Disparities and risks of sexually transmissible infections among men who have sex with men in China: a meta-analysis and data synthesis
Sexually transmitted infections (STIs), including Hepatitis B and C virus, are emerging public health risks in China, especially among men who have sex with men (MSM). This study aims to assess the magnitude and risks of STIs among Chinese MSM. Chinese and English peer-reviewed articles were searche...
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| description | Sexually transmitted infections (STIs), including Hepatitis B and C virus, are emerging public health risks in China, especially among men who have sex with men (MSM). This study aims to assess the magnitude and risks of STIs among Chinese MSM.
Chinese and English peer-reviewed articles were searched in five electronic databases from January 2000 to February 2013. Pooled prevalence estimates for each STI infection were calculated using meta-analysis. Infection risks of STIs in MSM, HIV-positive MSM and male sex workers (MSW) were obtained. This review followed the PRISMA guidelines and was registered in PROSPERO.
Eighty-eight articles (11 in English and 77 in Chinese) investigating 35,203 MSM in 28 provinces were included in this review. The prevalence levels of STIs among MSM were 6.3% (95% CI: 3.5-11.0%) for chlamydia, 1.5% (0.7-2.9%) for genital wart, 1.9% (1.3-2.7%) for gonorrhoea, 8.9% (7.8-10.2%) for hepatitis B (HBV), 1.2% (1.0-1.6%) for hepatitis C (HCV), 66.3% (57.4-74.1%) for human papillomavirus (HPV), 10.6% (6.2-17.6%) for herpes simplex virus (HSV-2) and 4.3% (3.2-5.8%) for Ureaplasma urealyticum. HIV-positive MSM have consistently higher odds of all these infections than the broader MSM population. As a subgroup of MSM, MSW were 2.5 (1.4-4.7), 5.7 (2.7-12.3), and 2.2 (1.4-3.7) times more likely to be infected with chlamydia, gonorrhoea and HCV than the broader MSM population, respectively.
Prevalence levels of STIs among MSW were significantly higher than the broader MSM population. Co-infection of HIV and STIs were prevalent among Chinese MSM. Integration of HIV and STIs healthcare and surveillance systems is essential in providing effective HIV/STIs preventive measures and treatments.
PROSPERO NO: CRD42013003721. |
| doi_str_mv | 10.1371/journal.pone.0089959 |
| format | Article |
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Chinese and English peer-reviewed articles were searched in five electronic databases from January 2000 to February 2013. Pooled prevalence estimates for each STI infection were calculated using meta-analysis. Infection risks of STIs in MSM, HIV-positive MSM and male sex workers (MSW) were obtained. This review followed the PRISMA guidelines and was registered in PROSPERO.
Eighty-eight articles (11 in English and 77 in Chinese) investigating 35,203 MSM in 28 provinces were included in this review. The prevalence levels of STIs among MSM were 6.3% (95% CI: 3.5-11.0%) for chlamydia, 1.5% (0.7-2.9%) for genital wart, 1.9% (1.3-2.7%) for gonorrhoea, 8.9% (7.8-10.2%) for hepatitis B (HBV), 1.2% (1.0-1.6%) for hepatitis C (HCV), 66.3% (57.4-74.1%) for human papillomavirus (HPV), 10.6% (6.2-17.6%) for herpes simplex virus (HSV-2) and 4.3% (3.2-5.8%) for Ureaplasma urealyticum. HIV-positive MSM have consistently higher odds of all these infections than the broader MSM population. As a subgroup of MSM, MSW were 2.5 (1.4-4.7), 5.7 (2.7-12.3), and 2.2 (1.4-3.7) times more likely to be infected with chlamydia, gonorrhoea and HCV than the broader MSM population, respectively.
Prevalence levels of STIs among MSW were significantly higher than the broader MSM population. Co-infection of HIV and STIs were prevalent among Chinese MSM. Integration of HIV and STIs healthcare and surveillance systems is essential in providing effective HIV/STIs preventive measures and treatments.
