Literature DB >> 23054038

Unsafe Sex and STI Prevalence Among HIV-Infected Adults in Guangzhou, China: Opportunities to Deamplify Sexual HIV Transmission.

Xiao B Wang1, Joseph D Tucker, Ligang Yang, Heping Zheng, Fujie Zhang, Myron S Cohen, Bin Yang, Weiping Cai.   

Abstract

This project examined sexual behavior and STI prevalence among HIV-infected individuals in South China. Adult HIV-infected outpatients in Guangzhou, Guangdong Province, China completed a self-administered survey about behaviors and antiretroviral treatment. Participants were screened for syphilis, gonorrhea, and chlamydia. Univariate and multivariate relationships with any STI were calculated using logistic regression. 810 HIV-infected individuals participated and 3 refused. 52.5 % (n = 415) of individuals reported having sex in the past 3 months, among whom 26.4 % (n = 111) reported inconsistent condom use. 10.4 % (n = 84) of all individuals had at least one sexually transmitted infection (STI). HIV-infected individuals not on antiretroviral treatment had an increased STI risk (aOR 2.5, 95 % CI: 1.4-4.5, P = 0.002). Unsafe sex was markedly reduced among HIV-infected individuals on treatment, possibly a reflection of integrated ART initiation counseling. Improved STI services among HIVinfected individuals are urgently needed to deamplify sexual HIV transmission.

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Year:  2013        PMID: 23054038      PMCID: PMC3635470          DOI: 10.1007/s10461-012-0322-y

Source DB:  PubMed          Journal:  AIDS Behav        ISSN: 1090-7165


  31 in total

1.  Effect of highly active antiretroviral therapy on diagnoses of sexually transmitted diseases in people with AIDS.

Authors:  S Scheer; P L Chu; J D Klausner; M H Katz; S K Schwarcz
Journal:  Lancet       Date:  2001-02-10       Impact factor: 79.321

2.  Sexual behavior changes and protease inhibitor therapy. SEROCO Study Group.

Authors:  M Miller; L Meyer; F Boufassa; A Persoz; A Sarr; M Robain; A Spira
Journal:  AIDS       Date:  2000-03-10       Impact factor: 4.177

3.  Increase in sexually transmitted infections among homosexual men in Amsterdam in relation to HAART.

Authors:  I G Stolte; N H Dukers; J B de Wit; J S Fennema; R A Coutinho
Journal:  Sex Transm Infect       Date:  2001-06       Impact factor: 3.519

4.  Prevention of HIV-1 infection with early antiretroviral therapy.

Authors:  Myron S Cohen; Ying Q Chen; Marybeth McCauley; Theresa Gamble; Mina C Hosseinipour; Nagalingeswaran Kumarasamy; James G Hakim; Johnstone Kumwenda; Beatriz Grinsztejn; Jose H S Pilotto; Sheela V Godbole; Sanjay Mehendale; Suwat Chariyalertsak; Breno R Santos; Kenneth H Mayer; Irving F Hoffman; Susan H Eshleman; Estelle Piwowar-Manning; Lei Wang; Joseph Makhema; Lisa A Mills; Guy de Bruyn; Ian Sanne; Joseph Eron; Joel Gallant; Diane Havlir; Susan Swindells; Heather Ribaudo; Vanessa Elharrar; David Burns; Taha E Taha; Karin Nielsen-Saines; David Celentano; Max Essex; Thomas R Fleming
Journal:  N Engl J Med       Date:  2011-07-18       Impact factor: 91.245

Review 5.  Prevalence of unprotected anal intercourse and unprotected vaginal intercourse among HIV-positive men who have sex with men in China: a meta-analysis.

Authors:  Qian He; Wen-Jia Peng; Jun-Qing Zhang; Bing-Xiang Wang; Jing Wang
Journal:  Sex Transm Infect       Date:  2011-12-08       Impact factor: 3.519

Review 6.  China's syphilis epidemic: epidemiology, proximate determinants of spread, and control responses.

Authors:  Joseph D Tucker; Myron S Cohen
Journal:  Curr Opin Infect Dis       Date:  2011-02       Impact factor: 4.915

Review 7.  Prevalence of sexually transmitted co-infections in people living with HIV/AIDS: systematic review with implications for using HIV treatments for prevention.

Authors:  Seth C Kalichman; Jennifer Pellowski; Christina Turner
Journal:  Sex Transm Infect       Date:  2011-02-17       Impact factor: 3.519

8.  Highly active antiretroviral therapy and sexual risk behavior: a meta-analytic review.

Authors:  Nicole Crepaz; Trevor A Hart; Gary Marks
Journal:  JAMA       Date:  2004-07-14       Impact factor: 56.272

9.  Five-year outcomes of the China National Free Antiretroviral Treatment Program.

Authors:  Fujie Zhang; Zhihui Dou; Ye Ma; Yan Zhao; Zhongfu Liu; Marc Bulterys; Ray Y Chen
Journal:  Ann Intern Med       Date:  2009-08-18       Impact factor: 25.391

Review 10.  An expanding syphilis epidemic in China: epidemiology, behavioural risk and control strategies with a focus on low-tier female sex workers and men who have sex with men.

Authors:  Joseph D Tucker; Yue-Ping Yin; Baoxi Wang; Xiang-Sheng Chen; Myron S Cohen
Journal:  Sex Transm Infect       Date:  2011-12       Impact factor: 3.519

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  2 in total

1.  Suboptimal antiretroviral therapy adherence among HIV-infected adults in Guangzhou, China.

Authors:  Kathryn E Muessig; Megan M McLaughlin; Jing Min Nie; Weiping Cai; Heping Zheng; Ligang Yang; Joseph D Tucker
Journal:  AIDS Care       Date:  2014-03-26

2.  The association between symptoms of mental disorders and health risk behaviours in Vietnamese HIV positive outpatients: a cross-sectional study.

Authors:  Truc T Thai; Mairwen K Jones; Lynne M Harris; Robert C Heard
Journal:  BMC Public Health       Date:  2017-03-14       Impact factor: 3.295

  2 in total

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