AIDS Educ Prev. 2009;21(3):251–65.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Mayer KH, et al. Factors associated with amplified HIV transmission behavior among American men who have sex with men engaged in care: implications for clinical providers. Ann Behav Med. 2014;47(2):165–71.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Xu HL, et al. Factors influencing HIV infection in men who have sex with men in China. Asian J Androl. 2013;15(4):545–9.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Liu J, et al. Factors associated with HIV infection among men who have sex with men in Henan Province, China: a cross-sectional study. BMC Public Health. 2013;13:356.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. van Griensven F, et al. Evidence of an explosive epidemic of HIV infection in a cohort of men who have sex with men in Thailand. AIDS. 2013;27(5):825–32.

    Article  PubMed  Google Scholar 

  33. Hayes R, et al. Treatment of sexually transmitted infections for HIV prevention: end of the road or new beginning? AIDS. 2010;24(Suppl 4):S15–26.

    Article  PubMed  Google Scholar 

  34. Workowski KA. Sexually transmitted infections and HIV: diagnosis and treatment. Top Antivir Med. 2012;20(1):11–6.

    PubMed  Google Scholar 

  35. Galvin SR, Cohen MS. The role of sexually transmitted diseases in HIV transmission. Nat Rev Microbiol. 2004;2(1):33–42.

    Article  CAS  PubMed  Google Scholar 

  36. Paz-Bailey G, et al. A case-control study of syphilis among men who have sex with men in New York City: association With HIV infection. Sex Transm Dis. 2004;31(10):581–7.

    Article  PubMed  Google Scholar 

  37. Nguyen TV, et al. Correlation between HIV and sexual behavior, drug use, trichomoniasis and candidiasis among female sex workers in a Mekong Delta province of Vietnam. AIDS Behav. 2009;13(5):873–80.

    Article  PubMed  Google Scholar 

  38. Tran TN, et al. HIV infection and risk characteristics among female sex workers in Hanoi, Vietnam. J Acquir Immune Defic Syndr. 2005;39(5):581–6.

    PubMed  PubMed Central  Google Scholar 

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Acknowledgments

We thank colleagues from eight Provincial AIDS Centers of the eight above stated provinces in southern Vietnam and the staff of the HIV/AIDS Program and the Microbiology and Immunology Department of PIHCM for assisting in the data collection and testing of specimens. Funding for this work was supported by The World Bank Project entitled “Prevention and Control of HIV/AIDS in Vietnam” and NIH UCLA/Fogarty International Center D43 TW000013. We thank Wendy Aft for editing.

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Authors and Affiliations

  1. Pasteur Institute Hochiminh City, Hochiminh City, Vietnam

    Thuong Vu Nguyen, Nghia Van Khuu, Phuc Duy Nguyen, Hau Phuc Tran & Lan Trong Phan

  2. Vietnam Authority of HIV/AIDS Control, Hanoi, Vietnam

    Huong Thu Thi Phan

  3. Department of Epidemiology, UCLA School of Public Health, Los Angeles, CA, USA

    Roger Detels

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  1. Thuong Vu Nguyen
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  2. Nghia Van Khuu
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  3. Phuc Duy Nguyen
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  4. Hau Phuc Tran
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  5. Huong Thu Thi Phan
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  6. Lan Trong Phan
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  7. Roger Detels
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Correspondence to Thuong Vu Nguyen.

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Nguyen, T.V., Van Khuu, N., Nguyen, P.D. et al. Sociodemographic Factors, Sexual Behaviors, and Alcohol and Recreational Drug Use Associated with HIV Among Men Who Have Sex with Men in Southern Vietnam. AIDS Behav 20, 2357–2371 (2016). https://doi.org/10.1007/s10461-015-1265-x

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