Prevalence and associated factors of group sex behavior among HIV-infected men who have sex with men in Chongqing

CHEN Huailiang; JIANG Can; MA Ping; GAO Chunmei; CHEN Jin

doi:10.16462/j.cnki.zhjbkz.2024.12.010

Volume 28 Issue 12

Dec. 2024

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2024 > 28(12): 1426-1432

CHEN Huailiang, JIANG Can, MA Ping, GAO Chunmei, CHEN Jin. Prevalence and associated factors of group sex behavior among HIV-infected men who have sex with men in Chongqing[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(12): 1426-1432. doi: 10.16462/j.cnki.zhjbkz.2024.12.010

Citation:

CHEN Huailiang, JIANG Can, MA Ping, GAO Chunmei, CHEN Jin. Prevalence and associated factors of group sex behavior among HIV-infected men who have sex with men in Chongqing[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(12): 1426-1432. doi: 10.16462/j.cnki.zhjbkz.2024.12.010

Citation:

PDF( 947 KB)

Prevalence and associated factors of group sex behavior among HIV-infected men who have sex with men in Chongqing

doi: 10.16462/j.cnki.zhjbkz.2024.12.010

1.
Department of Hospital Infection Management and Control, the People′s Hospital of Sichuan Tianfu New Area, Chengdu 610213, China
2.
Department of Medical Records Management, the People′s Hospital of Tongliang District, Chongqing 402560, China

Funds:

The Joint Medical Project of Chongqing Science and Technology Bureau and Chongqing Health Commission 2022QNXM052

Chengdu Municipal Health Commission Program 2020-49

The Research Fund of Science and Technology Commission of Tongliang District, Chongqing TL2020-51

More Information

Corresponding author: CHEN Jin, E-mail: 594653274@qq.com
Received Date: 2024-02-08
Rev Recd Date: 2024-07-23

Available Online: 2025-01-24

Publish Date: 2024-12-10

Abstract

Abstract

Objective To explore the prevalence and associated factors of group sex behavior among human immunodeficiency virus (HIV) infected men who have sex with men (MSM), so as to provide a basis for the formulation of targeted intervention strategies and measures. Methods From June 2022 to June 2023, HIV-infected MSM were recruited and surveyed by two community-based organizations in Chongqing. The survey contents included sociodemographic characteristics, sexual orientation, HIV infection and high-risk behaviors, HIV stigma perception score, anxiety symptom score and depressive symptom score. Binary logistic regression model was used to explore factors associated with group sex behavior. Results In total, 1 501 participants were surveyed in this study, 26.4% reported group sex participation in their lifetime and 9.3% reported group sex participation in the past 6 months, of which 56.8% reported inconsistent condom use in group sex behavior. Multivariate logistic regression analysis indicated homosexuality (OR=2.221, 95% CI: 1.116-4.422), time from HIV diagnosis ≥5 years (OR=5.405, 95% CI: 1.940-15.059), HIV-related stigma perception (OR=1.075, 95% CI: 1.034-1.117), poor adherence to antiretroviral therapy (OR=2.748, 95% CI: 1.493-5.059), gay applications use in the past 6 months (using 1 application: OR=3.117, 95% CI: 1.006-9.657; using 2 applications: OR=6.065, 95% CI: 1.848-19.901; using 3 applications and above: OR=11.665, 95% CI: 3.043-44.711), rush poppers use in the past 6 months (OR=9.178, 95% CI: 4.584-18.380), methamphetamine use in the past 6 months (OR=38.186, 95% CI: 11.427-127.602) unprotect and sex intercourse (OR=3.227, 95% CI: 1.824-5.711) were significantly associated with group sex behavior in the past 6 months among HIV-infected MSM (all P < 0.05). Conclusions Group sex behavior and inconsistent condom use are common among HIV-infected MSM in Chongqing. Special attention should be paid to HIV-related stigma, gay applications use, substances use and group sex behavior within this subpopulation, so as to mitigate further transmission of HIV or sexually transmitted diseases (STDs).
- Men who have sex with men,
- Human immunodeficiency virus,
- Group sex behavior

FullText(HTML)

References(24)

