The HIV epidemic in China: history, response, and challenge

@article{He2005TheHE,
  title={The HIV epidemic in China: history, response, and challenge},
  author={Na He and Roger Detels},
  journal={Cell Research},
  year={2005},
  volume={15},
  pages={825-832}
}
ABSTRACTThe first case of AIDS was reported in 1985 in China, but by the early 21st century, the government estimated that there were 840,000 citizens living with HIV/AIDS. The number is increasing rapidly. The major risk groups are injection drug users (IDUSs; 43%) and former plasma donors (27%), but rates among heterosexual groups are rising rapidly. Sentinel surveillance was initiated in 1986, and now includes IDUs, men-who-have-sex-with-men, sexually transmitted disease clinic attendees… 

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References

SHOWING 1-10 OF 33 REFERENCES

AIDS and HIV infection in China.

TLDR
While IV drug use is currently the dominant mode of HIV transmission, especially to the south, heterosexual transmission is expected to dominate elsewhere in the country.

High prevalence of syphilis and other sexually transmitted diseases among sex workers in China: potential for fast spread of HIV

TLDR
STD care and prevention programmes for sex workers outside detention are urgently needed, and appear to be feasible in China, given the high prevalence of STD.

[The epidemiological study of HIV infection among paid blood donors in one county of China].

  • X. ZhengZ. Wang W. Wei
  • Medicine, Education
    Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi
  • 2000
TLDR
There was a high prevalence of HIV among paid blood donors in some regions, and paid blood (plasma) donations were the main risk factor for HIV infection.

Prevalence of HIV infection among former commercial plasma donors in rural eastern China.

TLDR
The study demonstrated that the prevalence of HIV infection in the commercial plasma donor population was alarmingly high and many married individuals and those getting married in the future will transmit the virus to their spouses and future children.

Characteristics and Sexually Transmitted Diseases of Male Rural Migrants in a Metropolitan Area of Eastern China

TLDR
The prevalence of STDs among male rural migrants in Shanghai, China is relatively low, and maintaining the current low prevalence can reduce the risk of an HIV epidemic among Shanghai migrants, but prevention messages need to be tailored to the low level of literacy in many migrants.

Population-based study of chlamydial infection in China: a hidden epidemic.

TLDR
The prevalence of genital chlamydial and gonococcal infections in China is substantial and patterns of infection by subgroup and behavioral patterns suggest potential avenues for intervention.

Seroprevalence of HIV and risk behaviors among men who have sex with men in a northeast city of China

TLDR
The prevalence of HIV infection is high among the population of MSM and the high rates of HIV - related risk behaviors suggest a considerable risk for HIV transmission in this population.

Willingness to participate in HIV/STD prevention activities among Chinese rural-to-urban migrants.

TLDR
The high level of WTP suggests that HIV/STD prevention activities are acceptable among rural-to-urban migrants, and their awareness of HIV/AIDS should be increased and HIV-related stigma should be reduced to increase the level ofWTP.

A study of sexual behavior among rural residents of China.

  • H. LiuJ. Xie R. Detels
  • Medicine, Psychology
    Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association
  • 1998
TLDR
Sexual norms in rural China are changing rapidly and high-risk sexual behavior among young rural residents is increasing, and strategies to prevent HIV/AIDS should include education to promote delayed onset of sexual activity, safer sexual behavior, and condom use.

Community environment and HIV/AIDS-related stigma in China.

TLDR
The results show that a high level of HIV/AIDS-related risk behavior in the community and a low level of community development are associated with increased HIV/ AIDS-related stigma, after controlling for respondents' sociodemographic characteristics.