Amsterdam 2015
Menu
AIDSImpact.com
Conference Details
Authors
International Committee
Plenary Speakers
Presenting Speakers
Programme
Sessions
Scientific Committee
Acknowledgements
| Abstract #2230 - Mad about the boy - MSM II | ||||
|
Session: 41.6: Mad about the boy - MSM II (Parallel) on Thursday @ 16.30-18.00 in C104 Chaired by Hycienth Ahaneku, Jeffrey Kelly Authors: Presenting Author: Dr Zixin Wang - The Chinese University of Hong Kong, Hong Kong |
||||
| Additional Authors: | ||||
| Aim: Newly diagnosed HIV positive MSM (N-HIV-MSM) are at high risk of transmitting HIV and contracting another subtype of HIV (super-infection) via unprotected anal intercourse (UAI). No study in China has investigated UAI and associated factors in this population. The present study investigated prevalence and factors of UAI with regular male sex partner (RP) and non-regular male sex partner (NRP) since HIV diagnosis, among N-HIV-MSM in Chengdu, China. | ||||
| Method / Issue: A cross-sectional survey was conducted in 2011. Inclusion criteria were: 1) men who self-reported having had anal sex with at least one man in the last 12 months, 2) aged at least 16 years old, and 3) having been diagnosed as being HIV positive for less than 12 months. All prospective participants (282), registered in service records of the largest HIV-related NGO in Chengdu, were approached by trained staff of the NGO via phone, email or social media. 225 (79.8%) participants were anonymously interviewed face-to-face, with written informed consent. | ||||
| Results / Comments: The median length of time since HIV diagnosis was 4.0 months. The prevalence of UAI with RP and NRP since diagnosis was 27.7% and 33.8% among N-HIV-MSM having such type of partner (n=159 and 133), respectively. Among all participants, 32.0% had had UAI with either NRP or RP, and 20.4% were on antiretroviral treatment (ART). Adjusted for significant background variables, scale scores of perceived barriers of condom use (AOR=1.31) and perception that HIV negative partners should be responsible for using a condom (AOR=1.25) were positively associated with UAI with RP, while a negative association was found for the scale score of perceived self-efficacy in condom use during anal sex (AOR=0.88). Further adjusted analysis showed that scale scores of perceived responsibility of HIV negative partners for condom use was positively associated with UAI with NRP (AOR=1.20), while scales on perceived susceptibility of HIV transmission (AOR=0.59), perceived negative consequences of HIV transmission (AOR=0.71), perceived self-efficacy of condom use (AOR=0.88), worry about transmitting HIV to others (AOR=0.52), and post traumatic growth (AOR=0.92) were negatively associated with UAI with NRP. Non-significant factors included length of time since diagnosis, whether on ART, CD4 cell count in the last test, scale score on perceived benefit of condom use, level of worry about HIV super-infection, level of guilt if transmitting HIV to male sex partners, depression subscale of DASS Scale, scale score on personal responsibility of condom use and having ever been discriminated due to HIV positive sero-status. | ||||
| Discussion: A high proportion of N-HIV-MSM in China was at high risk of secondary HIV transmission and HIV super-infection via UAI, which will aggravate the HIV epidemic. Interventions are warranted and strategies need to be specific for promoting condom use during anal sex with RP and NRP. Besides modifying perceptions, it is also important to cultivate post-traumatic growth which was protective against UAI with NRP. | ||||
| Go Back | ||||