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AIDS and Behavior
Published in: AIDS and Behavior 10/2016

01-10-2016 | Substantive Review

HIV and Sexual Risk Among Men Who Have Sex With Men and Women in Asia: A Systematic Review and Meta-Analysis

Authors: A. L. Bowring, V. Veronese, J. S. Doyle, M. Stoove, M. Hellard

Published in: AIDS and Behavior | Issue 10/2016

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Abstract

We performed a systematic review to estimate the proportion of men who have sex with men (MSM) in Asia who are bisexual and compare prevalence of HIV and sexual risk between men who have sex with men and women (MSMW) and men who have sex with men only (MSMO). Forty-eight articles based on 55 unique samples were identified from nine countries in Asia. Bisexual behaviour was common among MSM (pooled prevalence 32.8 %). Prevalence of HIV (pooled OR 0.90; 95 % CI 0.77–1.05), recent syphilis infection (pooled OR 0.99; 95 % CI 0.93–1.06) and unprotected anal intercourse (pooled OR 0.80; 95 % CI 0.57–1.11) were similar between MSMW and MSMO, but heterogeneity was high. MSMW had lower odds of reporting a prior HIV test than MSMO (OR 0.82; 95 % CI 0.70–0.95; p = 0.01, I2 = 0 %). Targeted interventions are needed to increase uptake of HIV testing among MSMW. Increased reporting of disaggregated data in surveillance and research will help improve understanding of risk in MSMW and inform targeted interventions.
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Literature
1.
Baral S, Sifakis F, Cleghorn F, Beyrer C. Elevated risk for HIV infection among men who have sex with men in low- and middle-income countries 2000-2006: a systematic review. PLoS Med. 2007;4(12):e339.PubMedPubMedCentralCrossRef
2.
Dokubo EK, Kim AA, Le LV, Nadol PJ, Prybylski D, Wolfe MI. HIV incidence in Asia: a review of available data and assessment of the epidemic. AIDS Rev. 2013;15(2):67–76.PubMed
3.
Searo WHO. HIV/AIDS among men who have sex with men and transgender populations in South-East Asia: the current situation and national responses. New Delhi: World Health Organisation, Regional Office for South-East Asia; 2010.
4.
Asia TREAT. MSM and HIV Risk in Asia: what is fueling the epidemic and how can it be stopped?. New York: American Foundation for AIDS Research; 2006.
5.
van Griensven F, van Griensven JWDL. A review of the epidemiology of HIV infection and prevention responses among MSM in Asia. AIDS. 2010;24(Suppl 3):S30–40.PubMedCrossRef
6.
de Lind van Wijngaarden JW, Brown T, Girault P, Sarkar S, van Griensven F. The epidemiology of human immunodeficiency virus infection, sexually transmitted infections, and associated risk behaviors among men who have sex with men in the Mekong Subregion and China: implications for policy and programming. Sex Transm Dis. 2009;36(5):319–24.PubMedCrossRef
7.
Pham QD, Nguyen TV, Nguyen PD, et al. Men who have sex with men in southern Vietnam report high levels of substance use and sexual risk behaviours but underutilise HIV testing services: a cross-sectional study. Sex Transm Infect. 2015;91(3):178–82.PubMedCrossRef
8.
Morineau G, Nugrahini N, Riono P, et al. Sexual risk taking, STI and HIV prevalence among men who have sex with men in six Indonesian cities. AIDS Behav. 2011;15(5):1033–44.PubMedCrossRef
9.
van Griensven F, Thienkrua W, McNicholl J, et al. Evidence of an explosive epidemic of HIV infection in a cohort of men who have sex with men in Bangkok Thailand. AIDS. 2013;27(5):825–32.PubMedCrossRef
10.
UNAIDS. HIV in Asia and the Pacific: getting to zero. Geneva: Joint United Nations Programme on HIV/AIDS; 2011.
11.
12.
Mustanski BS, Newcomb ME, Du Bois SN, Garcia SC, Grov C. HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions. J Sex Res. 2011;48(2–3):218–53.PubMedPubMedCentralCrossRef
13.
Young RM, Meyer IH. The trouble with “MSM” and “WSW”: erasure of the sexual-minority person in public health discourse. Am J Public Health. 2005;95(7):1144–9.PubMedPubMedCentralCrossRef
14.
15.
Zhou YR. Homosexuality, seropositivity, and family obligations: perspectives of HIV-infected men who have sex with men in China. Cult Health Sex. 2006;8(6):487–500.PubMedCrossRef
16.
