Declining Inconsistent Condom Use but Increasing HIV and Syphilis Prevalence Among Older Male Clients of Female Sex Workers: Analysis From Sentinel Surveillance Sites (2010-2015), Guangxi, China.

Abstract:

:Clients of female sex workers (CFSWs) are a bridge population for the spread of HIV and syphilis to low or average risk heterosexuals. Most studies have examined the point prevalence of these infections in CFSWs. Limited evidence suggests that older age CFSWs are at a higher risk of acquiring sexually transmitted diseases compared with younger clients. Thus, we sought to describe long-term trends in HIV, syphilis, and hepatitis C (HCV) to better understand how these infections differ by sex worker classification and client age. We also examined trends in HIV, syphilis, and HCV among categories of female sex workers (FSWs).We conducted serial cross-sectional studies from 2010 to 2015 in Guangxi autonomous region, China. We collected demographic and behavior variables. FSWs and their clients were tested for HIV, syphilis, and HCV antibodies. Positive HIV and syphilis serologies were confirmed by Western blot and rapid plasma regain, respectively. Clients were categorized as middle age (40-49 years) and older clients (≥50 years). FSWs were categorized as high-tier, middle-tier, or low-tier based on the payment amount charged for sex and their work venue. Chi-square test for trends was used for testing changes in prevalence over time.By 2015, low-tier FSWs (LTFSWs) accounted for almost half of all FSWs; and they had the highest HIV prevalence at 1.4%. HIV prevalence declined significantly for FSWs (high-tier FSW, P = 0.003; middle-tier FSWs; P = 0.021; LTFSWs, P < 0.001). Syphilis infections significantly declined for FSWs (P < 0.001) but only to 7.3% for LTFSWs. HCV and intravenous drug use were uncommon in FSWs. HIV prevalence increased for older age clients (1.3%-2.0%, P = 0.159) while syphilis prevalence remained stable. HCV infections were halved among older clients in 3 years (1.7%-0.8%, P < 0.001). Condom use during the last sexual encounter increased for FSWs and CFSWs. Few clients reported sex with men or intravenous drug use. Clients preferred LTFSWs, especially older clients (81.9%).Our results suggest that HIV and syphilis infections are increasing in older clients who prefer LTFSWs. HIV and syphilis are likely increasing in Guangxi Province through heterosexual transmission.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Chen Y,Abraham Bussell S,Shen Z,Tang Z,Lan G,Zhu Q,Liu W,Tang S,Li R,Huang W,Huang Y,Liang F,Wang L,Shao Y,Ruan Y

doi

10.1097/MD.0000000000003726

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

e3726

issue

22

eissn

0025-7974

issn

1536-5964

pii

00005792-201605310-00014

journal_volume

95

pub_type

杂志文章,多中心研究

相关文献

MEDICINE文献大全
  • Neuronavigator-guided ventriculoscopic approach for symptomatic xanthogranuloma of the choroid plexus in the lateral ventricle.

    abstract::Xanthogranuloma of choroid plexus is an extremely rare, benign, and mostly asymptomatic intracranial lesion. We report a case of symptomatic lateral ventricular xanthogranuloma resected via a neuronavigator-guided ventriculoscopic approach. Then we review recent English medical literature and notice that craniotomies ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014718

    authors: Yan C,Zhu S,Sun H,Jenn WL,Zhang X,Xu Z,Kong X,Chen X

    更新日期:2019-04-01 00:00:00

  • Effect of probiotics on lipid profiles and blood pressure in patients with type 2 diabetes: A meta-analysis of RCTs.

    abstract:BACKGROUND:This meta-analysis aimed to systematically evaluate the effects of probiotics on blood lipid and blood pressure among patients with type 2 diabetes mellitus (T2DM) based on the randomized controlled studies. METHODS:PubMed, Cochrane, Embase, Wanfang, China National Knowledge Infrastructure, and VIP database...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000009166

    authors: He J,Zhang F,Han Y

    更新日期:2017-12-01 00:00:00

  • Interactive associations of sex and hyperlipidemia with calcific tendinitis of the shoulder in Taiwanese adults.