References

[1]	国务院防治艾滋病工作委员会办公室, 联合国艾滋病中国专题组. 中国艾滋病防治联合评估报告(2007)[R/OL]. (2007-12-01)[2023-02-05] 北京: 中国卫生部, 2007. https://www.chinaaids.cn/ddpg/lhpgbg1/zgazbyq/201312/W020131220518731205501.pdf. State Council AIDS Working Committee Office, UN Theme Group on AIDS in China. A joint assessment of HIV/AIDS prevention, treatment and care in China (2007)[R/OL]. (2007-12-01)[2023-02-05] Beijing: China Ministry of Health, 2007. https://www.chinaaids.cn/ddpg/lhpgbg1/zgazbyq/201312/W020131220518731205501.pdf.
[2]	He N. Research progress in the epidemiology of HIV/AIDS in China[J]. China CDC Wkly, 2021, 3(48): 1022-1030. DOI: 10.46234/ccdcw2021.249.
[3]	Dong MJ, Peng B, Liu ZF, et al. The prevalence of HIV among MSM in China: a large-scale systematic analysis[J]. BMC Infect Dis, 2019, 19(1): 1000. DOI: 10.1186/s12879-019-4559-1.
[4]	Chen J, Huang YL, Chen HL, et al. Nitrite inhalants use, sexual behaviors and HIV/syphilis infection among men who have sex with men in Chongqing, China[J]. Infect Dis Poverty, 2020, 9(1): 127. DOI: 10.1186/s40249-020-00748-6.
[5]	张静, 沈伟伟, 高眉扬, 等. 台州市男男性行为者HIV感染和新型毒品使用与人乳头瘤病毒感染相关分析[J]. 中华流行病学杂志, 2022, 43(3): 380-386. DOI: 10.3760/cma.j.cn112338-20210720-00570. Zhang J, Shen WW, Gao MY, et al. Correlation between HIV infection, club drug use and anal canal human papillomavirus infection in men who have sex with men in Taizhou[J]. Chin J Epidemiol, 2022, 43(3): 380-386. DOI: 10.3760/cma.j.cn112338-20210720-00570.
[6]	Scheidell JD, Friedman SR, Golin C, et al. Group sex event participation: a link to STI risk among African-American heterosexual men incarcerated in North Carolina[J]. Sex Transm Infect, 2017, 93(2): 144. DOI: 10.1136/sextrans-2016-052980.
[7]	Phillips G 2nd, Magnus M, Kuo I, et al. Correlates of group sex among a community-based sample of men who have sex with men (MSM) in Washington, DC[J]. AIDS Behav, 2014, 18(8): 1413-1419. DOI: 10.1007/s10461-013-0527-8.
[8]	Tang WM, Tang SY, Qin YL, et al. Will gay sex-seeking mobile phone applications facilitate group sex? A cross-sectional online survey among men who have sex with men in China[J]. PLoS One, 2016, 11(11): e0167238. DOI: 10.1371/journal.pone.0167238.
[9]	林海江, 张玉成, 沈伟伟, 等. 浙江省台州市2013―2015年男男性行为者人群同性群交行为调查[J]. 中华流行病学杂志, 2017, 38(5): 634-637. DOI: 10.3760/cma.j.issn.0254-6450.2017.05.015. Lin HJ, Zhang YC, Shen WW, et al. Investigation of group sex in men who have sex with men in Taizhou, Zhejiang Province, 2013-2015[J]. Chin J Epidemiol, 2017, 38(5): 634-637. DOI: 10.3760/cma.j.issn.0254-6450.2017.05.015.
[10]	Chen J, Fan H, Chen HL, et al. Correlates of group sex participation among men who have sex with men in Chongqing, Southwestern China[J]. BMC Public Health, 2021, 21(1): 561. DOI: 10.1186/s12889-021-10607-0.
[11]	Levis B, Benedetti A, Thombs BD, et al. Accuracy of patient health questionnaire-9 (PHQ-9) for screening to detect major depression: individual participant data Meta-analysis[J]. BMJ, 2019, 365: l1476. DOI: 10.1136/bmj.l1476.
[12]	Hinz A, Klein AM, Brähler E, et al. Psychometric evaluation of the generalized anxiety disorder screener GAD-7, based on a large German general population sample[J]. J Affect Disord, 2017, 210: 338-344. DOI: 10.1016/j.jad.2016.12.012.
