AI Article Synopsis
- The study aims to assess HIV infection risk among men who have sex with men and women (MSMW) in China, focusing on their unique risk factors.
- A systematic review of literature from 2000 to 2014 revealed that MSMW have a higher HIV prevalence (6.6%) compared to men who have sex only with men (MSMO) (5.4%), as well as greater engagement in commercial sex and substance use.
- The findings suggest that targeted interventions should be implemented to increase HIV screening and reduce high-risk behaviors among MSMW to help lower HIV transmission rates.
Article Abstract
Objectives: To understand the current risk of HIV infection and transmission and further elucidate the underlying risk factors among men who have sex with men and women (MSMW) in China.
Methods: Following PRISMA guidelines, we conducted a systematic review and meta-analysis of searching through Chinese and English available literature databases between January 2000 and June 2014 to identify articles.
Results: Thirty-six articles (including 19,730 MSMW and 53,536 MSMO) met the selection criteria and the aggregated results found that MSMW have significantly higher HIV prevalence than MSMO (6.6% versus 5.4%, OR = 1.27, 95% CI = 1.01-1.58). A higher proportion of MSMW had commercial male partners in the past 6 months (18.3% versus 12.2%, OR = 1.56, 95% CI = 1.01-2.42). Additionally, substance use in the past 6 months was significantly more frequent among MSMW than MSMO (alcohol use: 27.1% versus 13.1%, OR = 2.53, 95% CI = 2.14-2.99; illicit drug use: 5.3% versus 2.5%, OR = 2.09, 95% CI = 1.48-2.95).
Conclusion: A higher proportion of commercial sex and substance use among MSMW may be a potentially indicative factor for significantly higher HIV prevalence compared to MSMO. Targeted interventions should aim at increasing the frequency of HIV/STIs screening and preventing high risk commercial sex and substance use among MSMW to decrease their HIV transmission to the general population.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4686633 | PMC |
| http://dx.doi.org/10.1155/2015/850132 | DOI Listing |
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