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Chinese Journal of Epidemiology ; (12): 994-998, 2008.
Artículo en Chino | WPRIM | ID: wpr-298339

RESUMEN

Objective To study the prevalence of human immunodeficiency virus(Hiv),sexually transmitted infection(Sti),risk behavior and the sexual neworks among men who have sex with men (MSM)in Taizhou city,Zhejiang province.Methods cross-sectional Astudy was applied with venue-based sampling in 2 MSM gathering sites in Taizhou.'Informed Consent'principle was applied and MSM were studied through a structured questionnaire.Blood samples were collected from thee who accepted free and confidential HIV/STI counseling and then tested for HIV,syphilis,HCV and HsV-2 antibodies with ELISA.HIV positive sera were certified with western blot.Results 106 MSM were investigated and 97 qualified questionnaires were collected.25.0%(23/92)of these MSM have ever had l female sex partner while 47.8%(44/92)had 2 or more.14.3%(13/91)of them reported having had 1 male partner who had engaged in anal sex and 80.2%(73/91)had 2 or more.22.1%(19/86)of therh had partieipated in group sex but 62.5%(55/88)of them did not always use condom when having analintercourse.15.1%(14/93) of them had l orfll sex partner while 75.3%(70/93)having 2 or more.38.9%(37/95)of them had sex with female sex worker,and 35.5%(33/93)had sex with male-to-male sex worker.15.3%(13/85)0f them had once been male-to-male sex worker themselves.3.9%(3/77)of them were found HIV positive in blood tests,with 24.7%(18/73)positive of syphilis,15.1%(11/73)positive ofHSV-2 but HCV appeared to be negative.46 csses reported their egocentric recognition networks,with mean degree of 5.91(ranging0-10),and mesa density of 0.548(ranging 0.000-1.000).43 sexual networks were identified,with mean degree of 2.70(ranging 0-10),and mean density of 0.246(ranging 0.000-1.000).Conclusion Risk behaviors,such as multiple sex partners,IOW proportion of condom use and commercial sex engagement both with heterosexuals and homosexuals,were extensively existed among MSM in Taizhou,and the prevalence of HIV/STI was relatively high.Their sexual networks seemed complicated but there might be in place of some sukstantiaUy isolated MSM groups with high risk of Hlv/sTl infection.More study should be applied to identify the relationship between scxual networks and HIV/STI transmigsion.

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