AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume 30, Issue 1, 2018, Pages 86-94

HIV testing and sexual risks among migrant men who have sex with men: findings from a large cross-sectional study in Beijing, China (Article)

Liu Y.* , Vermund S.H. , Ruan Y. , Liu H. , Zhang C. , Yin L. , Shao Y. , Qian H.-Z.
  • a Department of Public Health Sciences, School of Medicine and Dentistry, University of Rochester, Rochester, NY, United States
  • b School of Public Health, Yale University, New Haven, CT, United States
  • c State Key Laboratory of Infectious Disease Prevention and Control (SKLID), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing, China
  • d Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD, United States
  • e School of Nursing, University of Rochester, Rochester, NY, United States
  • f Vanderbilt Institute for Global Health, Vanderbilt University School of Medicine, Nashville, TN, United States
  • g State Key Laboratory of Infectious Disease Prevention and Control (SKLID), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing, China
  • h Division of Global HIV and TB, Centers for Disease Control and Prevention (CDC), Atlanta, GA, United States

Abstract

Despite the exacerbating HIV transmission among migrant men who have sex with men (MSM) in China, few epidemiological studies explore their HIV testing/risk profiles. We sought to explore sociodemographic/behavioral correlates of HIV/syphilis and HIV testing among migrant MSM. A study was conducted among 3,588 HIV-uninfected MSM. Participants were recruited via short message services, peer referral, web-advertisement and community outreach. HIV/syphilis infections were lab-confirmed. Migrant MSM were more likely to be HIV-infected compared to local MSM. Among 2,699 migrant MSM, HIV testing was associated with older age, living longer in Beijing, having ≥10 lifetime male sexual partners (LMSPs), having insertive anal sex; while being unemployed/retired and having condomless receptive anal sex (CRAS) were associated with a lower odds of HIV testing. Being married, living longer in Beijing, ever testing for HIV and having sex with women were associated with lower HIV odds; while being unemployed/retired, having higher HIV perception, having ≥ 10 LMSPs and having CRAS were associated a higher HIV odds. Increased likelihood of syphilis was associated with older age, being employed, higher HIV perception, having ≥10 LMSPs and having CRAS. Our study provides implications for targeted interventions to tackle HIV/STI risks and improve HIV testing among migrant Chinese MSM. © 2017 Informa UK Limited, trading as Taylor & Francis Group.

Author Keywords

China HIV testing migrant Men who have sex with men HIV Syphilis

Index Keywords

unemployment China HIV Infections anal intercourse sexual behavior Human immunodeficiency virus infection mass screening Serologic Tests human sexuality middle aged Sexual Partners controlled study priority journal comparative study retirement Human immunodeficiency virus prevalence men who have sex with men Homosexuality, Male male homosexuality Cross-Sectional Studies Surveys and Questionnaires condom use condomless receptive anal sex cross-sectional study migrant psychology Humans married person male patient referral Socioeconomic Factors risk factor Risk Factors socioeconomics questionnaire Syphilis prevalence Article high risk behavior Risk-Taking adult migration serology age infection risk Transients and Migrants advertising text messaging
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029898838&doi=10.1080%2f09540121.2017.1381331&partnerID=40&md5=9693fd39895ab83edd252b7ab156189a
DOI: 10.1080/09540121.2017.1381331
ISSN: 09540121
Cited by: 4
Original Language: English