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Objective@#To study the prevalence of rush poppers use among men who have sex with men (MSM) in Urumqi and to analyze the mediating effect of high-risk sexual behavior between the use of rush poppers and human papillomavirus (HPV) infection.@*Methods@#From January to June 2018, 651 MSM were recruited through network and publicity. Data was collected by using online questionnaire and anal swab were collected from them for HPV genotyping. According to Baron and Kenny's criterion, multivariate logistic regression models was used to analyze the mediation effect of high-risks sexual behaviors (multiple sexual partners, anal intercourse condom use) between rush poppers use and HPV infection.@*Results@#A total of 651 subjects were (32.0±8.0) years old, and 174 subjects (26.7%) had ever used rush poppers in the past 6 months, while 350 subjects (46.9%) had more than 2 sexual partners and 188 subjects (28.9%) did not use anal condom. After adjusting age and marital status, rush poppers use was associated with HPV infection (OR (95%CI) was 2.34 (1.63-3.36), P<0.05), and sexual partners in the past 6 months (OR (95%CI) was 2.72 (1.89-3.93), P<0.05).After adjustment for age, marital status, sexual partners in the past 6 months, and anal condom use, rush poppers use was still associated with HPV infection (OR (95%CI) was 2.21 (1.53-3.19), P<0.05).After adjustment and adjustment of age, marital status, rush poppers use and anal sex condom use, the number of sexual partners at nearly 6 months was still associated with HPV infection (OR (95%CI) was 1.46 (1.05-2.04), P<0.05).@*Conclusion@#Sexual partners in the past 6 months have a mediation effect between rush poppers use and HPV infection in Urumqi. For the prevention of sexually transmitted diseases, we should focus on rush poppers use.
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Objective@#To analyze the influence of the confidence to pre-exposure prophylaxis (PrEP) on the willingness to use PrEP in men who have sex with men (MSM) by using the path analysis model based on structural equation model approach.@*Methods@#A total of 550 MSM were recruited in Urumqi by snowball method and a questionnaire survey was conducted among them. According to the professional knowledge and analysis results of the confidence and willingness to use PrEP, structural equation model (SEM) analysis method was used to construct a path analysis model.@*Results@#A total of 513 MSM participated in the survey. The modified path equation model was well fitted, with the modified fitting index as: GFI=0.993, RMSEA<0.001, and AGFI=0.984. The confidence to PrEP had direct influence on the willingness; the degree of influence from sex partners, the attitude of sex partner to PrEP and the positive emotions not only had direct effects on willingness of PrEP use, but also had indirect effects on willingness of PrEP use by affecting the confidence to it; the role in sexual behavior, AIDS severity, HIV prevention behavior had direct effects on willingness of PrEP use. The proportion of HIV infection in the population had no direct effects on willingness of PrEP use, but had indirect effects on willingness of PrEP use by affecting the confidence to it.@*Conclusions@#The confidence to PrEP had influence on willingness of PrEP use in MSM, therefore targeted activities can be conducted to improve the confidence and willingness of MSM in taking the PrEP and reducing the risk of HIV infection in MSM. Compared with the traditional multiple regression analysis, the path analysis using the structural equation model could better reveal the mediating effect between the independent variables and dependent variables.
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<p><b>OBJECTIVE</b>To investigate whether trajectory model can be used to explore the trend of anal human papillomavirus (HPV) infection status among HIV-negative men who have sex with men (MSM).</p><p><b>METHODS</b>HIV-negative MSM were recruited by using the "snowball" method from 1st September 2016 to 30th September 2017 in Urumqi. The subjects were followed-up every six months since enrollment. The cell samples in anal canal were collected and the 37-type HPV test kits were used for identification and classification of HPV infection at both baseline and follow-up visits. Taking the cumulative number of different types of HPV as the dependent variable and follow-up visits as the independent variable, the trajectory model was established for the study subjects who completed baseline, 6 months and 12 months follow-up. The model was used to simulate the trend of HPV infection status when the subjects were divided into 1, 2, 3 and 4 subgroups. Bayesian information criterion (BIC), log Bayes factor and average posterior probability (AvePP) were used to evaluate the fitting effect.</p><p><b>RESULTS</b>A total of 400 HIV-negative MSM were recruited at baseline and 187 subjects completed baseline and two follow-ups. The fitting effect attained best when the variation trend was divided into two subgroups. The first subgroup accounted for 54.5%(102/187) of the total, and the curve of change in HPV infection was decreasing; the second subgroup accounted for 45.5%(85/187) of the total, and the curve of change in HPV infection was increasing.</p><p><b>CONCLUSIONS</b>Trajectory model can effectively distinguish the trend of HPV infection status in HIV-negative MSM to identify the high-risk group of HPV infection.</p>
Subject(s)
Humans , Male , Anal Canal , Bayes Theorem , HIV Infections , Homosexuality, Male , Papillomavirus Infections , Prevalence , Risk Factors , Sexual and Gender MinoritiesABSTRACT
Objective To analyze the publication of Chinese scientific research papers from medical institutions in Urumqi,Xinjiang from year 2003 to 2015,to understand the status quo of paper publication by medical personnel in this area,to find objective evidence for the scientific research development of medical institutions in Urumqi,also figure out the differences of different institutions,to summarize the developing trend which will help for identify the distribution features,as well as optimizing scientific research paper management at local area.Methods Literature metrology was applied to analyze Chinese paper publication from medical institutions during 2003-2015 in Urumqi,Xinjiang.Results A total number of 56 684 Chinese scientific papers were published in 13 years with the average growth of 12.93％ each year.Among which,the number of core journal articles is 4 167 accounted for 60.28％.Consider to the distribution of years,7 073 papers,accounted for 13.4％ of the total number,were published in 2014;Xinjiang Medicine published most of the articles with a number of 6 166 (10.88％);the Saybagh District of Urumqi published 18 980 papers (33.48％) which were more than other places.Comparative analysis was also conducted among different level hospitals.The publication conditions of different hospitals have a p value less than 0.01 which shows the significant statistical difference.Considering to the distribution of geographical areas,the result was x2 =1 439.566,F ＜0.01,it also has statistical significance.Conclusions The total number of Chinese scientific paper publication in Urumqi,Xinjiang medical institutions was kept increasing during the year 2003 to 2015,however,there were a lot of variations among different medical institutions,geographical areas and medical personnel.Thus medical institutions should pay more attention to the talent training and scientific research,improve the scientific research management to enhance the capacity of scientific research.