title: Trends of HIV and sexually transmitted infections, estimated HIV incidence, and risky sexual behaviors among gay bathhouse attendees in Taiwan: 2004-2008.
abstract: Five serial cross-sectional surveys were done at eight gay bathhouses in Taiwan to investigate the trends of HIV and sexually transmitted infections (STIs) and estimated HIV incidence between 2004 and 2008. Bathhouse attendees completed a questionnaire and tests for HIV, syphilis, hepatitis C virus, and amoebiasis. Twenty-nine (38.6%) were identified as having recent HIV-1 infections. There was a significant increase in HIV incidence, from 7.8% in 2004 to 15% in 2007 (χ(2) = 17.59, P-trend <0.001). Recreational drug use is the primary risk behavior. Comprehensive screening programs in gay bathhouses for early detection of HIV and STIs are important.
authors.affiliation: Department of Nursing, National Cheng Kung University College of Medicine, Tainan, Taiwan, ROC.
authors.forename: Nai-Ying
authors.initials: NY
authors.lastname: Ko
authors.forename: Hsin-Chun
authors.initials: HC
authors.lastname: Lee
authors.forename: Chien-Ching
authors.initials: CC
authors.lastname: Hung
authors.forename: Fan-Chen
authors.initials: FC
authors.lastname: Tseng
authors.forename: Jui-Ling
authors.initials: JL
authors.lastname: Chang
authors.forename: Nan-Yao
authors.initials: NY
authors.lastname: Lee
authors.forename: Chia-Ming
authors.initials: CM
authors.lastname: Chang
authors.forename: Meng-Ping
authors.initials: MP
authors.lastname: Lee
authors.forename: Bo-Jie
authors.initials: BJ
authors.lastname: Chen
authors.forename: Shainn-Wei
authors.initials: SW
authors.lastname: Wang
authors.forename: Wen-Chien
authors.initials: WC
authors.lastname: Ko
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control / Q000821:virology; D015528:HIV Seroprevalence; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012309:Risk-Taking; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control; D029002:Steam Bath; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology; D055815:Young Adult