Solomon SS, Mehta SH, Latimore A, Srikrishnan AK, Celentano DD. The impact of HIV and high-risk behaviours on the wives of married men who have sex with men and injection drug users: implications for HIV prevention. J Int AIDS Soc. 2010;13(Suppl 2):S7.PubMedPubMedCentralCrossRef
17.
Chow EP, Wilson DP, Zhang L. What is the potential for bisexual men in China to act as a bridge of HIV transmission to the female population? Behavioural evidence from a systematic review and meta-analysis. BMC Infect Dis. 2011;11:242.PubMedPubMedCentralCrossRef
18.
Millett G, Malebranche D, Mason B, Spikes P. Focusing, “down low”: bisexual black men, HIV risk and heterosexual transmission. J Natl Med Assoc. 2005;97(7 Suppl):52S–9S.PubMedPubMedCentral
19.
O’Leary AP. Jones KTMSW. Bisexual men and heterosexual women: how big is the bridge? How can we know? [Editorial]. Sex Transm Dis. 2006;33(10):594–5.PubMedCrossRef
20.
Khanani MR, Somani M, Rehmani SS, Veras NM, Salemi M, Ali SH. The spread of HIV in Pakistan: bridging of the epidemic between populations. PLoS One. 2011;6(7):e22449.PubMedPubMedCentralCrossRef
21.
Satcher AJ, Durant T, Hu X, Dean HD. AIDS cases among women who reported sex with a bisexual man, 2000-2004–United States. Women Health. 2007;46(2–3):23–40.PubMedCrossRef
22.
Kahn JG, Gurvey J, Pollack LM, Binson D, Catania JA. How many HIV infections cross the bisexual bridge? An estimate from the United States. AIDS. 1997;11(8):1031–7.PubMedCrossRef
23.
24.
Lyttleton C. Mekong erotics: Men loving/pleasuring/using men in Lao PDR. Bangkok: UNESCO Bangkok; 2008.
25.
Arreola S, Hebert P, Makofane K, Beck J, Ayala G. Access to HIV prevention and treatment for men who have sex with men: findings from the 2012 Global Men’s Health and Rights Study (GMHR). Oakland, CA: The Global Forum on MSM & HIV (MSMGF); 2012.
26.
MacCarthy S, Brignol S, Reddy M, Nunn A, Dourado I. Making the invisible, visible: a cross-sectional study of late presentation to HIV/AIDS services among men who have sex with men from a large urban center of Brazil. BMC Public Health. 2014;14(1):1313.PubMedPubMedCentralCrossRef
27.
Bernstein KT, Liu K, Begier EM, Koblin B, Karpati A, Murrill C. Same-sex attraction disclosure to health care providers among New York city men who have sex with men: Implications for HIV testing approaches. Arch Int Med. 2008;168(13):1458–64.CrossRef
28.
Friedman MR, Wei C, Klem ML, Silvestre AJ, Markovic N, Stall R. HIV infection and sexual risk among men who have sex with men and women (MSMW): a systematic review and meta-analysis. PLoS One. 2014;9(1):e87139.PubMedPubMedCentralCrossRef
29.
Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA. 2000;283(15):2008–12.PubMedCrossRef
30.
31.
32.
33.
Munn Z, Moola S, Riitano D, Lisy K. The development of a critical appraisal tool for use in systematic reviews addressing questions of prevalence. Int J Health Policy Manag. 2014;3(3):123–8.PubMedPubMedCentralCrossRef
34.
Institute The Joanna Briggs. The Joanna Briggs Institute Reviewers’ Manual 2014: The Systematic Review of Prevalence and Incidence Data. South Australia: The Joanna Briggs Institute; 2014.
35.
36.
37.
Sterne JAC, Bradburn MJ, Egger M. Meta-Analysis in Stata™. Systematic Reviews in Health Care. 2nd ed. London: BMJ Publishing Group; 2008. p. 347–69.
38.
Cummings P. The relative merits of risk ratios and odds ratios. Arch Pediatr Adolesc Med. 2009;163(5):438–45.PubMedCrossRef
39.
40.
Sohn A, Cho B. Knowledge, attitudes, and sexual behaviors in HIV/AIDS and predictors affecting condom use among men who have sex with men in South Korea. Osong Public Health Res Perspect. 2012;3(3):156–64.PubMedPubMedCentralCrossRef
41.
