Treatment-seeking behaviour and barriers to service access for sexually transmitted diseases among men who have sex with men in China:a multicentre cross-sectional survey

作     者：Jun-Jie Xu Yan-Qiu Yu Qing-Hai Hu Hong-Jing Yan Zhe Wang Lin Lu Ming-Hua Zhuang Xi Chen Ji-Hua Fu Wei-Ming Tang Wen-Qing Geng Yong-Jun Jiang Hong Shang 

作者机构：Key Laboratory of AIDS Immunology of National Health and Family Planning CommissionDepartment of Laboratory MedicineThe First Affiliated HospitalChina Medical UniversityShenyangChina Collaborative Innovation Center for Diagnosis and Treatment of Infectious DiseasesHangzhouChina Jiangsu Provincial Centers for Disease Control and PreventionNanjingChina He’nan Provincial Centers for Disease Control and PreventionZhengzhouChina Yunnan Provincial Centers for Disease Control and PreventionKunmingChina Shanghai Municipal Centers for Disease Control and PreventionShanghaiChina Hu’nan Provincial Centers for Disease Control and PreventionChangshaChina Shandong Provincial Centers for Disease Control and PreventionJinanChina University of North Carolina Project-ChinaGuangzhouChina 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2017年第6卷第1期

页      面：118-127页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

基　　金：The study was supported by the Mega-Projects of national science research for the 12th 5-Year Plan(2012ZX10001-006) China-Gates Foundation Cooperation Programme(grant no.2012) Liaoning educational department research project(grant no.LZ2014038) Research project of the first hospital of CMU(grant no.FSFH1512) 

主　　题：Sexually transmitted diseases(STDs) Men who have sex with men(MSM) Treatment-seeking behaviour HIV China 

摘      要：Background:Delayed or inappropriate treatment for sexually transmitted diseases(STDs)increases the risk of HIV acquisition and may cause other harmful ***,studies on STD treatment-seeking behaviour and correlated factors in men who have sex with men(MSM)are *** information is crucial for the promotion of STD treatment-seeking behaviour and reduction of HIV transmission among Chinese ***:During 2012-2013,a multicentre cross-sectional study was conducted in 7 Chinese *** completed an interview-questionnaire and gave venous blood samples,which were then tested for antibodies to HIV,syphilis,and herpes simplex virus-2(HSV-2).MSM who tested positive for syphilis/HSV-2 or had obvious STD-related symptoms within the last 12 months were defined as suspected STD-infected ***:Of the 4496 eligible MSM who completed this survey,24.4%(1096/4496)were categorized as suspected STD-infected MSM.35.7%(391/1096)of these MSM with suspected STD infections sought STD treatment in clinics within the last 12 *** MSM who did not attend STD clinics for treatment,the prevalence of syphilis and HSV-2 was significantly higher;the HIV prevalence and incidence within this subpopulation reached as high as 14.5%and 12.2/100 person-years,*** logistic regression analysis indicated that having 7-12 years of education(vs.≤6 years;aOR,2.5;95%CI,1.0-6.1),≥13 years of education(vs.≤6 years:aOR,2.8;95%CI,1.2-7.0),monthly income500 USD(vs.≤500 USD:aOR,1.5;95%CI,1.1-2.1),obvious STD-related symptoms within last 12 months(aOR,5.3;95%CI,3.7-7.5),being HIV infected(aOR,1.7;95%CI,1.1-2.6),currently syphilis infected(aOR,0.6;95%CI,0.4-0.9)and HSV-2 infected(aOR,0.6;95%CI,0.5-0.9)were independent correlates with seeking STD treatment in clinics among Chinese ***:The high prevalence of STD infection coupled with a low proportion of individuals who exhibit appropriate treatment-seeking behaviour create a high risk of a g