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AIDS and Behavior
Published in: AIDS and Behavior 3/2012

01-04-2012 | Brief Report

Patterns of Condom Use Among Men Who Have Sex with Men in China: A Systematic Review and Meta-Analysis

Authors: Eric P. F. Chow, David P. Wilson, Lei Zhang

Published in: AIDS and Behavior | Issue 3/2012

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Abstract

HIV is rapidly spreading among men who have sex with men (MSM) in China. We estimate and compare rates of condom use among MSM in different regions of China through a systematic literature review. Meta-analyses were conducted over a final set of 66 studies to estimate national and regional condom use rates among MSM with different types of male sex partners. Country-wide, there has been a modest increase in reported condom use at last sex among MSM, from 56.1% (95% CI: 53.4–58.7%) in 2003–2005 to 61.6% (95% CI: 58.4–64.8%) in 2006–2008. Consistent condom use has also increased, from 32.5% (95% CI: 28.6–36.7%) in 2003–2005 to 36.3% (95% CI: 33.7–38.9%) in 2006–2008. Condom use was greatest and increasing among commercial sex partners, from 49.8 to 75.2% at last anal sex. Further condom promotion is still required to reduce the incidence of HIV infection among MSM in China.
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Literature
1.
Ministry of Health of the People’s Republic of China. China 2010 UNGASS country progress report. Beijing, China: Ministry of Health 2010.
2.
Zhang KL, Ma SJ. Epidemiology of HIV in China [Editorial]. BMJ. 2002;324(6):803–4.CrossRef
3.
Zhang BC, Li XF, Shi TX, Yang LG, Zhang JD. A primary estimation of the number of population and HIV prevalence in homosexual and bisexual men in China. China J STD/AIDS Prev Control. 2002;8(4):197–9.
4.
UNGASS. China 2010 UNGASS Country Progress Report (2008–2009); 2010.
5.
6.
Jin F, Jansson J, Law M, Prestage GP, Zablotska I, Imrie JCG, et al. Per-contact probability of HIV transmission in per-contact probability of HIV transmission in. AIDS. 2010;24:907–13.PubMedCrossRef
7.
Davis KR, Weller SC. The effectiveness of condoms in reducing heterosexual transmission of HIV. Fam Plann Perspect. 1999;31(6):272–9.
8.
Weller SC, Davis KR. Condom effectiveness in reducing heterosexual HIV transmission. Cochrane Database Syst Rev. 2002;1(CD003255).
9.
Weller SC. A meta-analysis of condom effectiveness in reducing sexually transmitted. HIV. 1993;36(12):1635–44.
10.
Pinkerton SD, Abramson PR. Effectiveness of condoms in preventing HIV transmission. Soc Sci Med. 1997;44(9):1303–12.PubMedCrossRef
11.
Fitch JT, Stine C, Hager WD, Mann J, Adam MB, McIlhaney J. Condom effectiveness: factors that influence risk reduction. Sex Transm Dis. 2002;29(12):811–7.PubMedCrossRef
12.
Sun X, Wang N, Li D, Zheng X, Qu S, Wang L, et al. The development of HIV/AIDS surveillance in China. AIDS. 2007;21(Suppl 8):S33–8.PubMedCrossRef
13.
Tang WM, Ding JP, Yan HJ, Huan XP, Yang HT, Zhao JK. Sexual behaviors and HIV/syphilis infection among men who have sex with men: a meta analysis of data collected between 2001 and 2006 in the Chinese mainland. Chin J AIDS STD. 2008;14(5):471–4, 88.
14.
