title: Factors of the HIV Transmission in Men Who Have Sex with Men in Suizhou City from 2009 to 2013.
abstract: BACKGROUND
  The primary transmission of human immunodeficiency virus (HIV) has been recently changing worldwide. In China, HIV transmission through heterosexual contact remains the predominant mode, but the prevalence of men who have sex with men (MSM) has been increasing.
  
  
  OBJECTIVE
  This article investigated the overall epidemic trend and associated high-risk behavior among MSM in Suizhou City and explored the government's responses to the epidemic.
  
  
  METHODS
  We conducted yearly cross-sectional behavioral surveillance surveys among MSM in Suizhou City from 2009 to 2013. Participation was anonymous and self-completed. Recruitment methods were consistently applied in each survey.
  
  
  METHODS
  Semi-structured questionnaire surveys and yearly work summaries were conducted.
  
  
  RESULTS
  Most of the MSM groups in Suizhou City were young adults (P < 0.05), well educated (P < 0.05), and married (P < 0.05). Two years after our interventions, we found an increasing trend of condom use during anal sex (P < 0.05), as well as commercial sex trade (P < 0.05).
  
  
  CONCLUSIONS
  HIV continues to spread rapidly among MSM in Suizhou City. The high-risk behavior among MSM remains a hindrance to HIV prevention. Innovative intervention approaches are essential for HIV surveillance and prevention among MSM in Suizhou City. Yang F, Shi X, He W, Wu S, Wang J, Zhao K, Yuan H, Martin K, and Zhang H. Factors of the HIV transmission in men who have sex with men in Suizhou City from 2009 to 2013. Sex Med 2015;3:24-31.
authors.affiliation: Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology Wuhan, Hubei, China.
authors.forename: Fan
authors.initials: F
authors.lastname: Yang
authors.affiliation: Centers for Disease Control and Prevention Suizhou, Hubei, China.
authors.forename: Xiuye
authors.initials: X
authors.lastname: Shi
authors.affiliation: Centers for Disease Control and Prevention Suizhou, Hubei, China.
authors.forename: Weihua
authors.initials: W
authors.lastname: He
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology Wuhan, Hubei, China.
authors.forename: Songjie
authors.initials: S
authors.lastname: Wu
authors.affiliation: Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology Wuhan, Hubei, China.
authors.forename: Jiaojiao
authors.initials: J
authors.lastname: Wang
authors.affiliation: Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology Wuhan, Hubei, China.
authors.forename: Kai
authors.initials: K
authors.lastname: Zhao
authors.affiliation: Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology Wuhan, Hubei, China.
authors.forename: Hongfang
authors.initials: H
authors.lastname: Yuan
authors.affiliation: Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology Wuhan, Hubei, China.
authors.forename: Kuete
authors.initials: K
authors.lastname: Martin
authors.affiliation: Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology Wuhan, Hubei, China.
authors.forename: Huiping
authors.initials: H
authors.lastname: Zhang
keywords: Anal Intercourse with Male; Condom Usage; HIV; High-risk behavior; Intervention; MSM
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