Research Article

Recreational Drug Use among Chinese Men Who Have Sex with Men: A Risky Combination with Unprotected Sex for Acquiring HIV Infection

Table 4

Factors associated with HIV infection among MSM in Shenyang of China ( ).

Factors (%)Number of HIV positives (%)Univariate analysisMultivariate analysis
OR (95% CI) valueaOR (95% CI) value

Age, year
 >25385 (61.6)30 (7.8)
 ≤25240 (38.4)30 (12.5)1.7 (1.0–2.9)0.054
Residence in Liaoning Province
 Yes157 (25.1)17 (10.8)
 No468 (74.9)43 (9.2)0.8 (0.5–1.5)0.547
Ethnics
 Han100 (16.0)12 (12.0)
 Non-Han525 (84.0)48 (9.1)1.4 (0.7–2.7)0.376
Educational level
 College and above235 (37.6)26 (11.1)
 Senior high school and below390 (62.4)34 (8.7)0.8 (0.4–1.3)0.336
Marital status
 Married with females/cohabitated
 with males
155 (24.8)14 (9.0)
 Single470 (75.2)46 (9.8)1.1 (0.6–2.0)0.782
Average month income (USD)
 ≤500 452 (72.3)37 (8.2)
 >500173 (27.7)23 (13.3)1.7 (1.0–3.0)0.055
Ever selling sex to male partners
 No605 (96.8)55 (9.1)
 Yes20 (3.2)5 (25.0)3.3 (1.2–9.5)0.0253.1 (1.0–9.9)0.05
Main venue for seeking male sex partners
 Internet235 (37.6)23 (9.8)
 Bar/dance halls338 (54.1)33 (9.8)1.0 (0.6–1.7)0.675
 Park/public bath52 (8.3)4 (7.7)0.8 (0.3–2.3)0.640
Self-perceived HIV infection risk
 No risk169 (27.1)9 (5.3)
 Low risk264 (42.4)27 (10.2)2.0 (0.9–4.4)0.076
 Medium risk116 (18.6)14 (12.1)2.4 (1.0–5.8)0.045
 High risk36 (5.8)7 (19.4)4.3 (1.5–12.4)0.007
Condom using with casual male partners in the past 3 months
 Consistently used439 (70.2)39 (8.9)
 Seldom used116 (18.6)7 (6.0)0.7 (0.3–1.5)0.3250.8 (0.3–1.9)0.601
 Never used70 (11.2)14 (20.0)2.6 (1.3–5.0)0.0042.8 (1.4–5.7)<0.001
Preferred role in anal intercourse
 Mainly insertive 181 (29.0)11 (6.1)
 Mainly receptive 122 (19.5)16 (13.1)2.3 (1.0–5.2)0.039
 Receptive/insertive anal intercourse322 (51.5)33 (10.2)1.8 (0.9–3.6)0.116
Number of male sexual partners in the past 3 months
 <3361 (57.8)38 (10.5)
 ≥3264 (42.2)22 (8.3)0.8 (0.4–1.3)0.359
Ever using recreational drugs
 No480 (76.8)31 (6.5)
 Yes145 (23.2)29 (20.0)3.6 (2.1–6.3)<0.0013.5 (2.0–6.2)<0.001
Alcohol using behavior
 No181 (57.3)37 (20.4)
 Yes135 (42.7)20 (14.8)0.6 (0.3–1.6)0.649
Reported male circumcision status
 No581 (93.0)54 (9.3)
 Yes44 (7.0)6 (13.6)1.5 (0.6–3.8)0.349
Syphilis infection
 No560 (89.6)43 (7.7)
 Yes65 (10.4)17 (26.2) 4.3 (2.3–8.0)<0.0013.7 (1.9–7.2)<0.001