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

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 comple...

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Bibliographic Details
Published in:International journal of STD & AIDS 2014-05, Vol.25 (6), p.410-419
Main Authors: He, Huan, Wang, Min, Zaller, Nickolas, Wang, Jun, Song, Dandan, Qu, Yuhuang, Sui, Xin, Dong, Zhengxin, Operario, Don, Zhang, Hongbo
Format: Article
Language:English
Subjects:
Adolescent
Adult
AIDS/HIV
Anti-HIV Agents - therapeutic use
China - epidemiology
Coinfection
Condoms - utilization
Cross-Sectional Studies
HIV Infections - drug therapy
HIV Infections - epidemiology
Homosexuality, Male
Humans
Male
Middle Aged
Prevalence
Risk Factors
Risk-Taking
Sexual Partners
Socioeconomic Factors
Substance-Related Disorders - epidemiology
Surveys and Questionnaires
Syphilis - diagnosis
Syphilis - epidemiology
Treponema pallidum
Treponema pallidum - isolation & purification
Unsafe Sex - statistics & numerical data
Young Adult
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Summary: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.
ISSN:0956-4624
1758-1052
DOI:10.1177/0956462413512804