[13]	Reinius M, Wettergren L, Wiklander M, et al. Development of a 12-item short version of the HIV stigma scale[J]. Health Qual Life Outcomes, 2017, 15(1): 115. DOI: 10.1186/s12955-017-0691-z.
[14]	Mannheimer SB, Mukherjee R, Hirschhorn LR, et al. The CASE adherence index: a novel method for measuring adherence to antiretroviral therapy[J]. AIDS Care, 2006, 18(7): 853-861. DOI: 10.1080/09540120500465160.
[15]	Saunders JB, Aasland OG, Babor TF, et al. Development of the alcohol use disorders identification test (AUDIT): who collaborative project on early detection of persons with harmful alcohol consumption: Ⅱ[J]. Addiction, 1993, 88(6): 791-804. DOI: 10.1111/j.1360-0443.1993.tb02093.x.
[16]	王毅, 李六林, 樊静, 等. 四川绵阳地区MSM群交行为HIV/梅毒感染及影响因素[J]. 中国热带医学, 2013, 13(10): 1203-1206. DOI: 10.13604/j.cnki.46-1064/r.2013.10.003. Wang Y, Li LL, Fan J, et al. Study of HIV/syphilis infection and influencing factors of the MSM having group sex behavior in Mianyang, Sichuan[J]. China Tropical Medicine, 2013, 13(10): 1203-1206. DOI: 10.13604/j.cnki.46-1064/r.2013.10.003.
[17]	李彩霞, 李琪, 王玉淼, 等. 昆明市不同性取向男男性行为人群的性行为特征分析[J]. 中国皮肤性病学杂志, 2019, 33(11): 1286-1291. DOI: 10.13735/j.cjdv.1001-7089.201903120. Li CX, Li Q, Wang YM, et al. Characteristics of MSM sexual behavior of different sexual orientations in Kunming[J]. Chin J Dermat Ovenereol, 2019, 33(11): 1286-1291. DOI: 10.13735/j.cjdv.1001-7089.201903120.
[18]	Leluţiu-Weinberger C, Rendina HJ, Mirandola M, et al. The role of gay-related stigma in HIV-risk behavior among sexual minority men in Europe[J]. AIDS Behav, 2019, 23(3): 684-694. DOI: 10.1007/s10461-018-2306-z.
[19]	Tang WM, Tang SY, Qin YL, et al. Will gay sex-seeking mobile phone applications facilitate group sex? A cross-sectional online survey among men who have sex with men in China[J]. PLoS One, 2016, 11(11): e0167238. DOI: 10.1371/journal.pone.0167238.
[20]	Wei L, Chen L, Zhang HB, et al. Use of gay app and the associated HIV/syphilis risk among non-commercial men who have sex with men in Shenzhen, China: a serial cross-sectional study[J]. Sex Transm Infect, 2019, 95(7): 496-504. DOI: 10.1136/sextrans-2018-053902.
[21]	Crockett KB, Kalichman SC, Kalichman MO, et al. Experiences of HIV-related discrimination and consequences for internalised stigma, depression and alcohol use[J]. Psychol Health, 2019, 34(7): 796-810. DOI: 10.1080/08870446.2019.1572143.
[22]	Yang XY, Li XM, Qiao S, et al. Intersectional stigma and psychosocial well-being among MSM living with HIV in Guangxi, China[J]. AIDS Care, 2020, 32(sup2): 5-13. DOI: 10.1080/09540121.2020.1739205.
[23]	Dai YX, Musumari PM, Chen HL, et al. Recreational drug use, polydrug use and sexual behaviors among men who have sex with men in southwestern China: a cross-sectional study[J]. Behav Med, 2019, 45(4): 314-322. DOI: 10.1080/08964289.2018.1538099.
[24]	Lai HH, Kuo YC, Kuo CJ, et al. Methamphetamine use associated with non-adherence to antiretroviral treatment in men who have sex with men[J]. Sci Rep, 2020, 10(1): 7131. DOI: 10.1038/s41598-020-64069-2.