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Gay Saunas and the Risks of HIV and Syphilis Transmissions in China-Results of a Meta-Analysis

机译:同性恋桑拿与中国艾滋病毒和梅毒传播的风险-荟萃分析的结果

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Introduction. Previous studies suggest the risk of human immunodeficiency virus (HIV) transmission among men who have sex with men (MSM) is associated with characteristics of venues. However, very few studies have systematically compared HIV/sexually transmitted disease (STD) prevalence among MSM according to key venue type for sourcing sex partners. Aims. The aim of this study was to investigate the associations between HIV/syphilis prevalence and the types of venues, namely saunas, parks, gay bars, and the Internet, which are mostly used for sourcing male sex partners by MSM in China. Methods. Meta-analyses using fixed-effect and random-effect methods were conducted. Secondary data were obtained from 10 concurrent surveys conducted in 10 cities basing on a common protocol. Pairwise comparisons (e.g., "saunas" vs. "parks") were made. Main Outcomes Measures. Odds ratios (OR) for HIV/syphilis infection in relations to venue type for partner sourcing. Results. The distribution of the most commonly used source to recruit male sex partner was 59.32% (Internet), 18.47% (gay bars), 14.18% (gay saunas), and 8.02% (parks). The median prevalence of HIV/syphilis was 10.49% and 19.38% (gay saunas), 2.12% and 16.25% (parks), 6.06% and 15.45% (Internet), and 4.41% and 11.90% (gay bars). We found significant between-group differences when comparing "sauna" against "Internet" (HIV: OR=2.27, 95% confidence interval [CI]=1.65-3.12; syphilis: OR=1.61, 95% CI=1.07-2.41), "sauna" against "bars" (HIV: OR=1.65, 95% CI=1.14-2.39; syphilis: OR=1.35, 95% CI=1.02-1.78), and "parks" against "Internet" (syphilis: OR=1.55, 95% CI=1.12-2.15) as the main source to recruit male sex partners. Other pairwise comparisons were not statistically significant. Conclusions. The results of this study suggest that those sourcing partners mainly from gay saunas have higher prevalence of HIV/syphilis when compared with those doing so via the Internet or gay bars. Venue based (sauna-based) interventions using socio-ecological approaches are greatly warranted in order to reduce HIV and syphilis prevalence among MSM in China. ? 2012 International Society for Sexual Medicine.
机译:介绍。先前的研究表明,在与男性发生性关系的男性中传播人类免疫缺陷病毒(HIV)的风险与场所的特征有关。但是,极少有研究根据寻找性伴侣的主要场所类型来系统地比较MSM中HIV /性传播疾病(STD)的患病率。目的这项研究的目的是调查艾滋病毒/梅毒患病率与场所类型之间的关联,这些场所包括桑拿浴室,公园,同性恋酒吧和互联网,这些场所通常被中国男男性接触者用来寻找男性伴侣。方法。使用固定效应和随机效应方法进行荟萃分析。二级数据是根据相同的协议,在10个城市中进行的10项并行调查获得的。进行成对比较(例如,“ saunas”与“ parks”)。主要结果指标。 HIV /梅毒感染与合作伙伴采购场所类型相关的赔率(OR)。结果。招募男性伴侣的最常用资源的分布是59.32%(互联网),18.47%(同性恋酒吧),14.18%(同性恋桑拿浴室)和8.02%(公园)。 HIV /梅毒的中位患病率为10.49%和19.38%(同性恋桑拿),2.12%和16.25%(公园),6.06%和15.45%(互联网)以及4.41%和11.90%(同性恋酒吧)。在比较“桑拿浴”和“互联网”时,我们发现组间存在显着差异(HIV:OR = 2.27,95%置信区间[CI] = 1.65-3.12;梅毒:OR = 1.61,95%CI = 1.07-2.41),针对“酒吧”的“桑拿浴”(HIV:OR = 1.65,95%CI = 1.14-2.39;梅毒:OR = 1.35,95%CI = 1.02-1.78),针对“ Internet”的“ parks”(梅毒:OR = 1.55,95%CI = 1.12-2.15)是招募男性性伴侣的主要来源。其他成对比较在统计学上不显着。结论。这项研究的结果表明,与那些通过互联网或同性恋酒吧进行采购的伙伴相比,主要来自同性恋桑拿房的采购伙伴的艾滋病毒/梅毒感染率更高。为了减少中国男男性接触者的艾滋病毒和梅毒患病率,使用社会生态学方法进行基于场所(基于桑拿)的干预措施非常有必要。 ? 2012年国际性医学学会。

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