HIV and Sexual Risk Among Men Who Have Sex With Men and Women in Asia: A Systematic Review and Meta-Analysis

AIDS and Behavior
A L BowringM Hellard

Abstract

We performed a systematic review to estimate the proportion of men who have sex with men (MSM) in Asia who are bisexual and compare prevalence of HIV and sexual risk between men who have sex with men and women (MSMW) and men who have sex with men only (MSMO). Forty-eight articles based on 55 unique samples were identified from nine countries in Asia. Bisexual behaviour was common among MSM (pooled prevalence 32.8 %). Prevalence of HIV (pooled OR 0.90; 95 % CI 0.77-1.05), recent syphilis infection (pooled OR 0.99; 95 % CI 0.93-1.06) and unprotected anal intercourse (pooled OR 0.80; 95 % CI 0.57-1.11) were similar between MSMW and MSMO, but heterogeneity was high. MSMW had lower odds of reporting a prior HIV test than MSMO (OR 0.82; 95 % CI 0.70-0.95; p = 0.01, I(2) = 0 %). Targeted interventions are needed to increase uptake of HIV testing among MSMW. Increased reporting of disaggregated data in surveillance and research will help improve understanding of risk in MSMW and inform targeted interventions.

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Citations

May 15, 2016·Archives of Sexual Behavior·Shirley J SempleThomas L Patterson
Jan 18, 2017·Sexually Transmitted Infections·Susan TuddenhamKhalil G Ghanem
Apr 28, 2020·Psychology, Health & Medicine·Wangnan CaoAnna Mia Ekström
May 16, 2020·AIDS Research and Treatment·Maria Aparecida A O SerraMárcio Flávio M Araújo
Oct 25, 2020·BMC Public Health·Ivana BozicevicChathrini Gadjaweera
Mar 11, 2021·Drug and Alcohol Dependence·Fatemeh TavakoliMostafa Shokoohi
Apr 4, 2021·International Journal of Environmental Research and Public Health·María Lameiras-FernándezYolanda Rodríguez-Castro
Sep 23, 2021·BMC Infectious Diseases·Jenna R AdalbertRafael Pajaro

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