is Gay good ?
HIV prevalence and influencing factors analysis of sentinel surveillance among men who have sex with men in China, 2003 – 2011.
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Men who have sex with men (MSM) have been impacted by HIV and now as an important driver of the HIV/AIDS epidemic in China. This study collected HIV sentinel surveillance system data on the MSM population to describe the characteristics and trends of the HIV epidemic among MSM in China from 2003 to 2011.
Data on HIV prevalence and risk behaviors from 2003 to 2011 were obtained from the national HIV sentinel surveillance database.
MSM sentinel surveillance data for 2011 showed that proportions of MSM who consistently used condoms during anal sex in the last six months and at last anal sex encounter were 43.3% and 74.1%, respectively. Between 2005 and 2011 there were no significant changes in the proportion of consistent condom use. The proportion of MSM who had multiple male sex partners in the last six months increased. Overall HIV prevalence over the years showed a rising trend from 0.9% in 2003 to 6.3% in 2011. The syphilis antibody positive rate was 7.8% in 2011. In addition, the proportion of MSM in heterosexual marriages was rising, AIDS awareness was also increasing, and the proportion of MSM who had taken an HIV test in the last year and was aware of the results rose. The proportion who had received intervention services in the last year stabilized.
HIV prevalence in MSM populations is rapidly and widely distributed. MSM who are in heterosexual marriages may be a bridge group transmitting HIV to their heterosexual partners. The risky sexual behavior among MSM will remain a serious and important driver of China’s AIDS epidemic over the next period of time. Intervention need to be strengthened, as does the effective implementation of measures to control AIDS and prevent it from spreading further.
Disproportionate and increasing burden of HIV infection among men who have sex with men in Slovenia: surveillance data for 1999-2008.
AIDS, Sexually Transmitted Infections and Healthcare Associated Infections Unit, Communicable Diseases Centre, National Institute of Public Health, Ljubljana, Slovenia. Irena.Klavs@ivz-rs.si
The report presents data on HIV infection among men who have sex with men (MSM) in Slovenia during 1999-2008. HIV surveillance was based on universal mandatory reporting of HIV/AIDS cases, monitoring HIV infection prevalence among sentinel populations of MSM and STI patients and selected behaviour indicators in a sentinel population of MSM. Among 48 newly diagnosed HIV cases reported for 2008, 34 were MSM. Since 1999, the annual reported rate of HIV diagnoses in MSM rose from 7.1 to 46.8 per million men aged 15-64 years (an increase of more than six times). During 1999-2008, the proportion of MSM diagnosed with AIDS within three months of HIV diagnosis declined from 60% to 21%, however, the corresponding rate per million men aged 15-64 increased from 4.3 to 9.6. During 1999-2008, HIV prevalence among male clients of STI outpatient services tested for syphilis (including a substantial proportion of MSM) increased from 0% to 3.4%, and it remained below 5% in a sentinel population of MSM in Ljubljana. In the same sentinel population of MSM, the proportion reporting HIV test last year increased from 29% in 2003 to 38% in 2008 while the proportion reporting condom use at last anal intercourse decreased from 81% in 2004 to 66% in 2008. The burden of HIV among MSM in Slovenia is disproportionately high and increasing fast. Promotion of safer sexual behaviour and HIV testing among MSM as well as positive prevention among MSM with diagnosed HIV infection are urgently needed.
[Increase in the prevalence of HIV and in associated risk behaviors in men who have sex with men: 12 years of behavioral surveillance surveys in Catalonia (Spain)].
Centre d’Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT)-ICO, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España. firstname.lastname@example.org
To describe trends in HIV prevalence, in risk behaviors associated with HIV transmission, and in knowledge and attitudes related to antiretroviral therapy (ART) among men who have sex with men (MSM) recruited in Catalonia between 1995 and 2006.
Biannual cross-sectional surveys were performed. An opportunistic sample of MSM was recruited in saunas, sex shops, bars and a cruising site in a public park. In addition, an anonymous self-administered questionnaire was sent by mail to all members of a gay and lesbian association (Coordinadora Gai-Lesbiana). Oral fluid samples were collected to determine HIV prevalence. Linear trends in proportions were assessed by the chi(2) test, stratified by age.
The overall prevalence of HIV infection increased from 8.5% (1995) to 14.1% (2006) among men aged less than 30 years old (p=0.162) and from 18.2% (1995) to 21.2% (2006) among those aged 30 years old or more (p=0.07). Consistent condom use in anal intercourse with occasional partners decreased from 72.9% to 58.7% in men aged less than 30 years old (p <0.05) and from 77.2% to 65.6% in those aged 30 years old or more (p<0.001). The proportion of men who reported they chose riskier behaviors because of ART increased from 9.2% to 19.4% in men aged less than 30 years old and from 8.3% to 16.7% in those aged 30 years old or more (p<0.05).
An increasing trend in the prevalence of HIV and associated risk behaviors was found in Catalonia among MSM. Therefore, preventive programs targeting this population should be intensified and should include new risk reduction strategies, as well as other educational messages about ART.
Copyright 2009 SESPAS. Published by Elsevier Espana. All rights reserved.
D) HIV in MSM – THE TRUTH ?
”HIV is a gay disease. Own It. End It”
These are the words at the front of a new controversial advertisement campaign dividing opinion within the gay community.
The L.A Gay and Lesbian Center has launched an extensive campaign to provoke debate within the gay community. The controversial advert hopes to highlight what they see as a vast complacency within the gay community surrounding the issue of HIV/AIDS.
The campaign includes huge billboards erected across the city as well as magazine ads and posters in West Hollywood.
The groups statement is a complete transition from years of campaigning against the stereotypical view that homosexual men are promiscuous, unsafe and most likely to become infected.
It has been argued that the campaign, whilst achieving its desired shock value will further stigmatise those gay men living with the disease.
Michael Weinstein, head of Los Angeles-based AIDS Healthcare Foundation, denied that AIDS was a “gay” disease. “It is a disease of the immune system,” he told the L.A Times .
Despite the controversy, the group insist that their campaign is supported by fact. L.A public health officials note three out of four HIV cases are the result of gay sex.
In Los Angeles, gay and bisexual men make up less than 7% of the population yet account for more than 75% of those living with HIV and AIDS.
Chief Executive Officer of L.A. Gay Lesbian Centre Lorri L. Jean said on the group website that ”we have so effectively de-coupled the epidemic from the word “gay” that most of us don’t even know the degree to which we are impacted.”
In a more light hearted manner, the groups website acknowledges that diseases cannot have sexual orientation, but insists the level to which gay men bear the brunt of the disease is enough to label the disease ‘gay’.
”Of course, gay and bisexual men are not the only people who get infected. Other historically marginalised populations are also being hit hard by the disease. But it is indisputable that in Los Angeles HIV has a hugely disproportionate affect upon gay and bisexual men of all races and ethnicities.”
The group insist they are simply being honest about the facts of HIV/AIDS in Los Angeles, and that there is absolutely no attributions of blame in the campaign.