Field Epidemiology
HIV prevalence and correlated factors on male clients of female sex workers in Hekou Yao autonomous county of Yunnan province, 2014-2015
Jing Zhu, Dashuai Lian, Yueqi Yin, Dan Hu, Ning Wang, Lusi Chen, Bei Wang
Published 2019-04-10
Cite as Chin J Epidemiol, 2019, 40(4): 440-445. DOI: 10.3760/cma.j.issn.0254-6450.2019.04.013
Abstract
ObjectiveTo assess the prevalence and related factors of HIV infection among male clients of the female sex workers in Hekou Yao autonomous county of Honghe Hani Yi autonomous prefecture (Hekou county) in Yunnan province in China, 2014-2015.
MethodsSerial cross-sectional survey was conducted during June 2014 to November 2015. Convenience sampling methods were used to recruit the male clients for this study. Self-reported information on social-demographic characteristics, with sexual and drug behavior patterns, was gathered. Both blood and urine samples were collected for HIV, with for opiate testing. Multivariate logistic regression and Exhaustive CHAID method were used to determine the correlated factors associated with HIV infection. Statistical analysis was used by SPSS 22.0 software and Clementine 12.0 software.
ResultsThe overall HIV prevalence of male clients was 2.06% (16/776). Male clients who keep using condom with female sex worker was estimated as 68.81% (534/776). The last commercial sexual partner of Vietnamese male clients was all Vietnamese female sex workers. Compared with Chinese male clients, Vietnamese male clients have a higher rate of morphine positive. Factors as: age ≥50 years vs. age <30 years (OR=8.11, 95%CI: 1.26-52.16) and testing for morphine positive vs. morphine negative (OR=7.35, 95%CI: 1.42-38.06) were significantly associated with HIV infection through multiple logistic regression analysis. Through Exhaustive CHAID, it confirmed that age was the primary factor that associated with HIV infection of male clients.
ConclusionsRelationship between morphine and HIV infection indicated that HIV prevalence of male clients in Hekou county was influenced by the combined effect of both illegal drug use and commercial sexual behavior. Special attention should be paid to male clients over 50 years of age, on HIV intervention.
Key words:
HIV; Male clients; Commercial sex
Contributor Information
Jing Zhu
School of Public Health, Southeast University, Nanjing 210009, China
Dashuai Lian
School of Public Health, Southeast University, Nanjing 210009, China
Yueqi Yin
School of Public Health, Southeast University, Nanjing 210009, China
Dan Hu
School of Health Policy and Management, Nanjing Medical University, Nanjing 211116, China
Ning Wang
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Lusi Chen
School of Public Health, Southeast University, Nanjing 210009, China
Bei Wang
School of Public Health, Southeast University, Nanjing 210009, China
