Song Fan1, Zuyao Yang2, Fengsu Hou3, Maohe Yu4, Zhenzhou Luo5, Meizhen Liao6, Yanhua Gong7, Xiaojun Meng8, Yong Cai9, Huachun Zou10. 1. School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong 510080, China; and School of Public Health, Southwest Medical University, Luzhou, Sichuan 646000, China. 2. Division of Epidemiology, JC School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SAR 999077, China. 3. School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong 510080, China. 4. Department of AIDS/STD Control and Prevention, Tianjin Center for Disease Control and Prevention, Tianjin 300011, China. 5. Nanshan District Center for Chronic Disease Control, Shenzhen 518000, China. 6. Shandong Center for Disease Control and Prevention, Jinan, Shandong 250014, China. 7. Foshan Center for Disease Control and Prevention, Foshan, Guangdong 528051, China. 8. Wuxi Center for Disease Control and Prevention, Wuxi, Jiangsu 214023, China. 9. School of Public Health, Shanghai Jiao Tong University, Shanghai 200020, China; and Corresponding authors. Email: zouhuachun@mail.sysu.edu.cn; caiyong202028@163.com. 10. School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong 510006, China; and Kirby Institute, UNSW Australia, Sydney, NSW 2052, Australia; and Shenzhen Municipal Center for Disease Control and Prevention, Shenzhen 518055, China; and Corresponding authors. Email: zouhuachun@mail.sysu.edu.cn; caiyong202028@163.com.
Abstract
Background This study was conducted to summarise the HIV epidemic, sexual behaviours and HIV testing among men who have sex with men (MSM) attending university in China. METHODS: Five databases were searched for student MSM information in English and Chinese language publications. Meta-analyses were performed to calculate the pooled prevalence of HIV and syphilis, pooled mean age at first anal intercourse (AFAI) and the rate of other HIV-related behaviours among MSM attending university in China. Univariate meta-regression and subgroup analysis were conducted to explore potential sources of heterogeneity. Publication bias was measured using Egger's test. RESULTS: Thirty-three articles representing 31 studies were included in the analysis. The pooled HIV prevalence was 4.1% (95% CI 3.1-5.0%). The estimated AFAI was 18.7 years, but 37.5% of students had their first anal intercourse before 18 years of age. Most (88.2%) had their first sexual intercourse with a male partner. Of the MSM attending university, 4.2% of MSM engaged in commercial sex (either selling or buying sex), 10.3% had ever engaged in group sex, 13.1% had had sex with a female partner in the past month and 10.1% had ever used drugs. Most (77.7%) sought sex partners via geosocial networking gay apps or the Internet, and 42.9% had ever tested for HIV. There was a tendency for an increase in lifetime HIV testing rate from 32% in 2005-07 to 53% in 2014-16. CONCLUSIONS: This review found high HIV prevalence, early AFAI and a high prevalence of sexual risk behaviours among MSM attending university in China. Interventions aimed at increasing HIV testing and reducing sexual risk behaviours are urgently needed among this young population.
Background This study was conducted to summarise the HIV epidemic, sexual behaviours and HIV testing among men who have sex with men (MSM) attending university in China. METHODS: Five databases were searched for student MSM information in English and Chinese language publications. Meta-analyses were performed to calculate the pooled prevalence of HIV and syphilis, pooled mean age at first anal intercourse (AFAI) and the rate of other HIV-related behaviours among MSM attending university in China. Univariate meta-regression and subgroup analysis were conducted to explore potential sources of heterogeneity. Publication bias was measured using Egger's test. RESULTS: Thirty-three articles representing 31 studies were included in the analysis. The pooled HIV prevalence was 4.1% (95% CI 3.1-5.0%). The estimated AFAI was 18.7 years, but 37.5% of students had their first anal intercourse before 18 years of age. Most (88.2%) had their first sexual intercourse with a male partner. Of the MSM attending university, 4.2% of MSM engaged in commercial sex (either selling or buying sex), 10.3% had ever engaged in group sex, 13.1% had had sex with a female partner in the past month and 10.1% had ever used drugs. Most (77.7%) sought sex partners via geosocial networking gay apps or the Internet, and 42.9% had ever tested for HIV. There was a tendency for an increase in lifetime HIV testing rate from 32% in 2005-07 to 53% in 2014-16. CONCLUSIONS: This review found high HIV prevalence, early AFAI and a high prevalence of sexual risk behaviours among MSM attending university in China. Interventions aimed at increasing HIV testing and reducing sexual risk behaviours are urgently needed among this young population.
Authors: Samuel Waweru Mwaniki; Peter Mwenda Kaberia; Peter Mwangi Mugo; Thesla Palanee-Phillips Journal: Int J Environ Res Public Health Date: 2022-06-15 Impact factor: 4.614