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dc.contributor.authorHuang, Miao-Hui-
dc.contributor.authorChen, Guan-Jhou-
dc.contributor.authorSun, Hsin-Yun-
dc.contributor.authorChen, Yi-Ting-
dc.contributor.authorSu, Li-Hsin-
dc.contributor.authorHo, Shu-Yuan-
dc.date.accessioned2024-12-19T04:49:43Z-
dc.date.available2024-12-19T04:49:43Z-
dc.date.issued2023-06-
dc.identifier.citationOriginal Articleen_US
dc.identifier.urihttp://localhost:8080/xmlui/handle/123456789/9336-
dc.description.abstractAbstract Background: Understanding the risk behaviors associated with sexually-transmitted hepatitis C virus (HCV) infection among men who have sex with men (MSM) may inform the public health policies and interventions aiming to achieve HCV microelimination. Methods: HIV-positive MSM who had one of the following conditions were enrolled to undergo face-to-face questionnaire interviews to collect information on their sexual practices in the past 12 months: (1) elevation of aminotransferases in the past 6 months; (2) acquisition of sexually transmitted infections in the past 6 months; and (3) previous HCV infections. Plasma HCV RNA were tested at enrolment and every 3 months during follow-up. Baseline characteristics and risky behaviors were compared to identify factors associated with HCV viremia between HCV-viremic MSM and HCV-aviremic MSM in multivariate analysis. Results: Among 781 MSM with a median age of 36 years, 57 (7.3%) had HCV viremia and 724 (92.7%) no HCV viremia during follow-up. A high proportion (38.9%) of the participants reported having used recreational drugs in the past 12 months, with 34.4% of them having slamming, but only 4.8% reported having shared their injection equipment. In multivariate analysis, use of recreational drugs (adjusted odds ratio [aOR], 2.14; 95% CI, 1.16e3.96), having participated in group sex (aOR, 2.35; 95% CI 1.24e4.40) and having had condomless receptive anal intercourse (aOR, 1.97; 95% CI 1.07e3.62) were significantly associated with HCV viremia. Conclusion: Among high-risk HIV-positive MSM, use of recreational drugs and risky sexual contacts were associated with HCV viremia, suggesting the mucosal contacts as the major route of HCV transmission.en_US
dc.language.isoen_USen_US
dc.publisherElsevier Taiwan LLCen_US
dc.subjectChemsexen_US
dc.subjectSlamsexen_US
dc.subjectRecreational drugen_US
dc.subjectHarm reductionen_US
dc.subjectMicroeliminationen_US
dc.titleRisky sexual practices and hepatitis C viremia among HIV-positive men who have sex with men in Taiwanen_US
dc.typeArticleen_US
Appears in Collections:VOL 56 NO 3 2023

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