Association between HIV infection and female sex workers in middle aged and old men in a city in Hubei provine, 2014 / 中华流行病学杂志

ABSTRACT

Objective To understand the HIV infection status in middle aged and old men and the association between HIV infection and female sex workers in a city in Hubei province and provide evidence for the targeted prevention and control of HIV infection.Methods Ten communities/villages were selected through stratified cluster sampling from the suburban and rural areas of the city.A total of 634 men aged ≥50 years were surveyed by using self-designed questionnaire in December,2014.Results The awareness rate of HIV/AIDS related knowledge was 13.3％ (68/513).Among the men surveyed,63.2％ (371/587) thought they couldn't be infected with HIV,9.1％ (52/573) believed that extramarital sex is acceptable,and 32.4％ (189/583) considered that commercial sexual behavior is just as well.Among the surveyed men reporting sexual behavior in the past 6 months,6.6％ (15/228) had sex with regular sexual partners,in which 63.6％ (7/11) never used condoms,21.8％(128/586) reported that some friends had commercial sexual behaviors.Among 601 men receiving HIV testing,7 were HIV positive (1.2％).The HIV detection rates among the men living at 3 communities near red light district were 4.2％ (5/119),1.1％ (1/95) and 0.5％ (1/192) respectively;while no HIV infections were found in the men living at 2 towns far away from red light district.Seventy seven of 581 men surveyed (13.2％) reported to meet visiting female sex workers and they had higher HIV positive rate (5.2％,4/77) than those without such experiences (0.6％,3/504) (P=0.007).Conclusion The middle aged and old men in this city had low awareness of HIV/AIDs related knowledge,and high-risk sexual behaviors existed among them.HIV positive rate was relatively high in this population,and HIV infection might be associated with sex service.