Study On HIV Infection And Its Influencing Factors Among Men Who Have Sex With Men (MSM) In Urumqi

Objective:To explore the infection status and its associated factors with HIV/AIDS among men who have sex with men(MSM) in Urumqi. Provide evidence for intervention in high-risk behavior among MSM. Method:The survey and serological tests were connected age> 18, readme have anal sex with men, voluntary investigation in MSM by methods of network recruitment and site recruitment and snowball recruitment from May to August 2013. Result:857 MSM were enrolled and received the survey and serological tests.the Han accounts for 51.9%, Uygur accounted for 12.5%,other nationality 35.6%, average age 29.5(SD:7.0);74.2% received college or higher education,78.9%(677) for network type, HIV/AIDS knowledge awareness was 94.7%;HIV infection rate was 8.3%, syphilis infection rate was 9.9%, hepatitis C infection rate was 1.3%, double infection rate is 1.6% HIV merger syphilis, HIV merger HCV infection rate 0.2%. In the past 6 months, 93.8%(804)had anal sex with men, The ratio of condom use in sex were 37.2%, the percentage who had fixed sex partners only were 20.2%(173/857) the ratio of condom use in sex were 77.5%(134/173), In the past 6 months,12.5%(107/857) of the subjects had heterosexual sex and the rate of condom use was 28.0%(30/107). In the past 6 months, 3.9%(33/857) of the subjects bought homosexual intercourses,1.8%(15/857) provided sex for money. The rate of condom use in bought and provided commercial sex was 84.8%(28/33),66.7%(10/15).Logistic regression analysis showed that positive syphilis infection(OR=2.591,95%CI:1.320-5.085),everytime using condom when had homosexual in the last six months (OR=0.460,95% CI:0.242-0.874),reluctant to detect HIV/AIDS (OR=2.232,95%CI:1.275-3.907) are influencing factors for HIV infection in Urumqi. Logistic regression analysis showed that bar type (OR=2.095,95%CI:1.306-3.360),Han groups (OR=2.368,95%CI:1.392-4.030),high level of education(OR=2.732,95%CI:1.422-5.249),less than 10 sexual partners (OR=1.529,95%CI:1.036-2.255) are influencing factors for the frequency of using condom when had homosexual in the last six months in Urumqi.Conclusion:HIV prevalence was high in Urumqi, low condom usage, syphilis infection, refused to HIV testing was risk factors associated with HIV infection.Risk factors which accelerate HIV spread was common.It is urgent to conduct the comprehensive prevention and control against.