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Int. J. Environ. Res. Public Health 2016, 13(8), 795; doi:10.3390/ijerph13080795

Increasing HIV Incidence among Men Who Have Sex with Men in Jiangsu Province, China: Results from Five Consecutive Surveys, 2011–2015

Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
The authors contributed equally to the manuscript.
Author to whom correspondence should be addressed.
Academic Editors: Ronald L. Braithwaite, Mario De La Rosa and Selina A. Smith
Received: 17 May 2016 / Revised: 27 July 2016 / Accepted: 2 August 2016 / Published: 6 August 2016
(This article belongs to the Special Issue Cultural Determinants of HIV, Substance Abuse and Addiction)
View Full-Text   |   Download PDF [296 KB, uploaded 6 August 2016]


Epidemics of HIV among men who have sex with men (MSM) are major public health concerns in most parts of China. This study examined the trends in HIV incidence and associated factors among MSM in Jiangsu Province. Five consecutive cross-sectional surveys were conducted among MSM from 2011 to 2015 in eight cities throughout Jiangsu Province. Participants were recruited from MSM venues or via the internet. Demographic and behavioral data were collected through HIV bio-behavioral surveys. Blood specimens were collected to test for HIV and syphilis. HIV incidence was estimated by the IgG-capture BED-EIA (BED) method and a chi-square trend test was used to compare differences over the years. Multivariate logistic regression analysis was used to identify factors associated with recent infection. A total of 2433, 2678, 2591, 2610 and 2541 participants were enrolled in 2011, 2012, 2013, 2014 and 2015, respectively. HIV incidence increased from 5.10% in 2011 to 6.62% in 2015 (p = 0.025). MSM who had an education level of junior high school or less (aOR = 1.472, p = 0.018), engaged in condomless anal sex in the past 6 months (aOR = 2.389, p < 0.001), did not have an HIV test in the past 12 months (aOR = 3.215, p < 0.001), and were currently infected with syphilis (aOR = 2.025, p = 0.001) were likely to be recently infected with HIV. HIV incidence is increasing among MSM in Jiangsu Province, China. Condom usage and HIV testing promotion should be prioritized when attempting to reduce HIV transmission among MSM in China. View Full-Text
Keywords: HIV incidence; IgG-capture BED-EIA; men who have sex with men; China HIV incidence; IgG-capture BED-EIA; men who have sex with men; China
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Hu, H.; Liu, X.; Zhang, Z.; Xu, X.; Shi, L.; Fu, G.; Huan, X.; Zhou, Y. Increasing HIV Incidence among Men Who Have Sex with Men in Jiangsu Province, China: Results from Five Consecutive Surveys, 2011–2015. Int. J. Environ. Res. Public Health 2016, 13, 795.

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