Prevalence of high-risky behaviors in transmission of HIV among high school and college student MSM in China: a meta-analysis

Yang, Zhongrong; Huang, Zhaohui; Zhao, Dong; Zhang, Sichao; Han, Jae-Ik; Jin, Meihua

doi:10.1186/s12889-015-2614-4

Cited by 37 publications

(35 citation statements)

References 31 publications

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“…According to this study, the prevalence of HIV infection among 17-24 years old student MSM in Tian, China was 5%,which is higher than previous study from 2003 to 2016 (5,18,19)but is consistent with report from UNAIDS about 16-24 years old YMSM in 2018 (4).There was no statistically signi cance for the HIV prevalence between student MSM who had tested and who not(5.4%VS4.6%).A higher rate of recreational drug use(44.8%VS30.3%) among student MSM who had tested was found. This might be explained by the association between recreational drug use and high-risky sexual behaviors and STD infection (20)(21)(22)(23).…”

Section: Discussioncontrasting

confidence: 57%

Association between Peer Education and HIV Testing Among Student MSM in China: A Cross-Sectional Study

Cui

et al. 2020

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Background HIV prevalence among young men who have sex with men (YMSM) (<25 years old) all over the world varied dramatically from 35.5%(Gambia) to 0.5%(Belgium). In China, by contrast, the HIV prevalence among YMSM was at a low level (5.6%). However, the number of newly diagnosed college students has increased by 30 to 50 percent annually and HIV prevalence among student MSM in China has increased over the past few years, with access to HIV testing and peer education remaining limited. The objective of this study was to examine the relationship between peer education and HIV testing among student MSM in China. Methods The cross-sectional study was conducted in Tianjin, China between January 1, 2018 and December 31,2018. 494 student MSM aged 17-24years old were recruited using snowball sampling. Outcome variables were tested and not tested for HIV in the past year. Besides, social demographics, and sex-related behaviors were collected. Results The prevalence of HIV infection for the population was 5% (25/494). Overall, 60.5% of student MSM had tested for HIV in the past year, among which 68.9% had received peer education service. Peer education was significantly associated with HIV testing. After adjusting for sociodemographic characteristics, sexual behaviors, knowledge about HIV and STD infection, student MSM who received peer education were more likely to test for HIV [OR=19.751; 95%CI: (8.630,45.202)]. Conclusions HIV testing coverage among student MSM in China remains suboptimal. Peer education is significantly associated with HIV testing among this population. Government and non-government organizations could consider this alternatively risk-reduction prevention strategy in the future.

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Section: Discussioncontrasting

confidence: 57%

Association between Peer Education and HIV Testing Among Student MSM in China: A Cross-Sectional Study

Cui

et al. 2020

Preprint

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“…Todavia, o conhecimento adquirido por estudantes universitários é uma ferramenta importante para a adoção de comportamentos sexuais seguros, uso de preservativos e compreensão sobre as vias de transmissão das IST. Perceber e analisar os riscos envolvidos em comportamentos sexuais pode estimular os estudantes a adotar práticas sexuais mais seguras [17][18] .…”

Section: Discussionunclassified

Comportamento sexual e ocorrência de sífilis em estudantes universitários da área da saúde

et al. 2020

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OBJETIVO: Analisar o comportamento sexual e a ocorrência de sífilis em estudantes da área da saúde de uma universidade pública do estado do Piauí. MÉTODO: Estudo epidemiológico, transversal, realizado no período de outubro de 2017 a fevereiro de 2018, com 357 estudantes universitários da área da saúde. Os dados foram coletados por meio de questionário, com perguntas fechadas e semiabertas, e teste rápido para Sífilis. Foram realizadas análises univariadas e bivariadas por meio da distribuição de frequências e teste exato de Fisher. Os dados foram analisados com o uso do Statistical Package for the Social Sciences. RESULTADOS: Verificou-se que 135 (37,8%) estudantes afirmaram não utilizar o preservativo em todas as relações sexuais; 200 (56,0%) foram classificados com comportamento sexual de risco; a frequência do uso de bebida alcoólica apresentou associação significativa com comportamento sexual de risco (p=0,001). Foram detectados 2 (0,6%) resultados reagentes para sífilis, ambos discentes do curso de Odontologia. CONCLUSÃO: Embora a ocorrência de sífilis nos estudantes tenha sido abaixo da esperada, a utilização de álcool previamente às relações sexuais pode comprometer práticas sexuais seguras.

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“…On the other hand, researches also shown that separation of knowledge and behavior is quite common among MSM (84)(85)(86), that is, despite high level of knowledge and awareness of HIV and prevention methods, many still act in contrary to what they know. For this population, having high risk behaviors can't be attributed to lack of related knowledge, so other alternative interventions for HIV prevention such as Pre-Exposure Prophylaxis (PrEP) should be offered.…”

Section: Intervention For Hiv Preventionmentioning

confidence: 99%

Risk factors associated with HIV infection among men who have sex with men in China: a meta-analysis

Jing¹,

Qian²,

Ren³

et al. 2019

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Background: Although human immunodeficiency virus (HIV) prevalence in the general population is very low in China, high infection rate has been reported among men who have sex with men (MSM). We conducted a meta-analysis to identify HIV infection associated risk factors among MSM in China, thus we can further understand the high-risk population and provided basic information to further develop specific and effective interventions of HIV prevention. Methods: A comprehensive literature search was conducted in several public databases, the relevant articles which published from January 2010 to June 2018 were identified, and a meta-analysis was performed according to these included studies. The odds ratio (OR) and its 95 % confidence intervals (CI) of each risk factor among MSM in China were pooled by using a random-effects model or fixed-effects model when appropriate. Results: A total of 23 articles were included and analyzed. The pooled results revealed that non-local residency (OR=2.31, 95% CI: 1.05, 5.08), education less than junior high school (OR=1.73, 95% CI: 1.36, 2.21), engaging in commercial sex (OR=2.99, 95% CI: 1.02, 8.72), preferred receptive sexual role (OR=2.43, 95% CI: 2.09, 2.83), having anal bleeding during anal intercourse (OR=2.22, 95% CI: 1.60, 3.07), having no HIV test in the last 12 months (OR=2.17, 95% CI: 1.45, 3.25), having unprotected anal intercourse (UAI) in the last 6 months (OR=2.06, 95% CI: 1.69, 2.50), recreational drugs use (OR=1.90, 95% CI: 1.53, 2.36), preferred versatile sexual role (OR=1.69, 95% CI: 1.35, 2.21), inadequate HIV related knowledge (OR=1.63, 95% CI: 1.26, 2.11), having multiple sexual partners (MSP) in the last 6 months (OR=1.35, 95% CI: 1.24, 2.47), having infection of syphilis (OR=3.22, 95% CI: 3.02, 3.44) and diagnosed with sexually transmitted infections (STI) in the last 12 months (OR=1.71, 95% CI: 1.30, 2.26) were significantly and positively related to HIV infection. Conclusions: Continuous education and further interventions such as Pre-Exposure Prophylaxis (PrEP) should be prioritized for those MSM who engaged in high-risk behaviors.

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Prevalence of high-risky behaviors in transmission of HIV among high school and college student MSM in China: a meta-analysis

Cited by 37 publications

References 31 publications

Association between Peer Education and HIV Testing Among Student MSM in China: A Cross-Sectional Study

Association between Peer Education and HIV Testing Among Student MSM in China: A Cross-Sectional Study

Comportamento sexual e ocorrência de sífilis em estudantes universitários da área da saúde

Risk factors associated with HIV infection among men who have sex with men in China: a meta-analysis

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