HIV infection, sexual behaviors, sexual networks, and drug use among rural residents in Yunnan Province, China.
This cross-sectional study examined HIV prevalence, sexual behaviors, sexual networks, and drug use among 591 participants from a rural community in Yunnan Province, China. Face-to-face interviews were conducted to collect information about sexual behavior, drug use, and sexual networks. Blood samples were collected and tested for HIV. Of the participants, 52.6% were male and 62.6% were Jingpo minority. The HIV prevalence was 5.5% overall and highest among the Jingpo minority (7.7%). Most participants were sexually experienced and 32.5% had had multiple sex partners. About 18.8% had used drugs, with the highest proportion among the Jingpo minority. HIV infection was independently correlated with drug use among males and with multiple sexual partnerships among females. A total of 336 independent sexual network components (mostly small, linear, and acyclic) were constructed. Eighty-percent were dyads involving two members and 20% involved three to 71 members. Coupled with the promotion of condom use, gender- and network-specific efforts are needed for HIV prevention targeting ethnic minorities in Yunnan.
Fu
Zhuohua
Z
Department of Epidemiology, School of Public Health, Fudan University, Shanghai, 200032, China.
He
Na
N
Duan
Song
S
Jiang
Qingwu
Q
Ye
Runhua
R
Pu
Yongcheng
Y
Zhao
Genming
G
Huang
Z Jennifer
ZJ
Wong
Frank Y
FY
D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005006:Ethnicity; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D015995:Prevalence; D012309:Risk-Taking; D012424:Rural Population / Q000706:statistics & numerical data*; D012725:Sexual Behavior; D012747:Sexual Partners; D012944:Social Support; D012959:Socioeconomic Factors; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D055815:Young Adult