    abstract::Calcific tendinitis (CT) of the shoulder is a painful disorder usually identified in individuals aged 40 and 60 years. The estimated global prevalence of CT is 2.7% to 36%. We examined the association of hyperlipidemia and sex with CT of the shoulder using Taiwan Biobank (TWB) and the National Health Insurance Researc...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023299

    authors: Lin CC,Nfor ON,Su CL,Hsu SY,Tantoh DM,Liaw YP

    更新日期:2020-11-13 00:00:00

  • Diagnostic performance of serum pepsinogen assay for the prediction of atrophic gastritis and gastric neoplasms: Protocol for a systematic review and meta-analysis.

    abstract:BACKGROUND:Serum pepsinogen assay (sPGA) combining concentration of pepsinogen I (PG I), and the ratio of PG I/II is the noninvasive biomarker for predicting chronic atrophic gastritis (CAG) and neoplasms reflecting mucosal secretory status. Although various cut-off values have been suggested, PG I ≤70 ng/mL and PG I/I...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014240

    authors: Bang CS,Lee JJ,Baik GH

    更新日期:2019-01-01 00:00:00

  • The relevance of MTHFR C677T, A1298C, and MTRR A66G polymorphisms with response to male infertility in Asians: A meta-analysis.

    abstract::Although published studies have reported the association between MTHFR C677T (rs 1801133), A1298C (rs 1801131), and MTRR A66G (rs1801394) polymorphisms and male infertility in Asian populations, the results are conflicting. In order to accurately evaluate the relevance, a meta-analysis was performed.We searched for po...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000014283

    authors: Shi TL,Wu Y,Li Y,Chen ZF,Ma YN,Zhang ZT,Zhang YH,Zhang L

    更新日期:2019-02-01 00:00:00

  • Association of CagA EPIYA-D or EPIYA-C phosphorylation sites with peptic ulcer and gastric cancer risks: A meta-analysis.

    abstract:BACKGROUND:Increasingly, studies have focused on the relationship between Helicobacter pylori (H pylori) cytotoxin associated gene A protein (CagA) Glu-Pro-Ile-Tyr-Ala (EPIYA)-D motifs or multiple EPIYA-C phosphorylation sites and peptic ulcer disease (PUD) or gastric cancer (GC) risk. However, the conclusions have bee...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000006620

    authors: Li Q,Liu J,Gong Y,Yuan Y

    更新日期:2017-04-01 00:00:00

  • Patterns of lymph node metastasis in locally advanced cervical cancer.

    abstract::The aim of this study was to investigate patterns and locations of lymph node metastasis in locally advanced cervical cancers.A total of 244 consecutive patients with stage IIb cervical cancer were retrospectively evaluated. Contrast-enhanced CT scans were used for lymph node grading. Lymph nodes with the shortest axi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004814

    authors: Liu Z,Hu K,Liu A,Shen J,Hou X,Lian X,Sun S,Yan J,Zhang F

    更新日期:2016-09-01 00:00:00

  • Prospective Evaluation of Pharmacogenomics and Metabolite Measurements upon Azathioprine Therapy in Inflammatory Bowel Disease: An Observational Study.

    abstract::Up to approximately 40% to 50% of patients discontinue thiopurine therapy during the course of inflammatory bowel disease (IBD). We investigated the role of the metabolite thiopurine in IBD treatment. This was a prospective study. IBD patients receiving azathioprine (AZA) were prospectively included. Thiopurine methyl...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003326

    authors: Fangbin Z,Xiang G,Liang D,Hui L,Xueding W,Baili C,Huichang B,Yinglian X,Peng C,Lizi Z,Yanjun C,Feng X,Minhu C,Min H,Pinjin H

    更新日期:2016-04-01 00:00:00

  • High Agatston Calcium Score of Intracranial Carotid Artery: A Significant Risk Factor for Cognitive Impairment.

    abstract::The effect of intracranial internal carotid artery (ICA) calcification on cognitive impairment is uncertain. Our objective was to investigate whether intracranial ICA calcification is a significant cognitive predictor for cognitive impairment. Global cognition and degrees of intracranial ICA calcification of 579 subje...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001546

    authors: Kao HW,Liou M,Chung HW,Liu HS,Tsai PH,Chiang SW,Chou MC,Peng GS,Huang GS,Hsu HH,Chen CY