Ruan S, Yang H, Zhu Y, et al. Rising HIV prevalence among married and unmarried among men who have sex with men: Jinan, China. AIDS Behav. 2009;13(4):671–6.PubMedCrossRef
42.
43.
Choi KH, Ning Z, Gregorich SE, Pan QC. The influence of social and sexual networks in the spread of HIV and syphilis among men who have sex with men in Shanghai, China. J Acquir Immune Defic Syndr. 2007;45(1):77–84.PubMedCrossRef
44.
Altman D, Aggleton P, Williams M, et al. Men who have sex with men: stigma and discrimination. Lancet. 2012;380(9839):439–45.PubMedCrossRef
45.
Higgs P, Reddel S, Pham HV, Dang KV, Hellard M. Urbanisation and sexual health: understanding bisexually active men in Hanoi, Vietnam. Health Psychol Behav Med. 2014;2(1):613–22.PubMedPubMedCentralCrossRef
46.
Jenkins C. Male sexuality and HIV: the case of male-to-male sex [background paper]. Risks and Responsibilities, Male Sexual Health and HIV in Asia and the Pacific International Consultation. New Delhi, India; 2006.
47.
Phillips AE, Lowndes CM, Boily MC, et al. Men who have sex with men and women in Bangalore, South India, and potential impact on the HIV epidemic. Sex Transm Infect. 2010;86(3):187–92.PubMedCrossRef
48.
Cai R, Zhao J, Cai W, Chen L, Richardus J, Vlas S. HIV risk and prevention behaviors in Men who have sex with men and women: a respondent-driven sampling study in Shenzhen, China. AIDS Behav. 2014;18(8):1560–8.PubMed
49.
Li A, Varangrat A, Wimonsate W, et al. Sexual behavior and risk factors for HIV infection among homosexual and bisexual men in Thailand. AIDS Behav. 2009;13(2):318–27.PubMedCrossRef
50.
Baggaley RF, White RG, Boily M-C. HIV transmission risk through anal intercourse: systematic review, meta-analysis and implications for HIV prevention. Int J Epidemiol. 2010;39(4):1048–63.PubMedPubMedCentralCrossRef
51.
Chariyalertsak S, Kosachunhanan N, Saokhieo P, et al. HIV incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in Northern Thailand. PLoS One. 2011;6(9):e24295.PubMedPubMedCentralCrossRef
52.
Godbole S, Sane S, Kamble P, et al. Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance. PLoS One. 2014;9(9):e107439.PubMedPubMedCentralCrossRef
53.
Gupta A, Mehta S, Godbole SV, et al. Same-sex behavior and high rates of HIV among men attending sexually transmitted infection clinics in Pune, India (1993-2002). J Acquir Immune Defic Syndr. 2006;43(4):483–90.PubMed
54.
Rangsin R, Kana K, Chuenchitra T, et al. The recent impact of MSM on the prevalence of HIV-1 infection among young men in Thailand [Abstract no. THAC0303]. XIX International AIDS Conference. Washington DC; 2012.
55.
Shrivastava SR, Bobhate PS. Prevalence of HIV and syphilis in patients attending sexually transmitted infections (STI) clinic in an urban slum. J Res Health Sci. 2012;12(1):7–14.PubMed
56.
Guo Y, Li X, Song Y, Liu Y. Bisexual behavior among Chinese young migrant men who have sex with men: implications for HIV prevention and intervention. AIDS Care. 2012;24(4):451–8.PubMed
57.
Mercer CH, Hart GJ, Johnson AM, Cassell JA. Behaviourally bisexual men as a bridge population for HIV and sexually transmitted infections? Evidence from a national probability survey. Int J STD AIDS. 2009;20(2):87–94.PubMedCrossRef
58.
Young SD, Shoptaw S, Weiss R, Munjas B, Gorbach P. Predictors of unrecognized HIV infection among poor and ethnic men who have sex with men in Los Angeles. AIDS Behav. 2011;15(3):643–9.PubMedCrossRef
59.
WHO. Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations. Geneva: World Health Organisation; 2014.
60.
UNAIDS. 90-90-90: An ambitious treatment target to help end the AIDS epidemic: Joint United Nations Programme on HIV/AIDS; 2014.
61.
Sheridan S, Phimphachanh C, Chanlivong N, et al. HIV prevalence and risk behaviour among men who have sex with men in Vientiane Capital, Lao People’s Democratic Republic, 2007. AIDS. 2009;23(3):409–14.PubMedCrossRef
62.
