Marital status and high-risk sexual behaviors among newly reported HIV infected men who have sex with men in China in 2012, one year follow up study

Abstract

To analyze the changes of marital status and high-risk sexual behaviors in newly reported HIV infected men who have sex with men(MSM)and provide evidence for the targeted behavior intervention in this population and the prevention of secondary HIV infection. Data collected from HIV/AIDS case reporting cards and follow-up cards between December 31(st), 2012 and December 31(st), 2013 were used and newly reported HIV infected MSM were recruited, their demographic characteristics, marital status, and high-risk sexual behaviors were analyzed. Of 15 768 newly reported HIV infected MSM in 2012, 10 426(66.1%)were unmarried and 10 970(69.6%)had educational level of ≥senior high school. Among the 15 049 HIV infected MSM receiving follow up in 2012, 14 451(96.0%)still received follow up in 2013. The number HIV infected MSM who had protected sexual behaviors increased from 9 779(67.7%)in 2012 to 13 277(91.1%)in 2013. Among the HIV infected MSM who had married, 64.1% remained their marital status in 2013. Among the HIV infected MSM, those who had educational level of ≥senior high school(OR=1.540, 95% CI: 1.138-2.085), workers(OR=1.430, 95% CI: 1.131-1.808), staff(OR=1.610, 95%CI: 1.236-2.098)or farmers(OR=1.661, 95%CI: 1.214-2.271)were more likely to have protected sexual behaviors than those who had educational level of primary school or were engaged in commercial services. Those who had never married,(OR=0.563, 95% CI: 0.439-0.722), divorced(OR=0.624, 95% CI: 0.448-0.870)or remarried(OR=0.444, 95% CI: 0.288-0.687)were more likely to have high-risk sexual behaviors. Standardized follow-up seemed helpful for the newly diagnosed HIV infected MSM to have protected sexual behaviors. Highly effective intervention should be focused on MSM who have no spouses or regular sexual partners, with low educational level, or are engaged in commercial services to prevent secondary HIV transmission.