Zhang D, Bi P, Lv F, Zhang J, Hiller JE. Changes in HIV prevalence and sexual behavior among men who have sex with men in a northern Chinese city: 2002–2006. J Infect. 2007;55(5):456–63.PubMedCrossRef
15.
Hu Q, Lu FB, Gong JP, Li YC, Li GB, Liu JH, et al. Knowledge, attitudes, and practice about STD/AIDS among the men who have sex with men in Nanchang City, Jiangxi Province. Chin J Health Educ. 2006;22(9):647–9.
16.
Zhu YW, Ruan SM, Yang H, Wang MH, Zhang CQ, Jia Z, et al. Investigation on AIDS related knowledge risk behavior and HIV infection in MSM in Ji’nan City. Prev Med Trib. 2007;13(6):490–2.
17.
He Q, Wang Y, Lin P, Zhang Z-b, Zhao X-x, Xu H-f. KAP study on AIDS among men who have sex with men in Guangzhou, Guangdong province. Chin J Dis Control Prev. 2005;9(2):106–8.
18.
Gao L, Zhang L, Jin Q. Meta-analysis: prevalence of HIV infection and syphilis among MSM in China. Sex Transm Infect. 2009;85(5):354–8.PubMedCrossRef
19.
Zhang B, Li X, Chu Q, Wang N, Wang Z, Zhou S, et al. A survey of HIV/AIDS related behaviors among 2250 MSM in nine major cities of China. Chin J AIDS STD. 2008;4(6):541–7.
20.
Zhang B, Li X, Hu T, Liu D, Shi T. HIV/AIDS interventions targeting men who have sex with men (MSM): theory and practice. Chin J STD/AIDS Prev Control. 2000;6(3):155–7.
21.
Jing J, Worth H. HIV in China: Understanding the social aspects of the epidemic. Sydney: University of New South Wales Press; 2010.
22.
Chow EPF, Wilson DP, Zhang L. The next era of HIV in China: rapidly spreading epidemics among men who have sex with men. J Acquir Immune Defic Syndr. 2010;55(4):32–4.CrossRef
23.
Ministry of Health of the People’s Republic of China. UNGASS country progress report P. R. China (2006–2007). Beijing, China: Ministry of Health 2008.
24.
Xu Y, Shi WX, Hu SH. Investigation of acquired immunodeficiency syndrome correlated with high risk sexual behavior and knowledge of male homosexuality in Hangzhou Province, China. Zhonghua Yu Fang Yi Xue Za Zhi. 2005;39(1):37–9.PubMed
25.
Yang HT, Ding JP, Chen GH, Li XF, Zhang BC, Guan WH. Behavioral features of men who have sex with men in Jiangsu. Jiangsu Prev Med. 2006;17(1):1–4.
26.
Jiang SM, Li JZ, Li RY, Zhang HJ, Xiao HC. Investigation on unprotected sex and AIDS knowledge among men who have sex with men in Weihai city. Prev Med Trib. 2006;12(6):763–4.
27.
Chen SC, Luo Y, Cheng J, Ding JM, Dai YZ, Xu K, et al. Analysis on results of MSM behavioral surveillance on HIV/AIDS. Dis Surveill. 2007;22(3):175–7.
28.
Liao MZ, Liu XZ, Fu JH, Qian YS, Zhang XF. Analysis of data of behavioral surveillance in men who have sex with men (MSM) in Shandong Province. Chin J AIDS STD. 2006;12(6):530–2.
29.
Li N, Wang Z, Sun GQ, Sun DY. Analysis of HIV/AIDS sentinel surveillance among high risk population in Henan province in 2006. Chin J AIDS STD. 2007;13(5):427–9.
30.
Cai X. The analysis of risk behaviors of MSM in Liaocheng and the serological detection for anti-HIV, anti-TP, and anti-HCV antibodies in 2006. Prev Med Trib. 2007;13(10):888–90.
31.
Chen S, Zhou J, Zhu JJ. Investigation of STI among some men who have sex with men in Nanning City in 2006. Prev Med Trib. 2007;13(9):772–4.
32.
Wu J, Chen L, Fan HL, Ruan Y. A survey on the prevalence of HIV-1 and syphilis infection and characteristics of sexual behaviors in MSM (men who have sex with men) living in Shanghai. J Diagn Concepts Pract. 2008;7(3):296–9.
