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首页> 中文期刊> 《贫困所致传染病（英文）》 >Treatment-seeking behaviour and barriers to service access for sexually transmitted diseases among men who have sex with men in China:a multicentre cross-sectional survey

Treatment-seeking behaviour and barriers to service access for sexually transmitted diseases among men who have sex with men in China:a multicentre cross-sectional survey

         
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摘要

Background:Delayed or inappropriate treatment for sexually transmitted diseases(STDs)increases the risk of HIV acquisition and may cause other harmful outcomes.However,studies on STD treatment-seeking behaviour and correlated factors in men who have sex with men(MSM)are scarce.This information is crucial for the promotion of STD treatment-seeking behaviour and reduction of HIV transmission among Chinese MSM.Methods:During 2012-2013,a multicentre cross-sectional study was conducted in 7 Chinese cities.Participants completed an interview-questionnaire and gave venous blood samples,which were then tested for antibodies to HIV,syphilis,and herpes simplex virus-2(HSV-2).MSM who tested positive for syphilis/HSV-2 or had obvious STD-related symptoms within the last 12 months were defined as suspected STD-infected MSM.Results:Of the 4496 eligible MSM who completed this survey,24.4%(1096/4496)were categorized as suspected STD-infected MSM.35.7%(391/1096)of these MSM with suspected STD infections sought STD treatment in clinics within the last 12 months.Among MSM who did not attend STD clinics for treatment,the prevalence of syphilis and HSV-2 was significantly higher;the HIV prevalence and incidence within this subpopulation reached as high as 14.5%and 12.2/100 person-years,respectively.Multivariate logistic regression analysis indicated that having 7-12 years of education(vs.≤6 years;aOR,2.5;95%CI,1.0-6.1),≥13 years of education(vs.≤6 years:aOR,2.8;95%CI,1.2-7.0),monthly income>500 USD(vs.≤500 USD:aOR,1.5;95%CI,1.1-2.1),obvious STD-related symptoms within last 12 months(aOR,5.3;95%CI,3.7-7.5),being HIV infected(aOR,1.7;95%CI,1.1-2.6),currently syphilis infected(aOR,0.6;95%CI,0.4-0.9)and HSV-2 infected(aOR,0.6;95%CI,0.5-0.9)were independent correlates with seeking STD treatment in clinics among Chinese MSM.Conclusions:The high prevalence of STD infection coupled with a low proportion of individuals who exhibit appropriate treatment-seeking behaviour create a high risk of a growing HIV epidemic among Chinese MSM.Models that prioritize better screening for and education about STDs should be urgently implemented,especially among low-income MSM.

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  • 来源
    《贫困所致传染病（英文）》 |2017年第001期|P.118-127|共10页
  • 作者

    Jun-Jie Xu; Yan-Qiu Yu; Qing-Hai Hu; Hong-Jing Yan; Zhe Wang; Lin Lu; Ming-Hua Zhuang; Xi Chen; Ji-Hua Fu; Wei-Ming Tang; Wen-Qing Geng; Yong-Jun Jiang; Hong Shang;

  • 作者单位

    Key Laboratory of AIDS Immunology of National Health and Family Planning Commission Department of Laboratory Medicine The First Affiliated Hospital China Medical University Shenyang ChinaCollaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases Hangzhou China;

    Key Laboratory of AIDS Immunology of National Health and Family Planning Commission Department of Laboratory Medicine The First Affiliated Hospital China Medical University Shenyang ChinaCollaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases Hangzhou China;

    Key Laboratory of AIDS Immunology of National Health and Family Planning Commission Department of Laboratory Medicine The First Affiliated Hospital China Medical University Shenyang ChinaCollaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases Hangzhou China;

    Jiangsu Provincial Centers for Disease Control and Prevention Nanjing China;

    He’nan Provincial Centers for Disease Control and Prevention Zhengzhou China;

    Yunnan Provincial Centers for Disease Control and Prevention Kunming China;

    Shanghai Municipal Centers for Disease Control and Prevention Shanghai China;

    Hu’nan Provincial Centers for Disease Control and Prevention Changsha China;

    Shandong Provincial Centers for Disease Control and Prevention Jinan China;

    University of North Carolina Project-China Guangzhou China;

    Key Laboratory of AIDS Immunology of National Health and Family Planning Commission Department of Laboratory Medicine The First Affiliated Hospital China Medical University Shenyang ChinaCollaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases Hangzhou China;

    Key Laboratory of AIDS Immunology of National Health and Family Planning Commission Department of Laboratory Medicine The First Affiliated Hospital China Medical University Shenyang ChinaCollaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases Hangzhou China;

    Key Laboratory of AIDS Immunology of National Health and Family Planning Commission Department of Laboratory Medicine The First Affiliated Hospital China Medical University Shenyang ChinaCollaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases Hangzhou China;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 传染病;
  • 关键词

    Sexually transmitted diseases(STDs); Men who have sex with men(MSM); Treatment-seeking behaviour; HIV; China;

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