ABSTRACT
Objective To understand the HIV infection status in middle aged and old men and the association between HIV infection and female sex workers in a city in Hubei province and provide evidence for the targeted prevention and control of HIV infection.Methods Ten communities/villages were selected through stratified cluster sampling from the suburban and rural areas of the city.A total of 634 men aged ≥50 years were surveyed by using self-designed questionnaire in December,2014.Results The awareness rate of HIV/AIDS related knowledge was 13.3% (68/513).Among the men surveyed,63.2% (371/587) thought they couldn't be infected with HIV,9.1% (52/573) believed that extramarital sex is acceptable,and 32.4% (189/583) considered that commercial sexual behavior is just as well.Among the surveyed men reporting sexual behavior in the past 6 months,6.6% (15/228) had sex with regular sexual partners,in which 63.6% (7/11) never used condoms,21.8%(128/586) reported that some friends had commercial sexual behaviors.Among 601 men receiving HIV testing,7 were HIV positive (1.2%).The HIV detection rates among the men living at 3 communities near red light district were 4.2% (5/119),1.1% (1/95) and 0.5% (1/192) respectively;while no HIV infections were found in the men living at 2 towns far away from red light district.Seventy seven of 581 men surveyed (13.2%) reported to meet visiting female sex workers and they had higher HIV positive rate (5.2%,4/77) than those without such experiences (0.6%,3/504) (P=0.007).Conclusion The middle aged and old men in this city had low awareness of HIV/AIDs related knowledge,and high-risk sexual behaviors existed among them.HIV positive rate was relatively high in this population,and HIV infection might be associated with sex service.
ABSTRACT
Objective To understand the HIV infection status in middle aged and old men and the association between HIV infection and female sex workers in a city in Hubei province and provide evidence for the targeted prevention and control of HIV infection.Methods Ten communities/villages were selected through stratified cluster sampling from the suburban and rural areas of the city.A total of 634 men aged ≥50 years were surveyed by using self-designed questionnaire in December,2014.Results The awareness rate of HIV/AIDS related knowledge was 13.3% (68/513).Among the men surveyed,63.2% (371/587) thought they couldn't be infected with HIV,9.1% (52/573) believed that extramarital sex is acceptable,and 32.4% (189/583) considered that commercial sexual behavior is just as well.Among the surveyed men reporting sexual behavior in the past 6 months,6.6% (15/228) had sex with regular sexual partners,in which 63.6% (7/11) never used condoms,21.8%(128/586) reported that some friends had commercial sexual behaviors.Among 601 men receiving HIV testing,7 were HIV positive (1.2%).The HIV detection rates among the men living at 3 communities near red light district were 4.2% (5/119),1.1% (1/95) and 0.5% (1/192) respectively;while no HIV infections were found in the men living at 2 towns far away from red light district.Seventy seven of 581 men surveyed (13.2%) reported to meet visiting female sex workers and they had higher HIV positive rate (5.2%,4/77) than those without such experiences (0.6%,3/504) (P=0.007).Conclusion The middle aged and old men in this city had low awareness of HIV/AIDs related knowledge,and high-risk sexual behaviors existed among them.HIV positive rate was relatively high in this population,and HIV infection might be associated with sex service.