Table 2.
Stratified analyses of HIV prevalence among MSM in China
| Variable | Number of studies | HIV prevalence | Heterogeneity of included studies | |||
|---|---|---|---|---|---|---|
| I2 | Q | p | OR | |||
| Age (yrs.) | ||||||
| <20 | 33 | 4.6% [3.4%; 6.3%] | 64.0% | 79.4 | < 0.0001 | |
| 20-29 | 32 | 7.2% [5.9%; 8.7%] | 91.6% | 276.2 | < 0.0001 | |
| 30-39 | 30 | 11.8%[10.0%; 13.8%] | 75.2% | 120.8 | < 0.0001 | |
| 40-49 | 30 | 13.8%[11.0%; 17.1%] | 51.8% | 37.4 | 0.0047 | |
| 50+ | 13 | 19.3%[13.1%; 27.4%] | 50.2% | 26.1 | 0.0166 | |
| Sampling methods | ||||||
| RDS | 39 | 5.4% [4.7%; 6.3%] | 90.3% | 627.4 | < 0.0001 | |
| Snowball | 126 | 6.4% [5.9%; 7.0%] | 96.6% | 3132.0 | < 0.0001 | |
| Time-venue | 83 | 5.4% [4.6%; 6.3%] | 96.9% | 2694.4 | < 0.0001 | |
| Convenience | 11 | 4.2% [3.3%; 7.3%] | 96.2% | 173.5 | < 0.0001 | |
| Multiple methods | 42 | 5.0% [3.9%; 6.4%] | 99.0% | 3762.7 | < 0.0001 | |
| Marital status | ||||||
| Single | 57 | 6.4% [5.5%; 7.5%] | 94.5% | 876.3 | < 0.0001 | |
| Cohabitating | 21 | 11.5% [7.8%; 16.5%] | 67.8% | 65.3 | < 0.0001 | |
| Married | 42 | 10.6% [9.2%; 12.0%] | 72.5% | 152.9 | < 0.0001 | |
| Divorced or widowed | 49 | 12.8%[10.0%; 16.4%] | 81.6% | 240.9 | < 0.0001 | |
| Current level of education | ||||||
| Illiterate | 3 | 16.8% [6.4%;37.3%] | 0.0% | 0.8 | 0.6683 | |
| Primary school | 11 | 15.6% [11.0%;21.6%] | 25.4% | 14.7 | 0.1948 | |
| Junior high school | 20 | 9.8% [7.4%; 12.9%] | 86.8% | 151.8 | < 0.0001 | |
| Senior high school | 50 | 7.6% [6.4%; 9.0%] | 89.5% | 428.6 | < 0.0001 | |
| College or above | 62 | 5.7% [5.0%; 6.5%]] | 87.7% | 464.9 | < 0.0001 | |
| Sexual orientation | ||||||
| Homosexual | 23 | 7.0% [5.4%; 9.1%] | 93.4% | 540.3 | < 0.0001 | |
| Bisexual | 10 | 6.1% [4.5%; 8.3%] | 69.0% | 32.2 | 0.0004 | |
| Heterosexual | 11 | 7.5% [4.4%; 12.7%] | 59.3% | 27.0 | 0.0045 | |
| Undetermined | 7 | 7.6% [3.2%; 16.8%] | 0.0% | 15.4 | 0.0175 | |
| Main location to seek homosexual partners | ||||||
| Internet | 20 | 7.3% [5.8%; 9.1%] | 94.2% | 314.7 | < 0.0001 | |
| Parks | 19 | 6.0% [4.8%; 7.4%] | 38.2% | 38.2 | 0.0037 | |
| Public bathhouses/saunas | 22 | 13.4%[10.3%; 17.1%] | 88.6% | 162.3 | < 0.0001 | |
| Bar/night/club/tearoom | 23 | 7.4% [5.8%; 9.3%] | 98.9% | 141.2 | < 0.0001 | |
| Ethnicity | ||||||
| Han Chinese | 15 | 6.3% [4.9%; 8.0%] | 95.6% | 317.7 | < 0.0001 | 0.78[0.30,2.03] |
| Other | 15 | 7.0% [3.4%; 14.0%] | 93.6% | 218.9 | < 0.0001 | |
| Condom use (in the last 6 months) | ||||||
| During sex with men | ||||||
| Always | 27 | 4.4% [3.3%; 5.8%] | 91.1% | 321.5 | < 0.0001 | |
| Sometimes | 27 | 8.2% [6.3%; 10.5%] | 96.0% | 510.5 | < 0.0001 | |
| Never | 27 | 9.9% [7.4%;13.1%] | 84.5% | 145.1 | < 0.0001 | |
| During commercial sex with men | ||||||
| Always | 15 | 2.9% [1.6%; 5.0%] | 69.8% | 39.8 | < 0.0001 | |
| Sometimes | 15 | 6.6% [4.0%; 10.7%] | 85.2% | 59.8 | < 0.0001 | |
| Never | 14 | 8.5% [5.3%; 13.2%] | 26.3% | 23.7 | 0.0345 | |
| Condom use during sex with a woman in the past 6 months | ||||||
| Always | 11 | 4.1% [2.5%; 6.4%] | 48.1% | 20.5 | 0.021 | |
| Sometimes | 9 | 3.4% [1.7%; 6.6%] | 80.2% | 42.4 | < 0.0001 | |
| Never | 10 | 5.9% [3.2%; 10.7%] | 86.9% | 71.4 | < 0.0001 | |
| Occupation | ||||||
| Student | 12 | 6.1% [4.5%; 8.4%] | 59.8% | 29.8 | 0.0029 | |
| Teacher | 2 | 5.3% [1.1%; 22.8%] | 0.0% | 0.6 | 0.7348 | |
| Office staff | 12 | 8.0% [6.2%; 10.2%] | 76.2% | 50.5 | < 0.0001 | |
| Farmer | 2 | 14.8% [3.8%; 43.2%] | 93.4% | 30.3 | < 0.0001 | |
| Service business employee | 8 | 8.1% [5.6%; 11.6%] | 90.3% | 82.7 | < 0.0001 | |
| Jobless or job-seeking | 9 | 10.3% [8.4%; 12.6%] | 31.2% | 13.1 | 0.159 | |
| Worker | 8 | 8.6% [7.5%; 9.9%] | 33.1% | 12.0 | 0.1533 | |
| Sexual debut partner | ||||||
| Male | 8 | 6.8% [4.0%; 10.1%] | 95.4% | 152.8 | < 0.0001 | 0.60[0.53,0.69] |
| Female | 8 | 10.2% [6.6%; 14.4%] | 94.5% | 127.4 | < 0.0001 | |
| Drug use | ||||||
| Yes | 7 | 6.4% [4.2%; 10.0%] | 42.9% | 10.5 | 0.1046 | 1.14[0.31,4.21] |
| No | 7 | 8.2% [2.4%; 17.0%] | 99.2% | 770.7 | < 0.0001 | |
| Quality ssessment | ||||||
| satisfactory | 142 | 5.5% [4.6%; 6.6%] | 96.5% | 2481.5 | < 0.0001 | 0.74[0.60, 0.92] |
| good | 213 | 7.4% [6.5%;8.4%] | 97.7%% | 1823.0 | < 0.0001 | |
Figures in parentheses are 95% CIs; OR, odds ratio