Risky Sexual Behaviour and HIV Testing Uptake Among Male College Students: a Cross-sectional Study in China

Overview

Journal BMJ Open

Specialty General Medicine

Date 2022 Jun 10

PMID 35688596

Authors

Gang Zhao

Yan Luo

Junfang Xu

Affiliations

Soon will be listed here.

Abstract

Objective: To understand the sexual behaviours and HIV testing uptake of sexually experienced male college students in China.

Design: A cross-sectional study was conducted between September and November of 2020 among male college students.

Setting: Hangzhou, China.

Participants: Male students who had sexual experience in the previous year were investigated.

Outcome Measures: Sexual risk behaviour was defined as having multiple sexual partners or having unprotected sex.

Results: More than half of the sexually experienced male students (556, 53.2%) had their first sexual intercourse under the age of 18 years old. Among participants, 32.82% (343/1045) had causal sex in the last 6 months; 4.21% (44/1045) had paid sex; 37.32% (390/1045) had sex with other men and had two or more sexual partners in last half year; and 33.33% (130/390) used psychoactive drugs during same-sex intercourse. Only 33.5% (350/1045) of male students had undertaken an HIV test before.

Conclusion: Male college students especially men who have sex with men were at risk because they tended to be sexually adventurous, have sex at an early age, have sex with multiple sexual partners and practice unprotected sex. Furthermore, they had a low HIV testing uptake. This highlights the importance of carrying out targeted and timely HIV risk education towards college students.

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References

Ventegodt S . Sex and the quality of life in Denmark. Arch Sex Behav. 1998; 27(3):295-307. DOI: 10.1023/a:1018655219133. View

. The Joint United Nations Programme on HIV / AIDS (UNAIDS). Project update. Pac AIDS Alert Bull. 2002; (18):15-6. View

Piyaraj P, van Griensven F, Holtz T, Mock P, Varangrat A, Wimonsate W . The finding of casual sex partners on the internet, methamphetamine use for sexual pleasure, and incidence of HIV infection among men who have sex with men in Bangkok, Thailand: an observational cohort study. Lancet HIV. 2018; 5(7):e379-e389. PMC: 6452023. DOI: 10.1016/S2352-3018(18)30065-1. View

Xu J, Sonnerborg A, Gao L, Wang P, Bouey J, Cheng F . Delayed Treatment for People Living With HIV in China, 2004-2016: An Analysis of An Observational Cohort. Int J Environ Res Public Health. 2020; 17(5). PMC: 7084641. DOI: 10.3390/ijerph17051809. View

Xu J, Ming Z, Zhang Y, Wang P, Jing J, Cheng F . Family support, discrimination, and quality of life among ART-treated HIV-infected patients: a two-year study in China. Infect Dis Poverty. 2017; 6(1):152. PMC: 5697335. DOI: 10.1186/s40249-017-0364-5. View

Kalichman S, Shkembi B, Wanyenze R, Naigino R, Bateganya M, Menzies N . Perceived HIV stigma and HIV testing among men and women in rural Uganda: a population-based study. Lancet HIV. 2020; 7(12):e817-e824. PMC: 9706443. DOI: 10.1016/S2352-3018(20)30198-3. View

Li G, Jiang Y, Zhang L . HIV upsurge in China's students. Science. 2019; 364(6442):711. DOI: 10.1126/science.aay0799. View

Mmari K, Blum R . Risk and protective factors that affect adolescent reproductive health in developing countries: a structured literature review. Glob Public Health. 2009; 4(4):350-66. DOI: 10.1080/17441690701664418. View

Zakaria M, Karim F, Mazumder S, Cheng F, Xu J . Knowledge on, Attitude towards, and Practice of Sexual and Reproductive Health among Older Adolescent Girls in Bangladesh: An Institution-Based Cross-Sectional Study. Int J Environ Res Public Health. 2020; 17(21). PMC: 7672593. DOI: 10.3390/ijerph17217720. View

10.

Adefuye A, Abiona T, Balogun J, Lukobo-Durrell M . HIV sexual risk behaviors and perception of risk among college students: implications for planning interventions. BMC Public Health. 2009; 9:281. PMC: 2733304. DOI: 10.1186/1471-2458-9-281. View

11.

Shiferaw Y, Alemu A, Assefa A, Tesfaye B, Gibermedhin E, Amare M . Perception of risk of HIV and sexual risk behaviors among University students: implication for planning interventions. BMC Res Notes. 2014; 7:162. PMC: 3974211. DOI: 10.1186/1756-0500-7-162. View

12.

Xu J, Wang P, Cheng F . Health related behaviors among HIV-infected people who are successfully linked to care: an institutional-based cross-sectional study. Infect Dis Poverty. 2020; 9(1):28. PMC: 7068930. DOI: 10.1186/s40249-020-00642-1. View

13.

Zou H, Tucker J, Fan S, Xu J, Yu M, Luo Z . Learning about HIV the hard way: HIV among Chinese MSM attending university. Lancet Infect Dis. 2018; 18(1):16-18. DOI: 10.1016/S1473-3099(17)30711-9. View

14.

Enyew M . Willingness to perform induced abortion and associated factors among graduating midwifery, medical, nursing, and public health officer students of University of Gondar, Northwest Ethiopia: institution based cross sectional study. BMC Pregnancy Childbirth. 2020; 20(1):676. PMC: 7654038. DOI: 10.1186/s12884-020-03382-0. View

15.

Huang G, Cai M, Lu X . Inferring Opinions and Behavioral Characteristics of Gay Men with Large Scale Multilingual Text from Blued. Int J Environ Res Public Health. 2019; 16(19). PMC: 6801609. DOI: 10.3390/ijerph16193597. View