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High-risk behaviour and HIV infection risk among non-local men who have sex with men with less than a single year's residence in urban centres: a multicentre cross-sectional study from China.

Authors :
Yan-qiu Yu
Jun-jie Xu
Qing-hai Hu
Hong-Jing Yan
Zhe Wang
Lin Lu
Ming-hua Zhuang
Xi Chen
Ji-hua Fu
Yi-lu Qin
Yong-jun Jiang
Wen-qing Geng
Hong Shang
Yu, Yan-Qiu
Xu, Jun-Jie
Hu, Qing-Hai
Yan, Hong-Jing
Wang, Zhe
Lu, Lin
Zhuang, Ming-Hua
Source :
Sexually Transmitted Infections; Feb2018, Vol. 94 Issue 1, p51-54, 4p, 1 Chart
Publication Year :
2018

Abstract

<bold>Objectives: </bold>Traditionally, subjects' migration status has usually been defined on the basis of their registered residency status. We attempted to redefine migration based on the duration of residency in their cities of migration and to explore more precisely the impact of migration on HIV infection risk in men who have sex with men (MSM).<bold>Methods: </bold>A multisite cross-sectional study was conducted during 2012-2013 in seven Chinese cities. Questionnaire surveys were conducted and blood was drawn to test for antibodies to HIV, syphilis and herpes simplex virus-2 (HSV-2). MSM who were unregistered local residents and had resided in their cities of migration for ≤1 or >1 year were defined as migrant MSM, or transitional MSM, respectively.<bold>Results: </bold>Compared with transitional MSM and local MSM, migrant MSM had poorer HIV knowledge and higher rates of high-risk behaviour, including earlier sexual debut, multiple sexual partners, participation in commercial sex and recreational drug use. Multivariate logistic regression analysis showed that HIV prevalence among migrant MSM was higher than local MSM (p<0.05). This relationship, however, did not hold for transitional MSM and local MSM (p>0.05). Male sex work, recreational drug use, syphilis infection and HSV-2 infection were independently associated with HIV infection among migrant MSM.<bold>Conclusions: </bold>Non-local MSM with shorter residence were at greater risk of HIV acquisition. More focus should be placed on HIV behavioural interventions targeting non-local MSM with temporary residence. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
13684973
Volume :
94
Issue :
1
Database :
Complementary Index
Journal :
Sexually Transmitted Infections
Publication Type :
Academic Journal
Accession number :
127580695
Full Text :
https://doi.org/10.1136/sextrans-2016-052744