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Associations of current marital status and living arrangements with HIV and syphilis risk: Findings from a community-based sample of men who have sex with men in China

机译：当前婚姻状况和生活安排与艾滋病毒和梅毒风险的关联：基于社区样本的中国男男性接触者的发现

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Chinese men who have sex with men (MSM) are disproportionally affected by HIV and sexually transmitted infections (STIs), but little is known about the role of current marital status and living arrangements in shaping their HIV/syphilis risk. A cross-sectional study was conducted among MSM in Beijing, China to assess their sociodemographic/behavioral characteristics between married and single MSM, and test the hypothesis that currently married MSM have a lower odds of being HIV- and/or syphilis-infected. Participants were recruited via short message services, peer referral, internet, and community outreach. Data collection was based on a questionnaire survey and self-report. Infection status was lab-confirmed. Multivariable logistic regression modeling was used to assess the association of marital status and living arrangement with HIV/syphilis risk. Of the 3,588 MSM, infection prevalence was high (HIV=12.7%; syphilis=7.5%). Compared to single MSM living with their boyfriends or male sex partners, single/alone MSM and married MSM living with wives were less likely to practice condomless insertive (CIAI) or receptive (CRAI) anal intercourse with men; while married MSM living with boyfriends or male sex partner were more likely to practice CIAI and CRAI, and married MSM were more likely to practice condomless vaginal sex. Compared to men living with boyfriends/sexual partners, significantly reduced odds of being HIV-positive were seen among married MSM who were living alone (aOR: 0.52; 95%CI: 0.28, 0.94) or living with their wives (aOR: 0.53; 95%CI: 0.31, 0.89). Similarly, single MSM living alone (aOR: 0.67; 95%CI: 0.48, 0.95) and married MSM living with their wives were comparatively less likely to be syphilis-infected (aOR: 0.43; 95%CI: 0.23, 0.79). Future efforts should consider characteristics of marital status and living arrangements for designing subgroup-specific risk reduction strategies among Chinese MSM.
机译：与男性发生性关系的中国男性受艾滋病毒和性传播感染（STIs）的影响不成比例，但对于目前的婚姻状况和生活安排在影响其HIV /梅毒风险中的作用知之甚少。在中国北京的男男性接触者之间进行了一项横断面研究，以评估其已婚和单身男男性接触者之间的社会人口统计学/行为特征，并检验目前已婚男男性接触者感染艾滋病毒和/或梅毒的几率较低的假设。通过短消息服务，同行推荐，互联网和社区外展来招募参与者。数据收集基于问卷调查和自我报告。感染状态已通过实验室确认。多变量logistic回归模型用于评估婚姻状况和生活安排与HIV /梅毒风险之间的关系。在3,588名MSM中，感染率很高（HIV = 12.7％；梅毒= 7.5％）。与与男友或男性伴侣生活的单身男男性行为者相比，单身/单身男男性行为者和与妻子生活在一起的已婚男男性行为者与男性进行无套插入式（CIAI）或接受性（CRAI）肛门交往的可能性较小；与男友或男伴侣生活在一起的已婚MSM更有可能进行CIAI和CRAI，而已婚MSM则更可能进行无避孕套的阴道性行为。与男友/性伴侣一起生活的男性相比，已婚MSM单独生活（aOR：0.52; 95％CI：0.28，0.94）或与妻子生活在一起（aOR：0.53; 95％CI：0.31、0.89）。同样，一个人单独生活的MSM（aOR：0.67; 95％CI：0.48，0.95）和与妻子生活在一起的已婚MSM感染梅毒的可能性相对较小（aOR：0.43; 95％CI：0.23，0.79）。未来的工作应考虑婚姻状况的特征和生活安排，以设计中国MSM中特定人群的风险降低策略。

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