    更新日期:2015-09-01 00:00:00

  • Effects of CYP3A5 and UGT2B7 variants on steady-state carbamazepine concentrations in Chinese epileptic patients.

    abstract::Carbamazepine (CBZ) is a widely used antiepileptic drug with large interindividual variability in serum concentrations. Previous studies found that CYP3A5*3 (rs776746), UGT2B7*2 (802C>T), and UGT2B7*3 (211G>T) variants could change the enzymes' activity, which may influence drug concentrations. Our study aims to inves...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011662

    authors: Lu Q,Huang YT,Shu Y,Xu P,Xiang DX,Qu Q,Qu J

    更新日期:2018-07-01 00:00:00

  • Prognostic value of the systemic inflammation response index in human malignancy: A meta-analysis.

    abstract:BACKGROUND:This meta-analysis aimed to evaluate the prognostic value of the systemic inflammation response index (SIRI) in malignancy based on existing evidence. METHODS:We searched for relevant literature published in the electronic databases PubMed, Web of Science, Cochrane Library, and Embase before April 10, 2020....

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000023486

    authors: Wei L,Xie H,Yan P

    更新日期:2020-12-11 00:00:00

  • Relationship of atopic dermatitis with stroke and myocardial infarction: A meta-analysis.

    abstract:BACKGROUND:Lots of previous reports have suggested a potential association of atopic dermatitis (AD) with stroke and myocardial infarction (MI). However, the result is still controversial, Consequently, we conducted this meta-analysis to estimate the relationship of AD with Stroke and MI. METHODS:PubMed, Embase, and W...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000013512

    authors: Yuan M,Cao WF,Xie XF,Zhou HY,Wu XM

    更新日期:2018-12-01 00:00:00

  • A Rare Case of Disseminated Tuberculosis of the Bone Marrow in Systemic Lupus Erythematosus: Case Report.

    abstract::Patients with systemic lupus erythematosus (SLE) are susceptible to tuberculosis (TB), especially in endemic areas such as China. The variable and nonspecific clinical features of disseminated TB often leads to an erroneous or misdiagnosis. When a patient presents with TB of the bone marrow, the clinical condition is ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003552

    authors: Chen D,Yang Z,Yang Y,Zhan Z,Yang X

    更新日期:2016-05-01 00:00:00

  • The Impact of Admission Diagnosis on Recurrent or Frequent Hospitalizations in 3 Dementia Subtypes: A Hospital-Based Cohort in Taiwan with 4 Years Longitudinal Follow-Ups.

    abstract::Increasing numbers of patients with different types of dementia have resulted in the increasing medical care loads. It is not known whether explanatory factors for recurrent or prolong hospitalization were driven by the subtypes of dementia. We analyzed 203 dementia patients aged >65-year-old with a clinical diagnosis...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002091

    authors: Chang CC,Lin PH,Chang YT,Chen NC,Huang CW,Lui CC,Huang SH,Chang YH,Lee CC,Lai WA

    更新日期:2015-11-01 00:00:00

  • Individual resection and reconstruction of pelvic tumor with three-dimensional printed customized hemi-pelvic prosthesis: A case report.

    abstract:RATIONALE:Pelvic tumor had great impact on patients' quality of life. After tumor resection, how to accurately fill bone defect remained challenging for orthopedic surgeons. Due to lack of individual design, high incidence of prosthetic mismatching, and loosening were reported in pelvic reconstruction surgery with conv...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016658

    authors: Han Q,Zhang K,Zhang Y,Wang C,Yang K,Zou Y,Chen B,Wang J

    更新日期:2019-09-01 00:00:00

  • Comparative assessment of the efficacy and safety of acarbose and metformin combined with premixed insulin in patients with type 2 diabetes mellitus.

