{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:37:33Z","timestamp":1777927053373,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2014,4,15]],"date-time":"2014-04-15T00:00:00Z","timestamp":1397520000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:p>Summary<\/jats:p>\n                  <jats:p>HIV-syphilis co-infection is often cited as a major reason behind recent resurgence in syphilis prevalence among men who have sex with men in China. Most published literatures explore factors associated with either HIV or syphilis, but not their co-infection. We analysed data from a cross-sectional survey on men who have sex with men in seven Chinese cities. Snowball sampling was used to recruit participants for the survey. Socio-demographic and behavioural predictors for HIV-syphilis mono\/co-infection were examined using ordinal logistic regression. Factor scores were used to summarise (1) HIV-related knowledge and (2) access to HIV preventive services. Prevalence of HIV, syphilis, and their co-infection, among 2936 self-identified men who have sex with men, were 7.7%, 14.3%, and 2.6%, respectively. In the adjusted analysis, the significant positive correlates of poorer diagnoses (co-infection vs mono- and no infection or co- and mono-infection vs no infection) were: 30 to 39 years and \u226540 years age, education up to senior high school, unprotected anal intercourse, recent sexually transmitted infection symptoms, incorrect knowledge about routes of transmission, and access to preventive or counselling\/testing services for HIV. For effective control of this dual epidemic, integrated HIV and syphilis surveillance and targeted intervention strategies for Chinese men who have sex with men are needed urgently.<\/jats:p>","DOI":"10.1177\/0956462414531560","type":"journal-article","created":{"date-parts":[[2014,4,16]],"date-time":"2014-04-16T00:42:09Z","timestamp":1397608929000},"page":"145-155","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Factors associated with HIV and syphilis co-infection among men who have sex with men in seven Chinese cities"],"prefix":"10.1177","volume":"26","author":[{"given":"Aritra","family":"Das","sequence":"first","affiliation":[{"name":"Department of Epidemiology, School of Public Health, University of California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianjun","family":"Li","sequence":"additional","affiliation":[{"name":"Jiangsu Provincial Central for Disease Prevention and Control, Nanjing, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fei","family":"Zhong","sequence":"additional","affiliation":[{"name":"Section of AIDS Control and Prevention, Guangzhou Municipal Center of Disease Control and Prevention, Guangzhou, China"},{"name":"Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Ouyang","sequence":"additional","affiliation":[{"name":"Chongqing Center for Disease Control and Prevention, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanmay","family":"Mahapatra","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health, University of California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiming","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health, University of California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gengfeng","family":"Fu","sequence":"additional","affiliation":[{"name":"Jiangsu Provincial Central for Disease Prevention and Control, Nanjing, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinkou","family":"Zhao","sequence":"additional","affiliation":[{"name":"Monitoring and Evaluation Unit, The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Detels","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health, University of California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,4,15]]},"reference":[{"key":"bibr1-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0022768"},{"key":"bibr2-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2008.034702"},{"key":"bibr3-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit210"},{"key":"bibr4-0956462414531560","unstructured":"China A. Response Progress Report: Ministry of Health of the People's Republic of China, 2012."},{"key":"bibr5-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1071\/SH12093"},{"key":"bibr6-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/174.Supplement_2.S223"},{"key":"bibr7-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200110000-00005"},{"key":"bibr8-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e3283372d90"},{"key":"bibr9-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0037211"},{"key":"bibr10-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3181c7db43"},{"key":"bibr11-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60315-8"},{"key":"bibr12-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1089\/aid.2012.0151"},{"key":"bibr13-0956462414531560","unstructured":"Chinese Ministry of Health and UN Theme group on HIV\/ AIDS in China: 2005 Update on the HIV\/AIDS Epidemic and Response in China."},{"key":"bibr14-0956462414531560","first-page":"296","volume":"7","author":"Wu J","year":"2008","journal-title":"J Diagn Concepts Pract"},{"key":"bibr15-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31818d3fa0"},{"key":"bibr16-0956462414531560","first-page":"104","volume":"27","author":"Qiao X","year":"2009","journal-title":"Health Vocational Educ"},{"key":"bibr17-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3181a4f53e"},{"key":"bibr18-0956462414531560","first-page":"47","volume":"14","author":"Zhou J","year":"2008","journal-title":"Chinese J AIDS & STD"},{"key":"bibr19-0956462414531560","doi-asserted-by":"publisher","DOI":"10.2307\/3096941"},{"key":"bibr20-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1214\/aoms\/1177705148"},{"key":"bibr21-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1016\/j.prevetmed.2005.07.011"},{"key":"bibr22-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1201\/9781466503243"},{"key":"bibr23-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000253336.64324.ef"},{"key":"bibr24-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3181c7dd16"},{"key":"bibr25-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-013-0413-4"},{"key":"bibr26-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200410210-00012"},{"key":"bibr27-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000187262.56820.c0"},{"key":"bibr28-0956462414531560","doi-asserted-by":"publisher","DOI":"10.1586\/14787210.3.5.825"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462414531560","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462414531560","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462414531560","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:33:44Z","timestamp":1777674824000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462414531560"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,15]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,3]]}},"alternative-id":["10.1177\/0956462414531560"],"URL":"https:\/\/doi.org\/10.1177\/0956462414531560","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4,15]]}}}