Epidemiological characteristics of HIV infection among college students in Nanjing, China: a cross-sectional survey

Li, Wei; Chu, Jinjin; Zhu, Zhengping; Li, Xin; Ge, You; He, Yan; Ni, Qian; Musa, Taha Hussein; Li, Xiaoshan; Wei, Ping

doi:10.1136/bmjopen-2019-035889

Cited by 28 publications

(21 citation statements)

References 20 publications

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“…There may be two reasons for the increase in the proportion of students with HIV/AIDS over the study period. First, homosexual intercourse has been the main mode of transmission among HIV-infected students, as in other provinces in China [ 16 , 22 ]. Surveys conducted in Liaoning, Beijing and Hefei showed HIV prevalence rates of 1.7–3.0% among MSM students, i.e., up to 50 times higher than that in the general Chinese population (0.057%) [ 23 – 26 ].…”

Section: Discussionmentioning

confidence: 99%

A spatial analysis of the epidemiology of HIV-infected students in Zhejiang province, China

et al. 2021

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Background The upsurge in HIV infections among students is a matter of particular concern. However, few studies have explored the epidemiological characteristics including the risky sexual networking of HIV-infected students in Zhejiang province, China. Methods Using the provincial surveillance data of HIV-infected students, we conducted a retrospective epidemiology study to describe the epidemiological characteristics of 628 newly diagnosed cases from 2011 to 2016 and detailed information of 124 cases from 2015 to 2016. Spatial analyses were conducted using ArcGIS software, and statistical analyses were performed using SPSS software. Results A total of 628 cases of HIV/AIDS were diagnosed among students in Zhejiang Province, China between 2011 and 2016. The cases showed an overall increasing trend over time, while the proportions of students with HIV disease status, cases diagnosed by HIV voluntary counseling and testing (VCT), and cases of homosexual transmission remained stable over time. Significant spatial heterogeneity in the cases was seen at the county level. Detailed data on 124 HIV-positive individuals collected from the local Center for Disease Control and Prevention (CDC) from 2015 and 2016, showed that the majority of them (85.5%,) engaged in homosexual behavior, and 93.4% had sex with casual partners. These partners included not only social members, but also other students. Online dating applications represented the most common means of seeking and communicating with homosexual partners. The level of awareness regarding the risk of HIV infection, and the amount coverage of face-to-face education towards students were both low. Conclusions HIV infections among students were characterized by increasing trend and spatial clustering in Zhejiang Province between 2011 and 2016, with homosexual sexual activity being the main mode of infection. Interventions are urgently required to prevent HIV infection in this population by increasing awareness of the disease. HIV testing programs and information regarding disease prevention specifically through online dating applications are needed.

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Section: Discussionmentioning

confidence: 99%

A spatial analysis of the epidemiology of HIV-infected students in Zhejiang province, China

et al. 2021

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“…In 2017, a national report, showed that homosexual transmission accounted for 26% of all new cases of HIV, and among students, 82% were homosexually transmitted [ 13 ]. In one study in students from Nanjing, 95% of 156 positive HIV tests were from MSM [ 50 ]. There is a clear need for appropriate sexual and reproductive health services for MSM.…”

Section: Discussionmentioning

confidence: 99%

Sexual Knowledge, Attitudes and Behaviours among Undergraduate Students in China—Implications for Sex Education

