Characteristics of HIV seropositive cases and related high risk behaviors in a community in Yunnan province, 2012-2015

Abstract

Objective: To understand the characteristics of newly detected HIV infection cases and related high risk behaviors in the areas with high HIIV infection prevalence in Yunnan province. Methods: A questionnaire survey was conducted with census method during January to March 2016 among newly detected HIV infected persons in Dehong, Honghe, Lincang and Dali prefectures in Yunnan during 2012-2015. Results: Among 451 HIV seropositive cases, the major transmission route of HIV was heterosexual contact, accounting for 92.5% (417/451). The total awareness rate of AIDS related knowledge was 73.0% (329/451). The rates of condom use at sex with regular sexual partners, occasional sexual partners, commercial sexual partners and men who have sex with men within 1 year before knowing their infection status were 48.7% (167/343), 4.2% (7/165), 9.9% (15/151) and 0.0% (0/3), respectively. The risk factors for using no condom at sex with regular sexual partners included living at Dali, being farmer, unmarried, cohabitation, divorced and widowed, monthly income under 1 000 yuan (RMB), living in urban area before infection, knowing no AIDS related knowledge etc. The risk factors for using no condom at sex with occasional sexual partners included living in Dehong, Honghe and Lincang, aged ≤30 years and being farmer. The injecting drug users accounted for 8.2% (37/450) and 75.5% of these cases had received AIDS related intervention (340/450). Conclusion: High prevalence of heterosexual transmission of HIV, poor AIDS related knowledge on awareness, high risk behavior and poor condom use and poor intervention service utilization were found among newly detected HIV infected persons in areas with high HIV infection prevalence in Yunnan.