PROSPERO NO: CRD42013003721.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0089959</identifier><identifier>PMID: 24587152</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; AIDS ; Biology ; China - epidemiology ; Chlamydia ; Coinfection - epidemiology ; Condoms ; Condyloma acuminatum ; Data processing ; Disease transmission ; Epidemics ; Health care ; Health risks ; Hepatitis ; Hepatitis B ; Hepatitis B virus ; Hepatitis C ; Hepatitis C virus ; Herpes simplex ; HIV ; HIV Infections - epidemiology ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Human papillomavirus ; Humans ; Infection ; Infections ; Male ; Medical research ; Medicine ; Men ; Meta-analysis ; Occupational health ; Odds Ratio ; Papillomavirus infections ; Prevalence ; Preventive medicine ; Prospero protein ; Prostitution ; Public health ; Reviews ; Risk Assessment ; Risk factors ; Sex ; Sex oriented businesses ; Sex Workers - statistics & numerical data ; Sexually transmitted diseases ; Sexually Transmitted Diseases - epidemiology ; Sexually Transmitted Diseases - microbiology ; Sexually Transmitted Diseases - virology ; STD ; Studies ; Surveillance systems ; System effectiveness ; Viruses ; Workers</subject><ispartof>PloS one, 2014-02, Vol.9 (2), p.e89959-e89959</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Chow et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Chow et al 2014 Chow et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-1ea9efca09a9d10968e824952928787c1b7300da63d65f879844ecafa526c4673</citedby><cites>FETCH-LOGICAL-c692t-1ea9efca09a9d10968e824952928787c1b7300da63d65f879844ecafa526c4673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3933676/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3933676/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24587152$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chow, Eric P F</creatorcontrib><creatorcontrib>Tucker, Joseph D</creatorcontrib><creatorcontrib>Wong, Frank Y</creatorcontrib><creatorcontrib>Nehl, Eric J</creatorcontrib><creatorcontrib>Wang, Yanjie</creatorcontrib><creatorcontrib>Zhuang, Xun</creatorcontrib><creatorcontrib>Zhang, Lei</creatorcontrib><title>Disparities and risks of sexually transmissible infections among men who have sex with men in China: a meta-analysis and data synthesis</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Sexually transmitted infections (STIs), including Hepatitis B and C virus, are emerging public health risks in China, especially among men who have sex with men (MSM). This study aims to assess the magnitude and risks of STIs among Chinese MSM.
Chinese and English peer-reviewed articles were searched in five electronic databases from January 2000 to February 2013. Pooled prevalence estimates for each STI infection were calculated using meta-analysis. Infection risks of STIs in MSM, HIV-positive MSM and male sex workers (MSW) were obtained. This review followed the PRISMA guidelines and was registered in PROSPERO.
Eighty-eight articles (11 in English and 77 in Chinese) investigating 35,203 MSM in 28 provinces were included in this review. The prevalence levels of STIs among MSM were 6.3% (95% CI: 3.5-11.0%) for chlamydia, 1.5% (0.7-2.9%) for genital wart, 1.9% (1.3-2.7%) for gonorrhoea, 8.9% (7.8-10.2%) for hepatitis B (HBV), 1.2% (1.0-1.6%) for hepatitis C (HCV), 66.3% (57.4-74.1%) for human papillomavirus (HPV), 10.6% (6.2-17.6%) for herpes simplex virus (HSV-2) and 4.3% (3.2-5.8%) for Ureaplasma urealyticum. HIV-positive MSM have consistently higher odds of all these infections than the broader MSM population. As a subgroup of MSM, MSW were 2.5 (1.4-4.7), 5.7 (2.7-12.3), and 2.2 (1.4-3.7) times more likely to be infected with chlamydia, gonorrhoea and HCV than the broader MSM population, respectively.
Prevalence levels of STIs among MSW were significantly higher than the broader MSM population. Co-infection of HIV and STIs were prevalent among Chinese MSM. Integration of HIV and STIs healthcare and surveillance systems is essential in providing effective HIV/STIs preventive measures and treatments.
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statistics & numerical data</subject><subject>Sexually transmitted diseases</subject><subject>Sexually Transmitted Diseases - epidemiology</subject><subject>Sexually Transmitted Diseases - microbiology</subject><subject>Sexually Transmitted Diseases - virology</subject><subject>STD</subject><subject>Studies</subject><subject>Surveillance systems</subject><subject>System effectiveness</subject><subject>Viruses</subject><subject>Workers</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9tu1DAQhiMEoqXwBggsISG42MWHxIm5QKrKaaVKlTjdWhPH2XjJ2tvYabtPwGvj7KbVBvUC5cLx-Jt_xjOeJHlO8JywnLxbub6z0M43zuo5xoUQmXiQHBPB6IxTzB4e_B8lT7xfYZyxgvPHyRFNsyInGT1O_nw0fgOdCUZ7BLZCnfG_PXI18vqmh7bdotCB9WvjvSlbjYyttQrG2YivnV2itbbounGogSs9OKFrE5qd1Vh01hgL7xHEfYAZxHy33uwDVRAA-a0NjY6mp8mjGlqvn43rSfLz86cfZ19n5xdfFmen5zPFBQ0zokHoWgEWICqCBS90QVORUUGLvMgVKXOGcQWcVTyri1wUaaoV1JBRrlKes5Pk5V530zovxxp6STJMOEkJLyKx2BOVg5XcdGYN3VY6MHJncN1SQheMarVkRCuKY_hKiZRmFKAuq5JxVooM15RHrQ9jtL5c60ppG4vZTkSnJ9Y0cumuJBOM8XwQeDMKdO6y1z7I2Ail2xasdv0u75g0zrIh71f_oPffbqSWEC8Qm-liXDWIytM0VlCkJCeRmt9Dxa_Sa6Pig6tNtE8c3k4cIhP0TVhC771cfP_2_-zFryn7-oBtNLSh8a7tdw9wCqZ7UHXO-07Xd0UmWA7zclsNOcyLHOclur04bNCd0-2AsL_xOBEn</recordid><startdate>20140224</startdate><enddate>20140224</enddate><creator>Chow, Eric