{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T17:02:05Z","timestamp":1772557325146,"version":"3.50.1"},"reference-count":72,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Key Laboratory Program of Liaoning Education Department","award":["LZ2014038"],"award-info":[{"award-number":["LZ2014038"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p><jats:italic>Objectives<\/jats:italic>. To understand the current risk of HIV infection and transmission and further elucidate the underlying risk factors among men who have sex with men and women (MSMW) in China.<jats:italic>Methods<\/jats:italic>. Following PRISMA guidelines, we conducted a systematic review and meta-analysis of searching through Chinese and English available literature databases between January 2000 and June 2014 to identify articles.<jats:italic>Results<\/jats:italic>. Thirty-six articles (including 19,730 MSMW and 53,536 MSMO) met the selection criteria and the aggregated results found that MSMW have significantly higher HIV prevalence than MSMO (6.6% versus 5.4%, OR = 1.27, 95% CI = 1.01\u20131.58). A higher proportion of MSMW had commercial male partners in the past 6 months (18.3% versus 12.2%, OR = 1.56, 95% CI = 1.01\u20132.42). Additionally, substance use in the past 6 months was significantly more frequent among MSMW than MSMO (alcohol use: 27.1% versus 13.1%, OR = 2.53, 95% CI = 2.14\u20132.99; illicit drug use: 5.3% versus 2.5%, OR = 2.09, 95% CI = 1.48\u20132.95).<jats:italic>Conclusion<\/jats:italic>. A higher proportion of commercial sex and substance use among MSMW may be a potentially indicative factor for significantly higher HIV prevalence compared to MSMO. Targeted interventions should aim at increasing the frequency of HIV\/STIs screening and preventing high risk commercial sex and substance use among MSMW to decrease their HIV transmission to the general population.<\/jats:p>","DOI":"10.1155\/2015\/850132","type":"journal-article","created":{"date-parts":[[2015,12,9]],"date-time":"2015-12-09T17:11:40Z","timestamp":1449681100000},"page":"1-12","source":"Crossref","is-referenced-by-count":18,"title":["Sexual Risk Behaviors and HIV Infection among Men Who Have Sex with Men and Women in China: Evidence from a Systematic Review and Meta-Analysis"],"prefix":"10.1155","volume":"2015","author":[{"given":"Hong-Yi","family":"Wang","sequence":"first","affiliation":[{"name":"Key Laboratory of AIDS Immunology of National Health and Family Planning Commission, Department of Laboratory Medicine, The First Affiliated Hospital, China Medical University, Shenyang 110001, China"},{"name":"Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou 310000, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun-Jie","family":"Xu","sequence":"additional","affiliation":[{"name":"Key Laboratory of AIDS Immunology of National Health and Family Planning Commission, Department of Laboratory Medicine, The First Affiliated Hospital, China Medical University, Shenyang 110001, China"},{"name":"Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou 310000, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua-Chun","family":"Zou","sequence":"additional","affiliation":[{"name":"Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen Heather","family":"Reilly","sequence":"additional","affiliation":[{"name":"National Center for AIDS\/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christiana Meng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine, 3900 Reservoir Road Northwest, Washington, DC 20007, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ke","family":"Yun","sequence":"additional","affiliation":[{"name":"Key Laboratory of AIDS Immunology of National Health and Family Planning Commission, Department of Laboratory Medicine, The First Affiliated Hospital, China Medical University, Shenyang 110001, China"},{"name":"Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou 310000, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong-Ze","family":"Li","sequence":"additional","affiliation":[{"name":"Key Laboratory of AIDS Immunology of National Health and Family Planning Commission, Department of Laboratory Medicine, The First Affiliated Hospital, China Medical University, Shenyang 110001, China"},{"name":"Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou 310000, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong-Jun","family":"Jiang","sequence":"additional","affiliation":[{"name":"Key Laboratory of AIDS Immunology of National Health and Family Planning Commission, Department of Laboratory Medicine, The First Affiliated Hospital, China Medical University, Shenyang 110001, China"},{"name":"Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou 310000, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Qing","family":"Geng","sequence":"additional","affiliation":[{"name":"Key Laboratory of AIDS Immunology of National Health and Family Planning Commission, Department of Laboratory Medicine, The First Affiliated Hospital, China Medical University, Shenyang 110001, China"},{"name":"Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou 310000, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong","family":"Shang","sequence":"additional","affiliation":[{"name":"Key Laboratory of AIDS Immunology of National Health and Family Planning Commission, Department of Laboratory Medicine, The First Affiliated Hospital, China Medical University, Shenyang 110001, China"},{"name":"Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou 310000, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ning","family":"Wang","sequence":"additional","affiliation":[{"name":"Key Laboratory of AIDS Immunology of National Health and Family Planning Commission, Department of Laboratory Medicine, The First Affiliated Hospital, China Medical University, Shenyang 110001, China"},{"name":"Georgetown University School of Medicine, 3900 Reservoir Road Northwest, Washington, DC 20007, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","year":"2012"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/620431"},{"key":"3","year":"2011"},{"issue":"12","key":"4","first-page":"885","volume":"20","year":"2014","journal-title":"Chinese Journal of AIDS & STD"},{"key":"5","year":"2010"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000074"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1038\/485576a"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/qai.0b013e3181a4f53e"},{"issue":"10","key":"9","first-page":"1031","volume":"33","year":"2012","journal-title":"Zhonghua Liu Xing Bing Xue Za Zhi"},{"issue":"8","key":"10","first-page":"6","volume":"17","year":"2008","journal-title":"The Chinese Journal of Human Sexuality"},{"issue":"11","key":"11","first-page":"2131","volume":"7","year":"2007","journal-title":"China Tropical Medicine"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-11-242"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200201000-00007"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1097\/qad.0b013e3283372d90"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit210"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2011-050079"},{"key":"17","volume":"62","year":"2009","journal-title":"Journal of Clinical Epidemiology"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-3-54"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1186\/1742-7622-5-23"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2002.00197.x"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/143738"},{"issue":"2","key":"23","first-page":"128","volume":"48","year":"2014","journal-title":"Chinese Journal of Preventive Medicine"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-014-0735-x"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0058440"},{"key":"26","first-page":"1166","volume":"20","year":"2013","journal-title":"Pratical Preventive Medicine"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2012.701714"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2013.0161"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-13-549"},{"key":"30","first-page":"62","volume":"24","year":"2013","journal-title":"Journal of Preventive Medicine & Public Health"},{"key":"31","first-page":"375","volume":"41","year":"2012","journal-title":"Acta Medicinae Universitatis Scientiae et Technologiae Huazhong"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0037211"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyr182"},{"issue":"4","key":"34","first-page":"324","volume":"46","year":"2012","journal-title":"Chinese journal of Preventive Medicine"},{"key":"35","first-page":"586","volume":"16","year":"2012","journal-title":"Chinese Journal of Disease Control and Prevention"},{"key":"36","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2011.613914"},{"issue":"5","key":"37","first-page":"488","volume":"33","year":"2012","journal-title":"Chinese Journal of Epidemiology"},{"key":"39","first-page":"2081","volume":"18","year":"2011","journal-title":"Practical Preventive Medicine"},{"issue":"11","key":"40","first-page":"971","volume":"45","year":"2011","journal-title":"Chinese Journal of Preventive Medicine"},{"key":"41","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2010.0371"},{"issue":"12","key":"42","first-page":"954","volume":"25","year":"2011","journal-title":"The Chinese Journal of Dermatovenereology"},{"key":"43","volume":"26","year":"2010","journal-title":"J Prev Med Inf"},{"key":"44","doi-asserted-by":"publisher","DOI":"10.1097\/olq.0b013e3181d13eed"},{"issue":"11","key":"45","first-page":"975","volume":"44","year":"2010","journal-title":"Chinese Journal of Preventive Medicine"},{"key":"46","doi-asserted-by":"publisher","DOI":"10.1097\/qai.0b013e3181c7dd16"},{"key":"47","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-009-9567-5"},{"issue":"9","key":"48","first-page":"882","volume":"30","year":"2009","journal-title":"Chinese Journal of Epidemiology"},{"key":"49","doi-asserted-by":"publisher","DOI":"10.1097\/olq.0b013e318164467f"},{"issue":"2","key":"50","first-page":"16","volume":"34","year":"2008","journal-title":"South China Journal of Preventive Medicine"},{"key":"52","first-page":"123","volume":"13","year":"2007","journal-title":"Chinese Journal of AIDS & STD"},{"key":"53","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000253336.64324.ef"},{"key":"56","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/563517"},{"key":"57","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0087139"},{"issue":"8","key":"58","first-page":"1123","year":"2014","journal-title":"Guangxi Medical Journal"},{"key":"59","doi-asserted-by":"publisher","DOI":"10.1186\/1758-2652-13-s2-s7"},{"issue":"6","key":"60","first-page":"680","volume":"13","year":"2013","journal-title":"China Tropical Medicine"},{"key":"61","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-011-9978-y"},{"key":"62","doi-asserted-by":"publisher","DOI":"10.3109\/10826084.2014.962048"},{"key":"63","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-012-0380-1"},{"key":"64","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-010-9808-7"},{"key":"65","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2009.035808"},{"key":"66","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2013.735938"},{"key":"67","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2009.040162"},{"key":"68","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2009.038216"},{"key":"69","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0061972"},{"key":"70","first-page":"541","volume":"14","year":"2008","journal-title":"Chinese Journal of AIDS & STD"},{"key":"71","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-006-9125-3"},{"key":"72","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.16.1.19.27721"},{"key":"73","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1105243"},{"key":"74","doi-asserted-by":"publisher","DOI":"10.1097\/coh.0b013e328329c5ca"},{"key":"75","doi-asserted-by":"publisher","DOI":"10.1371\/journal.ppat.1003211"},{"key":"76","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0077981"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2015\/850132.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2015\/850132.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2015\/850132.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,7,27]],"date-time":"2016-07-27T20:20:29Z","timestamp":1469650829000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/bmri\/2015\/850132\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":72,"alternative-id":["850132","850132"],"URL":"https:\/\/doi.org\/10.1155\/2015\/850132","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}