    abstract::This study, a subgroup analysis of the data from the Organization Program of DiabEtes INsulIN ManaGement study, aimed to compare the efficacy and safety profiles of acarbose and metformin used in combination with premixed insulin.This analysis included 80 and 192 patients taking only 1 oral antidiabetic drug, classifi...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000007533

    authors: Wu H,Liu J,Lou Q,Liu J,Shen L,Zhang M,Lv X,Gu M,Guo X

    更新日期:2017-09-01 00:00:00

  • Anatomical structure responsible for direction changing bilateral gaze-evoked nystagmus in patients with unilateral cerebellar infarction.

    abstract::The direction-changing bilateral gaze-evoked nystagmus (GEN) (BGEN) is a more specific sign for a gaze-holding deficit than unilateral GEN (UGEN) in a central lesion. We sought to clarify which cerebellar structure is responsible for the generation of BGEN compared with UGEN.We studied 47 cases of UGEN or BGEN associa...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019866

    authors: Lee H,Kim HA

    更新日期:2020-04-01 00:00:00

  • Effects of cinnamaldehyde on anti-respiratory syncytial virus: A protocol of systematic review and meta-analysis.

    abstract:BACKGROUND:Previous reports found that cinnamaldehyde has effects on anti-respiratory syncytial virus (ARSV). However, their results are still contradictory. Therefore, this study will systematically address the effects of cinnamaldehyde on ARSV. METHODS:The following electronic bibliographic databases will be retriev...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000020266

    authors: Feng L,Li J,Yu HB,Xue Q,Dai LJ

    更新日期:2020-05-01 00:00:00

  • Transabdominal preperitoneal laparoscopic approach for incarcerated inguinal hernia repair: A report of 73 cases.

    abstract::To investigate the efficacy, key technical points, and complication management of the transabdominal preperitoneal (TAPP) approach for incarcerated inguinal hernia repair. Seventy-three patients with incarcerated inguinal hernias underwent TAPP surgery in our department between Jan 2010 and Dec 2015. A retrospective r...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005686

    authors: Yang S,Zhang G,Jin C,Cao J,Zhu Y,Shen Y,Wang M

    更新日期:2016-12-01 00:00:00

  • Plasmapheresis Is Associated With Better Renal Outcomes in Lupus Nephritis Patients With Thrombotic Microangiopathy: A Case Series Study.

    abstract::The aim of this study was to evaluate the efficacy of plasmapheresis in patients with lupus nephritis-combined thrombotic microangiopathy (TMA) in a Chinese cohort.Clinical and therapeutic data of patients with lupus nephritis-combined TMA were collected retrospectively. A comparison between those with and without pla...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003595

    authors: Li QY,Yu F,Zhou FD,Zhao MH

    更新日期:2016-05-01 00:00:00

  • EEC-LM-ADULT syndrome caused by R319H mutation in TP63 with ectrodactyly, syndactyly, and teeth anomaly: A case report.

    abstract:RATIONALE:Ectrodactyly ectodermal dysplasia-cleft lip/palate (EEC) syndrome, limb-mammary syndrome (LMS), and acro-dermato-ungual-lacrimal-tooth (ADULT) syndrome are caused by a TP63 gene disorder and have similar features. In the present article, a R319H mutation in TP63 is reported, and the correlation between genoty...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022816

    authors: Otsuki Y,Ueda K,Nuri T,Satoh C,Maekawa R,Yoshiura KI

    更新日期:2020-10-30 00:00:00

  • Vestibulo-ocular reflex tests may reflect unilateral Ménière disease progression: A cross-sectional study.

    abstract:ABSTRACT:Vestibular disorders can manifest several patterns of horizontal vestibulo-ocular reflex (VOR) impairment, which can be detected by caloric test and video head impulse test (vHIT). Several studies have examined the patterns of caloric-vHIT response in Ménière disease (MD). The purpose of this study was to inve...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023706

    authors: Zhou R,Leng Y,Liu B

    更新日期:2020-12-24 00:00:00

  • Cutaneous mycobacteriosis: analysis of 34 cases with a new classification of the disease.

    abstract::Several points can be made from analysis of the published cases of cutaneous mycobacteriosis and those in our series: 1) mycobacterial cutaneous infections are probably more common than is reported-we collected 34 cases over a 10-year period; 2) most patients with cutaneous infections caused by nontuberculous mycobact...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:

    authors: Beyt BE Jr,Ortbals DW,Santa Cruz DJ,Kobayashi GS,Eisen AZ,Medoff G

    更新日期:1981-03-01 00:00:00

  • Local resection of rectal neuroendocrine tumor with first clinical manifestation of giant liver metastasis by transanal endoscopic microsurgery: A case report.

