title: HIV incidence and predictors associated with retention in a cohort of men who have sex with men in Yangzhou, Jiangsu Province, China.
abstract: BACKGROUND
  The study was to investigate the incidence of HIV-1 and related factors, as well as predictors associated with retention in a cohort study among men who have sex with men (MSM) in Yangzhou, Jiangsu Province, China. A carefully designed 12-month prospective cohort study was conducted.
  
  
  RESULTS
  A total of 278 sero-negative MSM were recruited and followed up for 12 months starting from May, 2008. Participants were tested for HIV-1 at baseline, 6-month, and 12-month follow-up visits. Questionnaire interviews were conducted to collect information. The retention rate and HIV incidence were analyzed as functions of demographic and behavioral variables. Risk factors were identified by estimating the relative risks (RR) and respective 95% confidence intervals (CI) using a Poisson regression model, univariate and multivariate analyses and risk factors analyses. 71 (25.5%) and 45 (16.2%) of the 278 participants were retained at the 6-month and 12-month follow-up visits respectively. The incidence rates of HIV-1 were 5.65 and 6.67 per 100 person years (PY) respectively. Both having received condoms and having received lubricant were negatively associated with HIV sero-conversion at the 12 months' follow-up. Predictors associated with 12-month retention rate include Yangzhou residency (RR=0.471, 95%CI: 0.275~0.807, P=0.006), having received condoms (RR=0.065, 95%CI: 0.007~0.572, P=0.014), and having received VCTs (RR=0.093, 95%CI: 0.010~0.818, P=0.032).
  
  
  CONCLUSIONS
  The incidence of HIV-1 among MSM in Yangzhou is relatively high and effective interventions are needed urgently. More attention should be focused on maintaining a higher retention rate.
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, China.
authors.forename: Zhihang
authors.initials: Z
authors.lastname: Peng
authors.forename: Haitao
authors.initials: H
authors.lastname: Yang
authors.forename: Jessie
authors.initials: J
authors.lastname: Norris
authors.forename: Xin
authors.initials: X
authors.lastname: Chen
authors.forename: Xiping
authors.initials: X
authors.lastname: Huan
authors.forename: Rongbin
authors.initials: R
authors.lastname: Yu
authors.forename: Ning
authors.initials: N
authors.lastname: Wang
authors.forename: Hongbing
authors.initials: H
authors.lastname: Shen
authors.forename: Feng
authors.initials: F
authors.lastname: Chen
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D015331:Cohort Studies; D005500:Follow-Up Studies; D015658:HIV Infections / Q000453:epidemiology*; D018451:Homosexuality, Male; D006801:Humans; D015994:Incidence; D008297:Male; D012307:Risk Factors; D055815:Young Adult