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HIV Infection, Sexual Behaviors, Sexual Networks, and Drug Use Among Rural Residents in Yunnan Province, China

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Abstract

This cross-sectional study examined HIV prevalence, sexual behaviors, sexual networks, and drug use among 591 participants from a rural community in Yunnan Province, China. Face-to-face interviews were conducted to collect information about sexual behavior, drug use, and sexual networks. Blood samples were collected and tested for HIV. Of the participants, 52.6% were male and 62.6% were Jingpo minority. The HIV prevalence was 5.5% overall and highest among the Jingpo minority (7.7%). Most participants were sexually experienced and 32.5% had had multiple sex partners. About 18.8% had used drugs, with the highest proportion among the Jingpo minority. HIV infection was independently correlated with drug use among males and with multiple sexual partnerships among females. A total of 336 independent sexual network components (mostly small, linear, and acyclic) were constructed. Eighty-percent were dyads involving two members and 20% involved three to 71 members. Coupled with the promotion of condom use, gender- and network-specific efforts are needed for HIV prevention targeting ethnic minorities in Yunnan.

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Acknowledgments

The author thanks Mr. Paul J. Donnelly for editorial assistance. The study was supported in part by National Major AIDS Research Project (grant # 2008ZX10001-016) and National Natural Science Foundation of China (grant # 30671880), the United States National Institute of Child Health and Human Development (grant # R01HD056956) and the Emory Center for AIDS Research.

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Authors and Affiliations

  1. Department of Epidemiology, School of Public Health, Fudan University, Shanghai, 200032, China

    Zhuohua Fu, Na He, Qingwu Jiang & Genming Zhao

  2. Key Laboratory of Public Health Safety (Fudan University), Ministry of Education, Shanghai, China

    Zhuohua Fu, Na He, Qingwu Jiang & Genming Zhao

  3. Dehong Prefecture Center for Disease Control and Prevention, Luxi, Yunnan Province, China

    Song Duan & Runhua Ye

  4. Longchuan County Center for Disease Control and Prevention, Longchuan, Yunnan Province, China

    Yongcheng Pu

  5. Department of International Health, School of Nursing and Health Sciences, Georgetown University, Washington, DC, USA

    Z. Jennifer Huang

  6. Department of Behavioral Sciences and Health Education & Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA

    Frank Y. Wong

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  1. Zhuohua Fu
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  2. Na He
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  3. Song Duan
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  4. Qingwu Jiang
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  5. Runhua Ye
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  6. Yongcheng Pu
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  7. Genming Zhao
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  8. Z. Jennifer Huang
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  9. Frank Y. Wong
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Correspondence to Na He.

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Fu, Z., He, N., Duan, S. et al. HIV Infection, Sexual Behaviors, Sexual Networks, and Drug Use Among Rural Residents in Yunnan Province, China. AIDS Behav 15, 1017–1025 (2011). https://doi.org/10.1007/s10461-010-9797-6

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  • DOI: https://doi.org/10.1007/s10461-010-9797-6

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