Choi KH, Gibson DR, Han L, Guo Y. High levels of unprotected sex with men and women among men who have sex with men: a potential bridge of HIV transmission in Beijing, China. AIDS Educ Prev. 2004;16(1):19–30.PubMedCrossRef
63.
Ruan S, Yang H, Zhu Y, et al. HIV prevalence and correlates of unprotected anal intercourse among men who have sex with men, Jinan, China. AIDS Behav. 2008;12(3):469–75.PubMedCrossRef
64.
Arreola S, Santos G-M, Beck J, et al. Sexual stigma, criminalization, investment, and access to HIV services among men who have sex with men worldwide. AIDS Behav. 2015;19(2):227–34.PubMedCrossRef
65.
Zhang LMD, Xiao YMDD, Lu RMD, et al. Predictors of HIV testing among men who have sex with men in a large Chinese city. Sex Transm Dis. 2013;40(3):235–40.PubMedPubMedCentralCrossRef
66.
Song Y, Li X, Zhang L, et al. HIV-testing behavior among young migrant men who have sex with men (MSM) in Beijing, China. AIDS Care. 2011;23(2):179–86.PubMedPubMedCentralCrossRef
67.
Choi KH, Lui H, Guo Y, Han L, Mandel JS. Lack of HIV testing and awareness of HIV infection among men who have sex with men, Beijing, China. AIDS Educ Prev. 2006;18(1):33–43.PubMedCrossRef
68.
Phillips AN, Cambiano V, Nakagawa F, et al. Increased HIV incidence in men who have sex with men despite high levels of ART-induced viral suppression: analysis of an extensively documented epidemic. PLoS One. 2013;8(2):e55312.PubMedPubMedCentralCrossRef
69.
Punyacharoensin N, Edmunds WJ, De Angelis D, et al. Modelling the HIV epidemic among MSM in the United Kingdom: quantifying the contributions to HIV transmission to better inform prevention initiatives. AIDS. 2015;29(3):339–49.PubMed
70.
Wilson DP, Hoare A, Regan DG, Law MG. Importance of promoting HIV testing for preventing secondary transmissions: modelling the Australian HIV epidemic among men who have sex with men. Sex Health. 2009;6(1):19–33.PubMedCrossRef
71.
Chow EP, Wilson DP, Zhang L. What is the potential for bisexual men in China to act as a bridge of HIV transmission to the female population? Behavioural evidence from a systematic review and meta-analysis. BMC Infect Dis. 2011;11(1):242.PubMedPubMedCentralCrossRef
72.
Garcia MC, Duong QL, Mercer LCE, Meyer SB, Koppenhaver T, Ward PR. Patterns and risk factors of inconsistent condom use among men who have sex with men in Viet Nam: Results from an Internet-based cross-sectional survey. Glob Public Health. 2014;9(10):1225–38.PubMedCrossRef
73.
van Gemert C, Vongsaiya K, Hughes C, et al. Characteristics of a sexual network of behaviorally bisexual men in Vientiane, Lao PDR, 2010. AIDS Educ Prev. 2013;25(3):232–43.PubMedCrossRef
74.
Deshpande S, Bharat S. Sexual partner mixing and differentials in consistent condom use among men who have sex with men in Maharashtra, India. Glob Public Health. 2015;10(1):103–18.PubMedCrossRef
75.
Chow EP, Gao L, Koo FK, et al. Qualitative exploration of HIV-related sexual behaviours and multiple partnerships among Chinese men who have sex with men living in a rural area of Yunnan Province, China. Sex Health. 2013;10(6):533–40.PubMedCrossRef
76.
Closson EF, Sivasubramanian M, Mayer KH, et al. The other side of the bridge: exploring the sexual relationships of men who have sex with men and their female partners in Mumbai, India. Cult Health Sex. 2014;16(7):780–91.PubMedPubMedCentralCrossRef
77.
Chow EP, Wilson DP, Zhang L. Estimating HIV incidence among female partners of bisexual men in China. Int J Infect Dis. 2012;16(5):e312–20.PubMedCrossRef
78.
Zou H, Wu Z, Yu J, et al. Sexual risk behaviors and HIV infection among men who have sex with men who use the internet in Beijing and Urumqi, China. J Acquir Immune Defic Syndr. 2010;53(Suppl 1):S81–7.PubMedPubMedCentralCrossRef
79.
80.
Mastro TD, Kunanusont C, Dondero TJ, Wasi C. Why do HIV-1 subtypes segregate among persons with different risk behaviors in South Africa and Thailand? AIDS. 1997;11(1):113–6.PubMedCrossRef
81.