33.
Fu LJ, Fang YR, Guo TY. Investigation of the sexual behaviors among the MSM in Shaoxing City of Zhejiang Province. Dis Surveill. 2007;22(12):818–9.
34.
Sun ZX, Lin SF, Wen MQ. Investigation on STD and AIDS prevalence for men who have sex with men. Mod Prev Med. 2007;34(21):4130–2.
35.
Cai GF, Ma QQ, Pan XH, Fu LJ, Xu WX, Shan XR, et al. HIV/AIDS related knowledge, attitude, practice and HIV/STD infection among MSM in two cities of Zhejiang Province. China Prev Med. 2008;9(6):482–5.
36.
Hu J, Wu L, Zhang Z, Fan W. Investigation of STD/AIDS infection, related knowledge and high-risk sexual behavior among MSM in Huaian city. J Public Health Prev Med. 2008;19(5):44–5.
37.
Guo LY. Survey of KAP towards AIDS in MSM. China Trop Med. 2008;8(4):634–6.
38.
Xu YF, Zhou J, Chen SH, Zhou FH, Mo JC, Zhu JJ. Investigation of HIV knowledge and high-risk behavior among men who have sex with men in Nanning. J Prev Med Inf. 2008;24(10):753–5.
39.
Chen G. Investigation of HIV/AIDS related risk behaviors and infection among men who have sex with men [Master]. Fuzhou, Fujian, China: Fujian Medical University; 2009.
40.
Xi SJ, He YF, Zhou XH. Analysis of influencing factors of risk behaviors associated with AIDS among money boys in Hangzhou, Zhejiang. Dis Surveill. 2009;24(11):839–42.
41.
Wang J, Dong W, Li R, Zhao Z, Xiong B, Gang J. A survey of HIV/STD infection and behaviors among MSM. Chin J Public Health. 2004;20(11):1377–8.
42.
Gu Y, Qu P, Xu L, Luo M, Wang X, Gu J, et al. Survey of knowledge, attitude, behavior and practice related to STI/HIV among male homosexuality in Shenyang. Chin J Public Health. 2004;20(5):573–4.
43.
Li R, Tong W, Zhao Z-J, Jiang X-H, Zhang X-H. Analysis on the surveillance results and epidemiological characteristics of HIV/AIDS in Dalian. Dis Surveill. 2009;24(11):852–5.
44.
Wang J, Luo C, Wen YC. HIV infection and related risk behaviors among MSM in Haerbin. Chin J AIDS STD. 2008;14(1):75.
45.
Liu LY. Investigation on HIV/AIDS sexual behavior among men who have sex with men in 2006 in city of Mudanjiang. Chin J Pest Control. 2008;24(7):534–5.
46.
Xu ZH. Investigation on AIDS knowledge and behaviors among men who have sex with men in the city of Tieling. Chin J Public Health. 2009;25(2):226.
47.
Sun M, Li D, Jin W, Jiang J, Guan L. Investigation on the Infection of HIV, HCV, Syphilis and HBV among MSM in Dalian City in 2008. Prev Med Trib. 2009;15(11):1074–5.
48.
Zhao H, Wang G, Liu H. The investigation report of male-to-male contact during the voluntary consulation in Daolin District of Harebin. Guide China Med. 2009;7(10):181–3.
49.
Wang CH, Yang YH, Lu GJ, Yang XX, Ge LR, Zhao HR, et al. Intervent male male sexual contact AIDS high dangerous behavior and evaluate effection of intervention. Chin J Health Lab Technol. 2007;17(12):2291–2.
50.
Guo W. A follow-up of the impacts of VCT services on HIV related high-risk behaviors among men who have sex with men in Langfang, Hebei Province [PhD]2008.
51.
Guo Y, Zhu XK, Xia JH, Dong XY. Study on HIV/syphilis infections among men who have sex with men and their behavioral feature. Chin J AIDS STD. 2009;15(1):50–1. 71.
52.
