Generic placeholder image

Current HIV Research

Editor-in-Chief

ISSN (Print): 1570-162X
ISSN (Online): 1873-4251

Research Article

An Observational Study on HIV and Syphilis Rates and Associated Risk Factors among Elderly Men in Wuxi, China

Author(s): Hao Huang, Yuxin Cao, Min Li, Yining Bao, Sarah Robbins, Minjie Chu, Jing Gu, Xiaojun Meng* and Xun Zhuang*

Volume 21, Issue 1, 2023

Published on: 14 February, 2023

Page: [56 - 62] Pages: 7

DOI: 10.2174/1570162X21666230123154718

Price: $65

Open Access Journals Promotions 2
Abstract

Background: Acquired Immune Deficiency Syndrome (AIDS) remains a nationwide health problem in China; there were a reported 1,045,000 people living with Human immunodeficiency virus (HIV)/AIDS by the end of October 2020, and the proportion of individuals aged 50 years and older living with HIV has also increased from 8% to 24% over the past two decades.

Methods: A cross-sectional study and an 1:2 matched case-control study were conducted from July to August 2016, in Wuxi city, eastern China. A total of 1,000 men aged 50 years and older completed a face-to-face interview regarding their AIDS-related knowledge and attitudes, as well as risk behaviors.

Results: Prevalence was 0.1% for HIV and 2% for syphilis. The awareness rate of AIDS-related knowledge among elderly men was 48.9% (range 40.7%-63.9%). The 1꞉2 matched case-control study indicated that only the AIDS-related attitudes were different between the two groups (χ2=8.726, P=0.013), the conditional logistic regression analysis indicated that scores of AIDS health knowledge were the only significant prognostic factor for the infection (HR=0.754 (0.569- 0.999), P=0.049).

Conclusion: It was crucial to prevent HIV/AIDS and syphilis infections by improving the awareness of AIDS-related knowledge and changing related attitudes among the elderly. Further research aimed at identifying how these factors impact their sexual decision-making can shed valuable insight into further prevention program in this population.

Keywords: AIDS/STDs, elderly men, knowledge, attitudes, behavior, syphilis.

