Prevalence of syphilis infection and associations with sexual risk behaviours among HIV-positive men who have sex with men in Shanghai, China.

Abstract:

:The aims of this study were to understand the prevalence and correlates of syphilis infection among HIV-positive men who have sex with men (MSM) in Shanghai, China. A total of 200 HIV-positive MSM participants were recruited using "snowball" sampling. Participants were tested for syphilis and completed a one-time questionnaire which included demographic characteristics, sexual behaviours with male and female sexual partners, substance use, and use of antiretroviral medications. Prevalence of syphilis infection was 16.5%. Among HIV/syphilis co-infected participants, 63.6% reported having anal sex with male partners and 24.2% did not use condoms consistently during the past six months; 66.7% reported having oral sex with male partners and 51.5% reported unprotected oral sex during the past six months. Factors associated with testing seropositive for syphilis infection included receptive anal sex with a male partner in the past six months (AOR = 12.61, 90% CI = 2.38-66.89), illicit drug use in the past six months (AOR = 11.47, 90% CI = 2.47-53.45), and use of antiretroviral medication (AOR = 4.48, 90% CI = 1.43-14.05). These data indicate a need for "positive prevention" interventions targeting HIV-positive MSM in China.

journal_name

Int J STD AIDS

authors

He H,Wang M,Zaller N,Wang J,Song D,Qu Y,Sui X,Dong Z,Operario D,Zhang H

doi

10.1177/0956462413512804

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

410-9

issue

6

eissn

0956-4624

issn

1758-1052

pii

0956462413512804

journal_volume

25

pub_type

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