Qu L, Yang JY, Zhang XG, Yang YR, Bao ZQ. Study on HIV and syphilis infections among men who have sex with men in selected cities of Inner Mongolia. Chin J Epidemiol. 2009;30(10):1089–90.
53.
Liang L, Chen ZQ, Miao XF, Li BJ, Bai GY, Zhao HR. Investigation on AIDS knowledge and behaviors among men who have sex with men. Hebei Med J. 2009;31(19):2654–5.
54.
Wang XL, He JK, Su HH, Cao HZ, Zhang QJ, Zhao GL. HIV and syphilis infection in male homosexuality in Tangshan city. Chin J Public Health. 2009;25(7):787–8.
55.
Tao X, Zhou H, Cai Y, Cai W, Wei AY, Song D. 114 examples male male contact AIDS high dangerous behavior investigates. Chin J of Behav Med Sci. 2006;15(9):839–40.
56.
Xing JM, Zhang KL, Chen X, Zheng J. A cross-sectional study among men who have sex with men: a comparison of online and offline samples in Hunan Province, China. Chin Med J (Engl). 2008;121(22):2342–5.
57.
Xing JM, Zhang KL, Chen X, Zheng J. Investigation on HIV/AIDS knowledge and sexual behaviors among men who have sex with men in Hunan province. Chin J Prev Med. 2007;41(6):511–3.
58.
Lai YH, Cai YM, Zheng XC, Liu H, Hong FC, Zhou H. STD/HIV Hish Risk Behavior Survey among Men Who Have Sex with Men in Shenzhen. South China J Dermato-Venereol. 2006;13(2):146–9.
59.
Chen SH, Zhou J, Zhu JJ. A analysis on MSM group behaviour character in Guangxi. J Appl Prev Med. 2007;13(6):341–3.
60.
Cai YM, Liu H, Pan P, Hong FC, Feng TJ. High risk behaviors among 458 men who have sex with men in Shenzhen. South China J Prev Med. 2008;34(2):13–5.
61.
Weng YQ, Bai Y. Surveillance on the high risk behaviors among 239 men who have sex with men. J Appl Prev Med. 2009;15(3):152–3.
62.
Liu H, Cai Y, Rhodes AG, Hong F. Money boys, HIV risks, and the associations between norms and safer sex: a respondent-driven sampling study in Shenzhen, China. AIDS Behav. 2009;13(4):652–62.PubMedCrossRef
63.
Cai YM, Liu H, Pan P, Hong FC, Feng TJ. Survey of HIV/AIDS related knowledge and high risk behavior among men who have sex with men in Shenzhen using respondent-driven sampling. South China J Prev Med. 2009;35(1):4–7.
64.
Lan GH, Liu W, Zhu QY, Liang FX, Zhou Y. To analyze the surveillance results of immigrant MSM in Guangxi. Appl Prev Med. 2009;15(3):168–70.
65.
Shi WD, Li G, Yang T, Zhou W, Liu PL, Li SL, et al. Survey of high risk sexual behaviors and HIV, syphilis, HCV among 456 male homosexuals in Wuhan. Med Soc. 2009;22(10):42–3.
66.
Li X, Xing AH, Chang WH, Cui M, Jia H, Ren Q, et al. Analysis on AIDS surveillance on MSM in Xi’an, 2003–2008. Chin J Dis Control Prev. 2009;13(4):442–4.
67.
Li Y, Chen JJ, Gu LP, Gao WL. Survey of HIV/SY infection and KABP related to AIDS among the MSM in Lanzhou. Chin Med Sci Health. 2007;8:1–3.CrossRef
68.
Yang SP, Wang SR, Wang JY, Wang RF, A YT, Ke LM. Investigation on AIDS knowledge and behaviors among men who have sex with men in Hami prefecture. Endem Dis Bull. 2008;23(5):49–50.
69.
Yang SJ, Mu HT, Li XQ, Li F, Zheng CJ, Zhang ZZ, et al. Survey of the knowledge, attitude, and practice on aids among MSM population in Urumchi. Mod Prev Med. 2007;34(20):4624–5.
70.
Zhang M, Wang XD, Yang Y. Prevalence of HIV, anti-HCV, syphilis infection and AIDS knowledge among men who have sex with men (MSM) in Urumqi. Chin J Public Health. 2009;25(9):1075–6.
71.
