RT Journal Article
SR Electronic
T1 High incidence of HIV and syphilis among migrant men who have sex with men in Beijing, China: a prospective cohort study
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e005351
DO 10.1136/bmjopen-2014-005351
VO 4
IS 9
A1 Hengyi Mao
A1 Wenzhe Ma
A1 Hongyan Lu
A1 Lu Wang
A1 Hui Zheng
A1 Yingying Zhu
A1 Zhihang Peng
A1 Rongbin Yu
A1 Ning Wang
YR 2014
UL http://bmjopen.bmj.com/content/4/9/e005351.abstract
AB Objectives The purpose of the study was to investigate the incidence of HIV and syphilis and their related factors, as well as to examine the predictors associated with seroconversion among migrant men who have sex with men (MSM) in Beijing, China.Design Prospective cohort study.Setting Beijing, China.Participants 511 HIV-negative migrant MSM.Primary and secondary outcome measures Sociodemographic and behavioural information of participants, HIV and syphilis incidence rates, and factors associated with HIV/syphilis seroconversion and cohort retention.Results Of the 511 participants, 60.3% (308) and 52.4% (273) were retained at the 4- and 8-month follow-up visits, respectively. The HIV and syphilis incidence rates were 7.83 (95% CI 4.48 to 12.72) and 11.11 (95% CI 6.47 to 17.80) per 100 person-years, respectively. HIV seroconversion was significantly associated with ‘had first anal intercourse at age 15 or younger’ (adjusted HR (aHR) 9.20, 95% CI 1.94 to 43.56) and ‘ever had group sex’ (aHR 4.30, 95% CI 1.40 to 13.18). Bisexual orientation (aHR 5.09, 95% CI 1.02 to 25.57) was significantly associated with syphilis seroconversion. Predictors associated with both 4- and 8-month retention rates included age ≥25 years old and living in Beijing for more than 1 year.Conclusions The high incidence of HIV and syphilis among migrant MSM is a cause for concern. A comprehensive strategy should be implemented to maintain a higher retention rate among migrant MSM.