HIV/STIs risks between migrant MSM and local MSM: a cross-sectional comparison study in China
Background. Internal migration plays a significant role in China’s HIV epidemic. However, few studies have directly compared migrant men who have sex with men (MSM) with local MSM with regard to HIV/sexually transmitted infections (STIs) risks. Methods. We conducted a study in Guangzhou, China, with...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
PeerJ Inc.
2016-07-01
|
| Series: | PeerJ |
| Subjects: | |
| Online Access: | https://peerj.com/articles/2169.pdf |
| _version_ | 1827606434527838208 |
|---|---|
| author | Jie Wu Hong Wu Pengsheng Li Ciyong Lu |
| author_facet | Jie Wu Hong Wu Pengsheng Li Ciyong Lu |
| author_sort | Jie Wu |
| collection | DOAJ |
| description | Background. Internal migration plays a significant role in China’s HIV epidemic. However, few studies have directly compared migrant men who have sex with men (MSM) with local MSM with regard to HIV/sexually transmitted infections (STIs) risks. Methods. We conducted a study in Guangzhou, China, with the aim of understanding the differences in HIV/STIs risks between migrant MSM and local MSM. A cross-sectional study was conducted among 273 migrant MSM and 249 local MSM in Guangzhou, China. Their behavioral and serologic data on HIV/syphilis were collected and compared between the two groups. A multivariate logistic regression was used to estimate the associations between HIV/STIs risks and migratory status. Results. Migrant MSM, compared to local MSM, have higher odds of reporting unprotected anal intercourse (UAI) (OR = 1.4; 95% CI [0.9–2.0]) and having multiple homosexual partners (OR = 1.2; 95% CI [0.8–1.8]). A lower rate of condom use at homosexual debut was reported in migrant MSM than in local MSM (OR = 0.7; 95% CI [0.5–0.9]). Migrant MSM have less odds of reporting HIV/STIs testing in the previous 6 months relative to local MSM (OR = 0.5; 95% CI [0.4–0.8]). In addition, migrant MSM demonstrated a lower level of HIV knowledge than local MSM (OR = 0.4; 95% CI [0.2–0.8]). Conclusion. Migrant MSM are more likely to engage in sexual risk behaviors, report a lower level of HIV knowledge and have less access to HIV/STIs testing. Further comprehensive interventions targeting migrant MSM are urged. |
| first_indexed | 2024-03-09T06:38:13Z |
| format | Article |
| id | doaj.art-6e9e75d0988c46e59e08d606e5c8ce47 |
| institution | Directory Open Access Journal |
| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-09T06:38:13Z |
| publishDate | 2016-07-01 |
| publisher | PeerJ Inc. |
| record_format | Article |
| series | PeerJ |
| spelling | doaj.art-6e9e75d0988c46e59e08d606e5c8ce472023-12-03T10:55:15ZengPeerJ Inc.PeerJ2167-83592016-07-014e216910.7717/peerj.2169HIV/STIs risks between migrant MSM and local MSM: a cross-sectional comparison study in ChinaJie Wu0Hong Wu1Pengsheng Li2Ciyong Lu3Department of Medical Statistics and Epidemiology, Sun Yat-Sen University, Guangzhou, ChinaDepartment of Medical Statistics and Epidemiology, Sun Yat-Sen University, Guangzhou, ChinaDepartment of Medical Statistics and Epidemiology, Sun Yat-Sen University, Guangzhou, ChinaDepartment of Medical Statistics and Epidemiology, Sun Yat-Sen University, Guangzhou, ChinaBackground. Internal migration plays a significant role in China’s HIV epidemic. However, few studies have directly compared migrant men who have sex with men (MSM) with local MSM with regard to HIV/sexually transmitted infections (STIs) risks. Methods. We conducted a study in Guangzhou, China, with the aim of understanding the differences in HIV/STIs risks between migrant MSM and local MSM. A cross-sectional study was conducted among 273 migrant MSM and 249 local MSM in Guangzhou, China. Their behavioral and serologic data on HIV/syphilis were collected and compared between the two groups. A multivariate logistic regression was used to estimate the associations between HIV/STIs risks and migratory status. Results. Migrant MSM, compared to local MSM, have higher odds of reporting unprotected anal intercourse (UAI) (OR = 1.4; 95% CI [0.9–2.0]) and having multiple homosexual partners (OR = 1.2; 95% CI [0.8–1.8]). A lower rate of condom use at homosexual debut was reported in migrant MSM than in local MSM (OR = 0.7; 95% CI [0.5–0.9]). Migrant MSM have less odds of reporting HIV/STIs testing in the previous 6 months relative to local MSM (OR = 0.5; 95% CI [0.4–0.8]). In addition, migrant MSM demonstrated a lower level of HIV knowledge than local MSM (OR = 0.4; 95% CI [0.2–0.8]). Conclusion. Migrant MSM are more likely to engage in sexual risk behaviors, report a lower level of HIV knowledge and have less access to HIV/STIs testing. Further comprehensive interventions targeting migrant MSM are urged.https://peerj.com/articles/2169.pdfHIV/STIs riskMigrationMSMComparison |
| spellingShingle | Jie Wu Hong Wu Pengsheng Li Ciyong Lu HIV/STIs risks between migrant MSM and local MSM: a cross-sectional comparison study in China PeerJ HIV/STIs risk Migration MSM Comparison |
| title | HIV/STIs risks between migrant MSM and local MSM: a cross-sectional comparison study in China |
| title_full | HIV/STIs risks between migrant MSM and local MSM: a cross-sectional comparison study in China |
| title_fullStr | HIV/STIs risks between migrant MSM and local MSM: a cross-sectional comparison study in China |
| title_full_unstemmed | HIV/STIs risks between migrant MSM and local MSM: a cross-sectional comparison study in China |
| title_short | HIV/STIs risks between migrant MSM and local MSM: a cross-sectional comparison study in China |
| title_sort | hiv stis risks between migrant msm and local msm a cross sectional comparison study in china |
| topic | HIV/STIs risk Migration MSM Comparison |
| url | https://peerj.com/articles/2169.pdf |
| work_keys_str_mv | AT jiewu hivstisrisksbetweenmigrantmsmandlocalmsmacrosssectionalcomparisonstudyinchina AT hongwu hivstisrisksbetweenmigrantmsmandlocalmsmacrosssectionalcomparisonstudyinchina AT pengshengli hivstisrisksbetweenmigrantmsmandlocalmsmacrosssectionalcomparisonstudyinchina AT ciyonglu hivstisrisksbetweenmigrantmsmandlocalmsmacrosssectionalcomparisonstudyinchina |