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HIV Incidence and Risk Factors in Chinese Young Men Who Have Sex with Men—A Prospective Cohort Study

Author

Listed:
  • Zhenxin Dong
  • Jie Xu
  • Hongbo Zhang
  • Zhi Dou
  • Guodong Mi
  • Yuhua Ruan
  • Limei Shen
  • Xiangdong Min
  • Guanghua Lan
  • Fan Li
  • Tian Li
  • Zhen Ning
  • Guohui Wu
  • Min She
  • Zunyou Wu
  • for the China National HIV Prevention Study Group

Abstract

Objectives: To assess HIV incidence and its associated risk factors among young men who have sex with men (YMSM) in urban areas, China. Design: The study used a prospective cohort study design and standard diagnostic tests. Methods: A twelve-month prospective cohort study was conducted among YMSM (18–25 years old) in 8 large cities in China. The participants were recruited via snowball sampling. A total of 1102 HIV-negative YMSM completed baseline assessment, 878 YMSM participants completed 6-month follow-up, and 902 completed 12-month follow-up. HIV was screened by an enzyme-linked immunosorbent assay and confirmed with Western Blot. Syphilis was screened via rapid plasma reagent and confirmed by treponema pallidum particle agglutination assay. Results: 78 HIV seroconversions were identified within 1168.4 person-year observations yielding an incidence rate of 6.7 per 100 person-years. HIV seroconversion was associated with non-student status (RR = 2.61, 90% CI = 1.3–5.26), low HIV transmission knowledge (RR = 8.87, 90% CI = 2.16–36.43), and syphilis infection (RR = 5.04, 90% CI = 2.57–9.90). Conclusions: Incidence of HIV among YMSM is high in urban areas of China. Interventions measures are required to contain the HIV epidemic within this population.

Suggested Citation

  • Zhenxin Dong & Jie Xu & Hongbo Zhang & Zhi Dou & Guodong Mi & Yuhua Ruan & Limei Shen & Xiangdong Min & Guanghua Lan & Fan Li & Tian Li & Zhen Ning & Guohui Wu & Min She & Zunyou Wu & for the China Na, 2014. "HIV Incidence and Risk Factors in Chinese Young Men Who Have Sex with Men—A Prospective Cohort Study," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-7, May.
    • Handle: RePEc:plo:pone00:0097527
    DOI: 10.1371/journal.pone.0097527
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