82.
Middelkoop KMP, Rademeyer CM, Brown BBB, et al. Epidemiology of HIV-1 subtypes among men who have sex with men in Cape Town, South Africa. J Acquir Immune Defic Syndr. 2014;65(4):473–80.PubMedCrossRef
83.
Yun K, Xu JJ, Reilly KH, et al. Prevalence of bisexual behaviour among bridge population of men who have sex with men in China: a meta-analysis of observational studies. Sex Transm Infect. 2011;87(7):563–70.PubMedCrossRef
84.
Bowring AL, van Gemert C, Vongsaiya K, et al. Identifying risk: a comparison of risk between heterosexual-identifying bisexual men and other bisexual men in Vientiane, Laos. AIDS Educ Prev. 2014;26(2):109–21.PubMedCrossRef
85.
86.
Bai H, Huan X, Tang W, et al. A survey of HIV infection and related high-risk factors among men who have sex with men in Suzhou, Jiangsu, China. J. Biomed. Res. 2011;25(1):17–24.PubMedPubMedCentralCrossRef
87.
Bai X, Xu J, Yang J, et al. HIV prevalence and high-risk sexual behaviours among MSM repeat and first-time testers in China: implications for HIV prevention. J Int AIDS Soc. 2014;17:18848.PubMedPubMedCentralCrossRef
88.
Choi KH, Liu H, Guo Y, Han L, Mandel JS, Rutherford GW. Emerging HIV-1 epidemic in China in men who have sex with men. Lancet. 2003;361(9375):2125–6.PubMedCrossRef
89.
Fan S, Lu H, Ma X, et al. Behavioral and serologic survey of men who have sex with men in Beijing, China: implication for HIV intervention. AIDS Patient Care STDS. 2012;26(3):148–55.PubMedPubMedCentralCrossRef
90.
Feng Y, Wu Z, Detels R, 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.PubMedPubMedCentralCrossRef
91.
Gangcuangco LM, Tan ML, Berba RP. Prevalence and risk factors for HIV infection among men having sex with men in Metro Manila, Philippines. Southeast Asian J Trop Med Public Health. 2013;44(5):810–7.PubMed
92.
He Q, Wang Y, Lin P, et al. High prevalence of risk behaviour concurrent with links to other high-risk populations: a potentially explosive HIV epidemic among men who have sex with men in Guangzhou, China.[Erratum appears in Sex Transm Infect. 2009 Dec; 85(7):562]. Sex Transm Infect. 2009;85(5):383–90.PubMedCrossRef
93.
Li X, Lu H, Cox C, et al. Changing the landscape of the HIV epidemic among MSM in China: results from three consecutive respondent-driven sampling surveys from 2009 to 2011. Biomed Res Int. 2014;2014:563517.PubMedPubMedCentral
94.
Lim SH, Guadamuz TE, Wei C, Chan R, Koe S. Factors associated with unprotected receptive anal intercourse with internal ejaculation among men who have sex with men in a large Internet sample from Asia. AIDS Behav. 2012;16(7):1979–87.PubMedPubMedCentralCrossRef
95.
Lim SH, Bazazi AR, Sim C, Choo M, Altice FL, Kamarulzaman A. High rates of unprotected anal intercourse with regular and casual partners and associated risk factors in a sample of ethnic Malay men who have sex with men (MSM) in Penang, Malaysia. Sex Transm Infect. 2013;89(8):642–9.PubMedCrossRef
96.
Liu K-L, Chhorvann C. BROS Khmer 2010: behaviorial risks on-site serosurvey among at-risk urban men in Cambodia. Phnom Penh: FHI 360; 2010.
97.
Liu J, Qu B, Ezeakile MC, Zhang Y, Liang S. Factors associated with HIV infection among men who have sex with men in Henan Province, China: a cross-sectional study. BMC Public Health. 2013;13:356.PubMedPubMedCentralCrossRef
98.
Newman PA, Lee SJ, Roungprakhon S, Tepjan S. Demographic and behavioral correlates of HIV risk among men and transgender women recruited from gay entertainment venues and community-based organizations in Thailand: implications for HIV prevention. Prev Sci. 2012;13(5):483–92.PubMedPubMedCentralCrossRef
99.
Pham QD, Nguyen TV, Hoang CQ, et al. Prevalence of HIV/STIs and associated factors among men who have sex with men in An Giang, Vietnam. Sex Transm Dis. 2012;39(10):799–806.PubMedCrossRef
100.
