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Recreational drug use and risks of HIV and sexually transmitted infections among Chinese men who have sex with men: Mediation through multiple sexual partnerships

Overview of attention for article published in BMC Infectious Diseases, December 2014
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Title
Recreational drug use and risks of HIV and sexually transmitted infections among Chinese men who have sex with men: Mediation through multiple sexual partnerships
Published in
BMC Infectious Diseases, December 2014
DOI 10.1186/s12879-014-0642-9
Pubmed ID
Authors

Jun-Jie Xu, Chen Zhang, Qing-Hai Hu, Zhen-Xing Chu, Jing Zhang, Yong-Ze Li, Lin Lu, Zhe Wang, Ji-Hua Fu, Xi Chen, Hong-Jing Yan, Ming-Hua Zhuang, Yong-Jun Jiang, Wen-Qing Geng, Sten H Vermund, Hong Shang, Han-Zhu Qian

Abstract

BackgroundRecreational drug use (RDU) may result in sexual disinhibition and higher risk for HIV and other sexually transmitted infections (STIs) among men who have sex with men (MSM) in China. We assessed whether RDU was associated with HIV, syphilis, and herpes simplex virus type 2 (HSV-2) within the context of multiple sexual partnerships and unprotected sex.MethodsWe conducted a cross-sectional study among sexually-active MSM in six Chinese cities (Kunming, Jinan, Changsha, Zhengzhou, Nanjing, and Shanghai) in 2012¿2013. We interviewed participants regarding RDU and sexual activity and drew blood for HIV, syphilis, and HSV-2. We fit multiple logistic regression models to assess associations of drug use and HIV, syphilis and HSV-2 infections, controlling for number of sexual partners and unprotected sex.ResultsOf 3830 participants, 28% reported ever using ¿1 of these drugs in the past 6 months: popper (alkyl nitrites), ecstasy, ice (methamphetamine), amphetamine, tramadol, and ketamine. In the past six months, 62% of MSM reported ¿2 sexual partners and 76% did not use condoms at last sexual encounter. HIV, syphilis and HSV-2 prevalences were 9.2%, 12.2%, and 10.3%, respectively.RDU was associated with HIV infection (aOR¿=¿1.67; 95% CI, 1.31-2.13). Men with RDU were more likely to report multiple sexual partners (OR¿=¿1.69; 95% CI, 1.44-1.98) and unprotected sex (aOR¿=¿1.25; 95% CI, 1.05-1.49). The RDU-HIV association persisted (aOR¿=¿1.58; 95% CI¿=¿1.23-2.02) after adjusting for numbers of partners.ConclusionsRDU was associated with multiple sexual partnerships, unprotected sex, and HIV among Chinese MSM. It is plausible that RDU is a driver of increased sexual/HIV risk and/or may be an associated behavior with sexually risky lifestyles. Community engagement is needed.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 87 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 1%
Unknown 86 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 13 15%
Other 9 10%
Student > Master 9 10%
Student > Bachelor 9 10%
Student > Doctoral Student 8 9%
Other 14 16%
Unknown 25 29%
Readers by discipline Count As %
Medicine and Dentistry 22 25%
Psychology 13 15%
Social Sciences 9 10%
Nursing and Health Professions 7 8%
Pharmacology, Toxicology and Pharmaceutical Science 2 2%
Other 3 3%
Unknown 31 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 December 2014.
All research outputs
#20,245,139
of 22,772,779 outputs
Outputs from BMC Infectious Diseases
#6,459
of 7,668 outputs
Outputs of similar age
#302,546
of 361,258 outputs
Outputs of similar age from BMC Infectious Diseases
#164
of 196 outputs
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