Miao ZF, Li J, Lei LM, Han X, Zhang XP. Survey of AIDS-related knowledge and behavior in 312 MSM. J Ningxia Med Univ. 2009;31(6):761–2.
72.
Lan Y, Gu Y, Wang B, Zhou D, Zhang J. Behavioral features of men who have sex with men. J Sichuan Univ (Med Sci Edn). 2004;35(3):372–5.
73.
He Q, Wu X, Han D, Liang X. HIV infection and risk behavior of men having sex with men in Chengdu City from 2004 to 2007. J Occup Health Damage. 2008;23(4):222–4.
74.
Wei SL, Zhou SJ, Zhang BC, Zeng Y, Xu H, Chen L. Analysis on the high risk behaviors and other STI/AIDS Factors in men who have sex with men in a Southwestern City of China. J Chongqing Med Univ. 2005;30(5):679–82.
75.
Lu CG, Yuan F, Shi Z, Yang JZ, Li XY, Gao L, et al. The study of HIV infection and KABP about AIDS among the MSM in Guiyang city. Guizhou Med J. 2006;30(3):202–4.
76.
Tian XB, Ji YN. Analysis on condom use of men who have sex with men in small and medium city. Chin J Public Health. 2006;22(11):1316–7.
77.
China Global Fund AIDS Program Round 5. Chongqing global fund AIDS program—annual assessment report; 2007.
78.
Feng L, Ding X, Lu R, Liu J, Sy A, Ouyang L, et al. High HIV prevalence detected in 2006 and 2007 among men who have sex with men in China’s largest municipality: an alarming epidemic in Chongqing, China. J Acquir Immune Defic Syndr. 2009;52(1):79–85.PubMedCrossRef
79.
Zhou J, Zhu JJ, Bin H, Zhang L, Yao M, Zhang W, et al. A survey of HIV/STD, HBV and HCV infections and risk behaviors among MSM in two central districts of Guiyang city. Chin J AIDS STD. 2008;14(1):47–8, 51.
80.
Lu CG, Yang JZ, Yuan F, Li XY, Shi ZH, Hu SY. A study among MSM from a region of Guizhou Province. Guizhou Med J. 2007;31(5):462–3.
81.
Lau JT, Wang M, Wong HN, Tsui HY, Jia M, Cheng F, et al. Prevalence of bisexual behaviors among men who have sex with men (MSM) in China and associations between condom use in MSM and heterosexual behaviors. Sex Transm Dis. 2008;35(4):406–13.PubMedCrossRef
82.
Feng Y, Wu Z, Detels R, Qin G, Liu L, Wang X, et al. HIV/STD prevalence among men who have sex with men in Chengdu, China and associated risk factors for HIV infection. J Acquir Immune Defic Syndr. 2010;53(Suppl 1):S74–80.PubMed
83.
Xiao Y, Ding X, Li C, Liu J, Sun J, Jia Y. Prevalence and correlates of HIV and syphilis infections among men who have sex with men in Chongqing Municipality, China. Sex Transm Dis. 2009;36(10):647–56.PubMedCrossRef
84.
Zhou SJ, Pan CB, Meng XR, Chen GQ, Zhang BC. The related research on sexual behavior and HIV infection in MSM of Chongqing. Chin J Infect Control. 2008;7(6):381–4, 90.
85.
Wang Y, Zhang HB, Gui ZG, Yang HW, Fan J, Zheng YJ, et al. Analysis of behavior of MSM population and the biological monitoring result in Mianyang city. Mod Prev Med. 2008;35(19):3780–3, 9.
Metadata
Title
Patterns of Condom Use Among Men Who Have Sex with Men in China: A Systematic Review and Meta-Analysis
Authors
Eric P. F. Chow
David P. Wilson
Lei Zhang
Publication date
01-04-2012
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-9935-9

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Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

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Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

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