    abstract:RATIONALE:Rectal neuroendocrine tumor (NET) is a relatively rare tumor. Well-differentiated NETs (G1 and G2) rarely display distant metastasis at initial diagnosis. Currently, treatment for the primary lesions of rectal NETs with liver metastasis remains controversial. The liver metastasis was resected in local hospita...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009153

    authors: Xu G,Wang P,Xiao Y,Wu X,Lin G

    更新日期:2017-12-01 00:00:00

  • The relationship between physical fitness and health self-assessment in elderly.

    abstract:BACKGROUND:The process of population aging inclines to seek determinants of the quality of life in the older people. Health self-assessment is the one of the main elements of the quality of life. In the older people it is associated with functional efficiency. The aim of the study was to determine correlations of physi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015984

    authors: Knapik A,Brzęk A,Famuła-Wąż A,Gallert-Kopyto W,Szydłak D,Marcisz C,Plinta R

    更新日期:2019-06-01 00:00:00

  • Application of MR diffusion imaging for non-invasive assessment of acute kidney injury after lung transplantation.

    abstract::To assess whether MR diffusion imaging may be applied for non-invasive detection of renal changes correlating with clinical diagnosis of acute kidney injury (AKI) in patients after lung transplantation (lutx).Fifty-four patients (mean age 49.6, range 26-64 years) after lutx were enrolled in a prospective clinical stud...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022445

    authors: Derlin K,Hellms S,Gutberlet M,Peperhove M,Jang MS,Greite R,Hartung D,Derlin T,Fegbeutel C,Tudorache I,Jüttner B,Wiese B,Lichtinghagen R,Haller H,Haverich A,Wacker F,Warnecke G,Gueler F

    更新日期:2020-12-04 00:00:00

  • Image quality of mixed convolution kernel in thoracic computed tomography.

    abstract::The mixed convolution kernel alters his properties geographically according to the depicted organ structure, especially for the lung. Therefore, we compared the image quality of the mixed convolution kernel to standard soft and hard kernel reconstructions for different organ structures in thoracic computed tomography ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005309

    authors: Neubauer J,Spira EM,Strube J,Langer M,Voss C,Kotter E

    更新日期:2016-11-01 00:00:00

  • Associations of antiphospholipid antibodies with splanchnic vein thrombosis: a systematic review with meta-analysis.

    abstract::Splanchnic vein thrombosis (SVT) refers to Budd-Chiari syndrome (BCS) and portal vein system thrombosis (PVST). Current practice guidelines have recommended the routine screening for antiphospholipid antibodies (APAs) in patients with SVT. A systematic review and meta-analysis of observational studies was performed to...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000000496

    authors: Qi X,De Stefano V,Su C,Bai M,Guo X,Fan D

    更新日期:2015-01-01 00:00:00

  • Analysis of Recurrence Management in Patients Who Underwent Nonsurgical Treatment for Acute Appendicitis.

    abstract::The recurrence rate for acute appendicitis treated nonoperatively varies between studies. Few studies have adequately evaluated the management of these patients when appendicitis recurs. We aimed to explore the recurrence rate and management of patients with acute appendicitis that were first treated nonoperatively.We...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003159

    authors: Liang TJ,Liu SI,Tsai CY,Kang CH,Huang WC,Chang HT,Chen IS

    更新日期:2016-03-01 00:00:00

  • Expiratory central airway collapse - an overlooked entity?: Two case reports.

    abstract:INTRODUCTION:Expiratory central airway collapse is defined by excessive inward bulging of either tracheobronchial posterior membrane or cartilage. The former is called excessive dynamic airway collapse (EDAC), and the latter, depending on the site of collapse, tracheomalacia, bronchomalacia or tracheobronchomalacia. Du...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022449

    authors: Janowiak P,Rogoza K,Siemińska A,Jassem E

    更新日期:2020-10-16 00:00:00