Ruan Y, Li D, Li X, et al. Relationship between syphilis and HIV infections among men who have sex with men in Beijing, China. Sex Transm Dis. 2007;34(8):592–7.PubMed
101.
She M, Zhang H, Wang J, et al. Associated factors for HIV and syphilis infection among men who have sex with men only and men who have sex with both men and women in cities of China. Int J STD AIDS. 2013;24(4):293–300.PubMedCrossRef
102.
Solomon SS, Srikrishnan AK, Sifakis F, et al. The emerging HIV epidemic among men who have sex with men in Tamil Nadu, India: geographic diffusion and bisexual concurrency. AIDS Behav. 2010;14(5):1001–10.PubMedPubMedCentralCrossRef
103.
Song D, Zhang H, Wang J, et al. Prevalence and correlates of HIV infection and unrecognized HIV status among men who have sex with men and women in Chengdu and Guangzhou, China. AIDS Behav. 2013;17(7):2395–404.PubMedCrossRef
104.
Tao J, Ruan Y, Yin L, et al. Sex with women among men who have sex with men in China: prevalence and sexual practices. AIDS Patient Care STDS. 2013;27(9):524–8.PubMedPubMedCentralCrossRef
105.
van Griensven F, Thanprasertsuk S, Jommaroeng R, et al. Evidence of a previously undocumented epidemic of HIV infection among men who have sex with men in Bangkok, Thailand. AIDS. 2005;19(5):521–6.PubMedCrossRef
106.
Wang QQ, Chen XS, Yin YP, et al. HIV prevalence, incidence and risk behaviours among men who have sex with men in Yangzhou and Guangzhou, China: a cohort study. J Int AIDS Soc. 2014;17:18849.PubMedPubMedCentralCrossRef
107.
Wang X, Lan G, Shen Z, et al. HIV and syphilis prevalence trends among men who have sex with men in Guangxi, China: yearly cross-sectional surveys, 2008-2012. BMC Infect Dis. 2014;14(1):367.PubMedPubMedCentralCrossRef
108.
Wu Z, Xu J, Liu E, et al. HIV and syphilis prevalence among men who have sex with men: a cross-sectional survey of 61 cities in China. Clin Infect Dis. 2013;57(2):298–309.PubMedPubMedCentralCrossRef
109.
Xiao Y, Sun J, Li C, et al. Prevalence and correlates of HIV and syphilis infections among men who have sex with men in seven provinces in China with historically low HIV prevalence. J Acquir Immune Defic Syndr. 2010;53(Suppl 1):S66–73.PubMedCrossRef
110.
Xu JJ, Zhang M, Brown K, et al. Syphilis and HIV seroconversion among a 12-month prospective cohort of men who have sex with men in Shenyang, China. Sex Transm Dis. 2010;37(7):432–9.PubMed
111.
Zeng Y, Zhang L, Li T, et al. Risk factors for HIV/syphilis infection and male circumcision practices and preferences among men who have sex with men in China. Biomed Res Int. 2014.
112.
Zhang L, Ding X, Lu R, et al. Predictors of HIV and syphilis among men who have sex with men in a Chinese metropolitan city: comparison of risks among students and non-students. PLoS One. 2012;7(5):e37211.PubMedPubMedCentralCrossRef
113.
Zhang Y, Chen P, Lu R, et al. Prevalence of HIV among men who have sex with men in Chongqing, China, 2006-2009: cross-sectional biological and behavioural surveys. Sex Transm Infect. 2012;88(6):444–50.PubMedCrossRef
114.
Zhang X, Yu J, Li M, et al. Prevalence and related risk behaviors of HIV, syphilis, and anal HPV infection among men who have sex with men from Beijing, China. AIDS Behav. 2013;17(3):1129–36.PubMedCrossRef
115.
Zhao J, Cai WD, Gan YX, et al. A comparison of HIV infection and related risk factors between money boys and noncommercial men who have sex with men in Shenzhen, China. Sex Transm Dis. 2012;39(12):942–8.PubMedCrossRef
Metadata
Title
HIV and Sexual Risk Among Men Who Have Sex With Men and Women in Asia: A Systematic Review and Meta-Analysis
Authors
A. L. Bowring
V. Veronese
J. S. Doyle
M. Stoove
M. Hellard
Publication date
01-10-2016
Publisher
Springer US
Published in
AIDS and Behavior / Issue 10/2016
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1281-x

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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.

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