Factors Associated with High-Risk Behaviors among People Newly Diagnosed with HIV Through Heterosexual Contact Before & After Diagnosis in Some Areas in Henan Province
OBJECTIVE:
To
understand the factors associated with high risk behaviors among people newly
diagnosed to be infected with HIV through heterosexual contact before and after
diagnoses in some areas in Henan province, and evaluate the risk of secondary
transmission.
METHODS:
A face to
face interview was conducted among people infected with HIV through
heterosexual contact by using self-designed questionnaires during January-May
in 2015.
RESULTS:
Among 361
HIV infected persons, the proportions of those with commercial heterosexual
behaviors or sex with irregular sex partners decreased from 77.3%(279/361) and
28.5%(103/361) before diagnosis to 13.6% (49/361) and 2.5%(9/361) after
diagnosis, the difference was significant (χ(2)=16.66,P<0.001;χ(2)=
4.80,P=0.03). The subjects surveyed always had more commercial heterosexual behaviors
in Henan, Guangdong and Zhejiang provinces before and after diagnosis. After
HIV infection confirmation, the condom use rates were 51.0%(25/49) for
commercial heterosexual behaviors, 88.5% (184/208) for sex with regular
partners and 88.9%(8/9) for sex with irregular partners, respectively.
Multivariate logistic regression analysis indicated that risk behaviors
associated with HIV transmission included commercial sexual behaviors, previous
HIV detection and age of 35 years or older.
CONCLUSIONS:
Extramarital
heterosexual behavior has posed serious challenge to the prevention and control
of HIV spread. It is necessary to inform the HIV test results, improve the
intervention and promote condom use in people with history of commercial sex
and people aged ≥35 years.
- 1Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China.
- 2Zhoukou Prefecture Centre for Disease Control and Prevention, Zhoukou 466000, China.
- Zhonghua Liu Xing Bing Xue Za Zhi. 2016 Mar 10;37(3):367-70. doi: 10.3760/cma.j.issn.0254-6450.2016.03.015.
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