Lyu

Shen

Hesketh

2020

IJERPH

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Background: Despite rapid modernization and improving gender equity in China in recent decades, traditional values prevail in many areas of life, including sexual behavior. This study aimed to explore gender differences in sexual knowledge, sexual attitudes and sexual behaviors, as well as preferences for sex education among undergraduates in China. Methods: A cross-sectional study surveyed 5965 undergraduates (62.8% females), aged 15 to 24 years from nine universities in Zhejiang, Henan and Yunnan provinces, from September to November 2019. Results: Of the total sample, 158 (2.6%) self-identified as homosexual, 287 (4.8%) as bisexual and 324 (5.4%) stated they were unclear about their sexual identity. The mean sexual knowledge score out of 12 was 6.16 ± 2.54 points. Ever having sexual intercourse was reported by 18.7% (27.0% males, and 13.9% females). Students from urban backgrounds, and those with homosexual and bisexual orientation were more likely to have had sexual intercourse. Most students (72.5%) reported that they would prefer to receive sex education from on-line sources. Conclusions: Female students are significantly more conservative in sexual attitudes and sexual behaviors. Low levels of sexual knowledge contribute to risk behaviors among Chinese adolescents. China needs to develop and widely disseminate on-line sex education, with practical, age-appropriate content.

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“…So the rate of 85.6%is lower than the rate required by the national health authority on the awareness rate of AIDS prevention knowledge among college students 95% [23]. It suggests we need to further strengthen the AIDS knowledge education especially for the freshmen when they were enrolled in the colleges [24].…”

Section: Discussionmentioning

confidence: 99%

Service Acceptance of HIV Non-Occupational Post-Exposure Prophylaxis(nPEP) Among College Students: A Cross-Sectional Study in China

Liu¹,

Wang

et al. 2020

Preprint

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Background: College students are the key group we should pay more attention for acquired immune deficiency syndrome (AIDS) prevention and control in recent years in China, and few studies of HIV non-occupational post-exposure prophylaxis(nPEP) knowledge awareness and service acceptance have been conducted among them in China. This study conducted a cross-sectional survey to understand the service acceptance of nPEP and its influencing factors among college students in the three cities of China. Methods: A questionnaire survey was conducted to collect information on socio-demographic, behavioral characteristic, HIV/AIDS knowledge, nPEP knowledge, acceptance of nPEP services among the college students in Beijing, Shenzhen, and Kunming of China from March to April of 2019. Each participant completed a computer-assisted or mobile phone-assisted self-interview with informed consent and completed an anonymous questionnaire on line. Multivariable logistic regression analyses identified predictors for service acceptance of nPEP. Results A total of 4698 students were surveyed with the average age of 20 years old. 98.0% (4605/4698) of them were undergraduates, 21.8%(1022/4698) had sexual intercourse; 48.6% (2282/4698)had heard of nPEP, among which4.95%(113/2282) received nPEP services. The rate of AIDS knowledge awareness was 85.6% (5495/4698) with the differences statistically significant between the three cities. The nPEP knowledge awareness rate was 16.5% (774/4698). There were differences in receiving nPEP services among students of different ages, genders, sexual behaviors, and knowledge of AIDS by univariate analysis. Multivariable analyses indicated that age group of 18 and under (OR=2.551, 95% CI=1.153-5.646), male (OR=3.131, 95% CI=1.866-5.253), homosexual behavior (OR=4.661,95%CI=2.658-8.172), heterosexual behavior (OR=1.676, 95% CI=1.040-2.947), no awareness of AIDS (OR=3.882, 95% CI=2.371-6.356) and nPEP (OR=4.788, 95% CI=2.50-9.169) knowledge, were associated factors with the service acceptance of nPEP among the college students. Conclusion The low acceptance of nPEP services was mainly affected by nPEP knowledge awareness among the college students and further publicity and education of nPEP knowledge are necessary, as well as dissemination of knowledge of HIV/AIDS prevention and treatment. More attention should be paid to the factors associated with acceptance of nPEP services.

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Epidemiological characteristics of HIV infection among college students in Nanjing, China: a cross-sectional survey

Cited by 28 publications

References 20 publications

A spatial analysis of the epidemiology of HIV-infected students in Zhejiang province, China

A spatial analysis of the epidemiology of HIV-infected students in Zhejiang province, China

Sexual Knowledge, Attitudes and Behaviours among Undergraduate Students in China—Implications for Sex Education

Service Acceptance of HIV Non-Occupational Post-Exposure Prophylaxis(nPEP) Among College Students: A Cross-Sectional Study in China

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