Prevalence of High Risk Behaviors in HIV Infected Persons Aged ≥50 Years in Selected Counties of Yunnan Province

OBJECTIVE:

To understand the prevalence of high risk behaviors and influencing factors among HIV infected persons aged ≥50 years.

METHODS:

Face to face questionnaire interview was conducted among the HIV infected persons selected in Jianshui, Gejiu and Mengzi counties in Yunnan province through random sampling in June 2015. The sample size was 450.

RESULTS:

Among the HIV infected persons surveyed, 41.2% (122/296) had sexual behaviors with their spouses during past year, and the consistent condom use rate was 66.4% (81/122). Among the HIV infected males, 8.9%(28/313) had commercial sexual behaviors during past year, and the consistent condom use rate was 17.9% (5/28). Among the HIV infected females, 0.7% were still engaged in commercial sex service during past year. Among the 450 HIV infected persons, 32(7.1%) reported having casual sex behaviors during past years, and the consistent condom use rate was 18.7% (6/32). The rate of commercial sexual behavior in urban residents (13.4%, 19/115) was higher than that in rural residents(4.5%, 9/198), the difference was statistically significant (χ(2)=11.715,P=0.001). The risk factors for commercial sex behaviors included lack of family and social support, aged 50-59 years, living in urban area, higher income and being male. The risk factors for using no condom included living in rural area, lower education level, lack of family and social support and higher income.

CONCLUSIONS:

Risk sex behaviors are still prevalent in HIV infected people aged >50 years, which exacerbated HIV transmission. Further efforts should be focused on the education about AIDS prevention and control and promoting protected sexual behaviors. Additional effort should be done to improve the family and social support for HIV infected people aged >50 years. Moreover, comprehensive intervention for low-paid female sex workers also needs to be strengthened.

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By:  Zhai J1, Niu J2, Song LJ2, Mei JY2, Xiao MY2, Luo HB2, Ma YL2, Zhang JM3, Li WH4, Yang QW5, Jia MH2.

• 1Kunming Medical University, Kunming 650000, China.
• 2AIDS/STD Department, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China.
• 3Jianshui County Center for Disease Control and Prevention, Jianshui 654300, China.
• 4Gejiu County Center for Disease Control and Prevention, Gejiu 661000, China.
• 5Mengzi County Center for Disease Control and Prevention, Mengzi 661100, China. 
• Zhonghua Liu Xing Bing Xue Za Zhi. 2016 Mar 10;37(3):371-4. doi: 10.3760/cma.j.issn.0254-6450.2016.03.016.

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