Graphical Abstract
[1]
UNAIDS.. Global HIV& AIDS statistics-2020 fact sheet. 2019. Available from: http://www.unaids.org/
[2]
Guaraldi G, Zona S, Brothers TD, et al. Aging with HIV vs. HIV seroconversion at older age: a diverse population with distinct comorbidity profiles. PLoS One 2015; 10(4): e0118531.
[http://dx.doi.org/10.1371/journal.pone.0118531] [PMID: 25874806]
[3]
Bendavid E, Ford N, Mills EJ. HIV and Africa’s elderly. AIDS 2012; 26 (Suppl. S1): S85-91.
[http://dx.doi.org/10.1097/QAD.0b013e3283558513] [PMID: 22781181]
[4]
Negin J, Bärnighausen T, Lundgren JD, et al. Aging with HIV in Africa: the challenges of living longer. AIDS 2012; 26(01): S1-5.
[http://dx.doi.org/10.1097/QAD.0b013e3283560f54]
[5]
Tavoschi L, Gomes Dias J, Pharris A, et al. New HIV diagnoses among adults aged 50 years or older in 31 European countries, 2004–15: an analysis of surveillance data. Lancet HIV 2017; 4(11): e514-21.
[http://dx.doi.org/10.1016/S2352-3018(17)30155-8] [PMID: 28967582]
[6]
Mahy M, Autenrieth CS, Stanecki K, et al. Increasing trends in HIV prevalence among people aged 50 years and older: evidence from estimates and survey data. AIDS 2014; 28 (Suppl. 4): S453-9.
[http://dx.doi.org/10.1097/QAD.0000000000000479]
[7]
European Centre for Disease Prevention and Control (ECDC).. HIV/AIDS surveillance in Europe 2019-2018 data. 2019. Available from: https://ecdc.europa.eu/en/publications-data/presentation-hivaidssurveillance- europe-2019-2018-data
[8]
Centers for Disease Control and Prevention of the United States (USCDC).. HIV and Older Americans. 2019. Available from: https://www.cdc.gov/hiv/group/age/olderamericans/index.html
[9]
National Center for AIDS/STD Control and Prevention.. Guidelines on post-exposure prevention issued by the AIDS Prevention Centre. 2020. Available from: http://www.chinaaids.cn/zxzx/zxzx/202011/t20201116_ 222780.htm
[10]
China has reported 1.045 million HIV infections 2020. Available from: https://news.cctv.com/2020/12/01/ARTI6S5jWUXIIirhNklF5I2c2012 01.shtml
[11]
Bureau for Disease Control and Prevention.. The general situation of notifiable infectious diseases in China in 2019. 2020. Available from: http://www.nhc.gov.cn/jkj/s6873/202004/b1519e1bc1a944fc8ec176db 600f68d1.shtml
[12]
Chen SH, Yang XZ, Li H, et al. AIDS and syphilis infection in the elderly and the status of knowledge and behavior. Zhiye Yu Jiankang 2015; 2: 272-5.
[13]
National Bureau of Statistics.. Population data of Wuxi in 2018; 2019. Available from: http://www.stats.gov.cn/
[14]
Yin H, Wang X, Meng X, et al. Epidemiological characteristics of elderly HIV/AIDS patients in Wuxi 2004-2018. Mod Prev Med 2020; 47(18): 3292-6.
[15]
Zhang XCH, Miao XL. Epidemiological analysis of AIDS epidemic in Wuxi Jiangsu. J Prev Med (Wilmington) 2013; 24(5): 11-2.
[http://dx.doi.org/10.3969/j.issn.1006-9070.2013.05.005]
[16]
Zhuang X, Wu Z, Poundstone K, Yang C, Zhong Y, Jiang S. HIV-related high-risk behaviors among Chinese migrant construction laborers in Nantong, Jiangsu. PLoS One 2012; 7(3): e31986.
[http://dx.doi.org/10.1371/journal.pone.0031986] [PMID: 22479313]
[17]
Meng X, Zhai Q, Liu X, et al. Analysis on the status and influencing factors of health knowledge of the elderly in rural areas. Chinese Rural Health Service Admin 2008; 28: 793-5.
[18]
Chinese Center for Disease Control and Prevention (China CDC).. National Guideline for Detection of HIV/AIDS. 2015. Available from: http://www.chinacdc.cn/
[19]
Xu M, Zhu K. Survey of HIV/AIDS Knowledge, Attitude and Behavior Among the Elderly Males People in Haizhu District of Guangzhou City/XU Mei-zhen. Chinese Primary Health Care 2017; 31(8): 56-8.
[http://dx.doi.org/10.3969/j.issn.1001-568X.2017.08.0022]
[20]
Alwafi HA, Meer AMT, Shabkah A, et al. Knowledge and attitudes toward HIV/AIDS among the general population of Jeddah, Saudi Arabia. J Infect Public Health 2018; 11(1): 80-4.
[http://dx.doi.org/10.1016/j.jiph.2017.04.005] [PMID: 28579268]
[21]
Wang CP, Guo Q, Han ZR, et al. A meta-analysis on the awareness rate of core knowledge on HIV/AIDS prevention and treatment among the elderly in China. Chinese J AIDS & STD 2019; 25(2): 148-52.
[http://dx.doi.org/10.13419/j.cnki.aids.2019.02.10]
[22]
Wiktor SZ, Abouya L, Angoran H, et al. Effect of an HIV counseling and testing program on AIDS-related knowledge and practices in tuberculosis clinics in Abidjan, Côte d’Ivoire. Int J Tuberc Lung Dis 2004; 8(4): 445-50.
[PMID: 15141737]
[23]
Giguère K, Eaton JW, Marsh K, et al. Trends in knowledge of HIV status and efficiency of HIV testing services in sub-Saharan Africa, 2000–20: a modelling study using survey and HIV testing programme data. Lancet HIV 2021; 8(5): e284-93.
[http://dx.doi.org/10.1016/S2352-3018(20)30315-5] [PMID: 33667411]
[24]
Inelmen EM, Sergi G, De Rui M, Manzato E. Enhancing awareness to mitigate the risk of HIV/AIDS in older adults. Aging Clin Exp Res 2014; 26(6): 665-9.
[http://dx.doi.org/10.1007/s40520-014-0222-2] [PMID: 24789219]
[25]
Oraka E, Mason S, Xia M. Too old to test? Prevalence and correlates of HIV testing among sexually active older adults. J Gerontol Soc Work 2018; 61(4): 460-70.
[http://dx.doi.org/10.1080/01634372.2018.1454565] [PMID: 29583105]
[26]
Rosenberg M, Gómez-Olivé FX, Wagner RG, et al. The relationships between cognitive function, literacy and HIV status knowledge among older adults in rural South Africa. J Int AIDS Soc 2020; 23(3): e25457.
[http://dx.doi.org/10.1002/jia2.25457] [PMID: 32202047]
[27]
Rosenberg MS, Gómez-Olivé FX, Rohr JK, et al. Sexual Behaviors and HIV Status: A Population-Based Study Among Older Adults in Rural South Africa. J Acquir Immune Defic Syndr 2017; 74(1): e9-e17.
[http://dx.doi.org/10.1097/QAI.0000000000001173] [PMID: 27926667]
[28]
Pavlopoulou ID, Dikalioti SK, Gountas I, et al. High-risk behaviors and their association with awareness of HIV status among participants of a large-scale prevention intervention in Athens, Greece. BMC Public Health 2020; 20(1): 105.
[http://dx.doi.org/10.1186/s12889-020-8178-y] [PMID: 31992240]
[29]
Zhu Y, Zeng X, Zhou Y, et al. Survey on knowledge rate and infection status of AIDS knowledge in elderly people in Danyang. Jiangsu J Prevent Med 2016; 27(4): 478-9.
[http://dx.doi.org/10.13668/j.issn.1006-9070.2016.04.043]
[30]
Xing J, Li Y, Tang W, et al. HIV/AIDS epidemic among older adults in China during 2005-2012: results from trend and spatial analysis. Clin Infect Dis 2014; 59(2): e53-60.
[http://dx.doi.org/10.1093/cid/ciu214] [PMID: 24700658]
[31]
Shao ZP, Peng XB, Ye M. Surveillance and analysis of AIDS-related behaviors among men over 60 years old living alone in rural areas of Kaizhou District, Chongqing. Xiandai Yiyao Weisheng 2018; 34(16): 2598-9.
[http://dx.doi.org/10.3969/j.issn.1009-5519.2018.16.060]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy