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M94A2519.TXT
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1994-10-25
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Document 2519
DOCN M94A2519
TI Are STD patients at risk for HIV infection in China?
DT 9412
AU Choi KH; Tian C; Zheng X; Hall T; Coates TJ; Center for AIDS Prevention
Studies (CAPS), University of; California, San Francisco.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):286 (abstract no. PC0067). Unique
Identifier : AIDSLINE ICA10/94370056
AB OBJECTIVE: In China, sexually transmitted diseases (STDs) are rapidly
increasing in incidence (a 215% increase from 14,000 cases in 1987 to
44,117 in 1990). However, little is known about sexual behavior and HIV
antibody test seeking among STD patients in China. METHODS: In 1993, a
consecutive sample of STD clinic patients in Beijing (N = 100) and
Guangzhou (N = 93) completed an anonymous sexual behavior questionnaire.
Of the total, 55% were female, 42% were married, 47% had less than a
high school education, and 63% were less than 30 years old (mean = 27).
Attending physicians reviewed study participants' case records on HIV
antibody testing. RESULTS: The mean age for sexual initiation was 19
(range = 13-29) and 26% had 6 or more lifetime sexual partners (median =
3; range = 1-40). One third had provided sex for money and 23% had paid
money for sex. In the past year, 88% had more than one partner; a
majority (76%) were engaged in vaginal intercourse, but some were also
engaged in anal (16%) or oral sex (8%). Despite their high risk
behaviors, condom use was extremely low. Among those in a primary sexual
relationship in the past year, 40% never used condoms during vaginal
sex, 51% used them sometimes, and 9% always used them; 74% never used
condoms during anal sex, 26% used them sometimes, and none consistently
used them; and 87% never used condoms during oral sex, 11% used them
sometimes, and none always used them. Condom use was less frequent with
casual relative to primary sexual partners in the past year (57%
non-use, 33% inconsistent use, and 10% consistent use during vaginal
sex; 88% non-use, 12% inconsistent use, and 0% consistent use during
anal sex; 89% non-use, 11% inconsistent use, and 0% consistent use
during oral sex). Of the 121 patients tested for HIV antibodies, no one
was positive. However, 37% of the sample (7% in Beijing and 63% in
Guangzhou) still had not received HIV screening tests. CONCLUSIONS: Our
preliminary data strongly suggest that (1) HIV would spread rapidly
among STD patients in China should the HIV infection rate in this
population increase and (2) there is a need to monitor HIV infection and
to promote condoms among STD patients and their sexual partners.
DE Adolescence Adult China Female Human HIV Infections/*TRANSMISSION
Male Risk Factors Sex Behavior Sexually Transmitted
Diseases/*TRANSMISSION MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).