P F</creator><creator>Tucker, Joseph D</creator><creator>Wong, Frank Y</creator><creator>Nehl, Eric J</creator><creator>Wang, Yanjie</creator><creator>Zhuang, Xun</creator><creator>Zhang, Lei</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20140224</creationdate><title>Disparities and risks of sexually transmissible infections among men who have sex with men in China: a meta-analysis and data synthesis</title><author>Chow, Eric P F ; Tucker, Joseph D ; Wong, Frank Y ; Nehl, Eric J ; Wang, Yanjie ; Zhuang, Xun ; Zhang, Lei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-1ea9efca09a9d10968e824952928787c1b7300da63d65f879844ecafa526c4673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>AIDS</topic><topic>Biology</topic><topic>China - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chow, Eric P F</au><au>Tucker, Joseph D</au><au>Wong, Frank Y</au><au>Nehl, Eric J</au><au>Wang, Yanjie</au><au>Zhuang, Xun</au><au>Zhang, Lei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disparities and risks of sexually transmissible infections among men who have sex with men in China: a meta-analysis and data synthesis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-02-24</date><risdate>2014</risdate><volume>9</volume><issue>2</issue><spage>e89959</spage><epage>e89959</epage><pages>e89959-e89959</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Sexually transmitted infections (STIs), including Hepatitis B and C virus, are emerging public health risks in China, especially among men who have sex with men (MSM). This study aims to assess the magnitude and risks of STIs among Chinese MSM.
Chinese and English peer-reviewed articles were searched in five electronic databases from January 2000 to February 2013. Pooled prevalence estimates for each STI infection were calculated using meta-analysis. Infection risks of STIs in MSM, HIV-positive MSM and male sex workers (MSW) were obtained. This review followed the PRISMA guidelines and was registered in PROSPERO.
Eighty-eight articles (11 in English and 77 in Chinese) investigating 35,203 MSM in 28 provinces were included in this review. The prevalence levels of STIs among MSM were 6.3% (95% CI: 3.5-11.0%) for chlamydia, 1.5% (0.7-2.9%) for genital wart, 1.9% (1.3-2.7%) for gonorrhoea, 8.9% (7.8-10.2%) for hepatitis B (HBV), 1.2% (1.0-1.6%) for hepatitis C (HCV), 66.3% (57.4-74.1%) for human papillomavirus (HPV), 10.6% (6.2-17.6%) for herpes simplex virus (HSV-2) and 4.3% (3.2-5.8%) for Ureaplasma urealyticum. HIV-positive MSM have consistently higher odds of all these infections than the broader MSM population. As a subgroup of MSM, MSW were 2.5 (1.4-4.7), 5.7 (2.7-12.3), and 2.2 (1.4-3.7) times more likely to be infected with chlamydia, gonorrhoea and HCV than the broader MSM population, respectively.
Prevalence levels of STIs among MSW were significantly higher than the broader MSM population. Co-infection of HIV and STIs were prevalent among Chinese MSM. Integration of HIV and STIs healthcare and surveillance systems is essential in providing effective HIV/STIs preventive measures and treatments.
PROSPERO NO: CRD42013003721.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24587152</pmid><doi>10.1371/journal.pone.0089959</doi><tpages>e89959</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2014-02, Vol.9 (2), p.e89959-e89959 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1501614168 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Acquired immune deficiency syndrome AIDS Biology China - epidemiology Chlamydia Coinfection - epidemiology Condoms Condyloma acuminatum Data processing Disease transmission Epidemics Health care Health risks Hepatitis Hepatitis B Hepatitis B virus Hepatitis C Hepatitis C virus Herpes simplex HIV HIV Infections - epidemiology Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Human papillomavirus Humans Infection Infections Male Medical research Medicine Men Meta-analysis Occupational health Odds Ratio Papillomavirus infections Prevalence Preventive medicine Prospero protein Prostitution Public health Reviews Risk Assessment Risk factors Sex Sex oriented businesses Sex Workers - statistics & numerical data Sexually transmitted diseases Sexually Transmitted Diseases - epidemiology Sexually Transmitted Diseases - microbiology Sexually Transmitted Diseases - virology STD Studies Surveillance systems System effectiveness Viruses Workers |
| title | Disparities and risks of sexually transmissible infections among men who have sex with men in China: a meta-analysis and data synthesis |
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