title: [Change trend of HIV/AIDS related risk factors and influencing factors among men who have sex with men in Yunnan, 2010-2013].
abstract: OBJECTIVE
  To understand the change trend of the awareness rate of HIV/AIDS related knowledge, risk behaviors among men who have sex with men (MSM) in Yunnan and the factors influencing their condom use, and evaluate the effect of comprehensive intervention.
  
  
  METHODS
  The data about the MSM's demographic information, HIV/AIDS related knowledge awareness, and sex behavior, condom use, drug use and intervention receiving were obtained from AIDS sentinel surveillance among MSM in Yunnan province during 2010-2013 to conduct change trend and influencing factor analysis.
  
  
  RESULTS
  A total of 9 073 MSM were surveyed. The awareness rate of the HIV/AIDS related knowledge, homosexual behavior and condom use rate increased year by year (P < 0.01). The condom use rate was lower in heterosexual behavior, and the drug use rate and sexually transmitted disease prevalence declined with year (P < 0.01). Multivariate logistic regression analysis indicated that cohabiting, low awareness of HIV/AIDS related knowledge, being from other provinces, local residence for <1 year, low education level, receiving no intervention, frequent anal sex and receiving no HIV/AIDS detection were the risk factors influencing persistent condom use among MSM.
  
  
  CONCLUSIONS
  The effect of HIV/AIDS comprehensive intervention was observed after 4 years implantation, but most of the index were at low level. More attention should be paid to the intervention among MSM with cohabiting habit, low education level, frequent anal sex, and heterosexual sex. It is necessary to expand intervention coverage, strengthen HIV test and promote condom use among MSM.
authors.affiliation: Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China.
authors.forename: Lijun
authors.initials: L
authors.lastname: Song
authors.affiliation: Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China.
authors.forename: Jingyuan
authors.initials: J
authors.lastname: Mei
authors.affiliation: Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China.
authors.forename: Jiyun
authors.initials: J
authors.lastname: Lu
authors.affiliation: Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China.
authors.forename: Liru
authors.initials: L
authors.lastname: Fu
authors.affiliation: Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China.
authors.forename: Xuehua
authors.initials: X
authors.lastname: Li
authors.affiliation: Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China.
authors.forename: Jin
authors.initials: J
authors.lastname: Niu
authors.affiliation: Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China.
authors.forename: Minyang
authors.initials: M
authors.lastname: Xiao
authors.affiliation: Kunming Medical University.
authors.forename: Zuyang
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China.
authors.forename: Ran
authors.initials: R
authors.lastname: Lu
authors.affiliation: Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China. Email: luo716@163.com.
authors.forename: Hongbing
authors.initials: H
authors.lastname: Luo
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology*; D002681:China / Q000453:epidemiology; D003141:Communicable Diseases; D003625:Data Collection; D015658:HIV Infections; D006184:Habits; D020010:Heterosexuality; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008403:Mass Screening; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D021841:Safe Sex; D018571:Sentinel Surveillance; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases