HIV and syphilis and sexual risk behaviours among men who have sex with men attending university in China: a systematic review and meta-analysis

Sexual Health ◽  
2019 ◽  
Vol 16 (6) ◽  
pp. 554 ◽  
Author(s):  
Song Fan ◽  
Zuyao Yang ◽  
Fengsu Hou ◽  
Maohe Yu ◽  
Zhenzhou Luo ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Sexual Risk ◽  
Meta Analysis ◽  
Male Partner ◽  
Anal Intercourse ◽  
Hiv Prevalence ◽  
Risk Behaviours ◽  
Sex With Men ◽  
Group Sex ◽  
Sexual Risk Behaviours

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.

scholarly journals HIV prevalence, sexual risk behaviours and HIV testing among female sex workers in three cities in Sri Lanka: Findings from respondent-driven sampling surveys

PLoS ONE ◽  
2020 ◽  
Vol 15 (10) ◽  
pp. e0239951
Author(s):  
Ariyaratne Manathunge ◽  
Jelena Barbaric ◽  
Tomislav Mestrovic ◽  
Sriyakanthi Beneragama ◽  
Ivana Bozicevic
Keyword(s):  
Sri Lanka ◽  
Hiv Testing ◽  
Sexual Risk ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Prevalence ◽  
Respondent Driven Sampling ◽  
Risk Behaviours ◽  
Female Sex ◽  
Sexual Risk Behaviours

scholarly journals HIV, syphilis and sexual risk behaviours among men who have sex with men in Agadir and Marrakesh, Morocco: Table 1

2013 ◽  
Vol 89 (Suppl 3) ◽  
pp. iii45-iii48 ◽  
Author(s):  
Lisa Grazina Johnston ◽  
Kamal Alami ◽  
M Houssine El Rhilani ◽  
Mehdi Karkouri ◽  
Othoman Mellouk ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Risk Behaviours ◽  
Sex With Men ◽  
Sexual Risk Behaviours

scholarly journals Trends in HIV prevalence and risk behaviours among men who have sex with men from 2013 to 2017 in Nanjing, China: a consecutive cross-sectional survey

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e021955 ◽  
Author(s):  
Zhengping Zhu ◽  
Hongjing Yan ◽  
Sushu Wu ◽  
Yuanyuan Xu ◽  
Wenjiong Xu ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Hiv Testing ◽  
Protective Factor ◽  
Hiv Prevalence ◽  
Secondary Outcome ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
The Past ◽  
Testing Rate ◽  
Sex With Men

ObjectiveTo examine the trends of HIV prevalence, risk behaviours and HIV testing among men who have sex with men (MSM) in Nanjing.DesignFive consecutive cross-sectional surveys.SettingNanjing, China.Primary and secondary outcome measuresHIV and syphilis prevalence, HIV testing rate and factors associated with HIV infection; demographic characteristics and behaviours.Results649, 669, 577, 633, 503 MSM were recruited from 2013 to 2017. HIV prevalence was 9.9%, 12.3%, 12.5%, 9.8% and 10.1%, respectively. Syphilis prevalence decreased with a range from 10.6% to 5.6%. Risk behaviours like unprotected anal intercourse (UAI) and unprotected virginal sex in the past 6 months decreased, but multiple sex partners and ever used rush popper rose significantly. MSM tested for HIV in the previous year remained stable from 57.0% to 64.1% (P=0.633). Multivariate analysis showed that tested for HIV in the past year was protective factor against HIV infection. MSM who had UAI in the past 6 months, sex role as receptive and dual, diagnosed with sexually transmitted diseases (STDs) in the past year and currently syphilis infected were risk factors for HIV infection.ConclusionsWe observed stable high HIV prevalence, a steady HIV testing rate, decreasing syphilis prevalence and UAI among MSM in Nanjing. However, rush popper use rose dramatically. The HIV preventive strategies for MSM including condom promotion, HIV testing expansion and reduction of rush popper use, STDs screening and standardised treatment should be strengthened.

scholarly journals Screening HIV-positive men who have sex with men for hepatitis C re-infection risk: is a single question on condom-use enough? A sensitivity analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Patrizia Künzler-Heule ◽  
◽  
Sandra Engberg ◽  
Manuel Battegay ◽  
Axel J. Schmidt ◽  
...  
Keyword(s):  
At Risk ◽  
Hepatitis C ◽  
Drug Use ◽  
Sexual Risk ◽  
Anal Intercourse ◽  
The Other ◽  
Hiv Positive ◽  
Risk Behaviours ◽  
Condomless Anal Intercourse ◽  
Sex With Men

Abstract Background Hepatitis C virus (HCV) is common in men who have sex with men (MSM) with HIV. The Swiss HCVree Trial targeted a micro-elimination by using a treat and counsel strategy. Self-reported condomless anal intercourse with non-steady partners was used as the selection criterion for participation in a counselling intervention designed to prevent HCV re-infection. The purpose of this study was to assess the ability of this criterion to identify men who engaged in other sexual risk behaviours associated with HCV re-infection. Methods Men who disclosed their sexual and drug- use behaviours during the prior 6 months, at study baseline, were included in the current study. Using a descriptive comparative study design, we explored self-reported sexual and drug-use risk behaviours, compared the odds of reporting each behaviour in men who reported and denied condomless anal intercourse with non-steady partners during the prior year and calculated the sensitivity/specificity (95% CI) of the screening question in relation to the other at-risk behaviours. Results Seventy-two (61%) of the 118 men meeting eligibity criteria reported condomless anal intercourse with non-steady partners during the prior year. Many also engaged in other potential HCV transmission risk behaviours, e.g., 52 (44%) had used drugs. In participants disclosing drug use, 44 (37%) reported sexualised drug use and 17 (14%) injected drugs. Unadjusted odds ratios (95% CI) for two well-known risk behaviours were 2.02 (0.80, 5.62) for fisting and 5.66 (1.49, 37.12) for injecting drug use. The odds ratio for sexualised drug use - a potential mediator for increased sexual risk taking - was 5.90 (2.44, 16.05). Condomless anal intercourse with non-steady partners showed varying sensitivity in relation to the other risk behaviours examined (66.7–88.2%). Conclusions Although condomless anal intercourse with non-steady partners was fairly sensitive in detecting other HCV relevant risk behaviours, using it as the only screening criterion could lead to missing a proportion of HIV-positive men at risk for HCV re-infection due to other behaviours. This work also points to the importance of providing access to behavioral interventions addressing other sexual and drug use practices as part of HCV treatment. Trial registration Clinical Trial Number: NCT02785666, 30.05.2016.

The effect of drug and sexual risk behaviours with social network and non-network members on homeless youths' sexually transmissible infections and HIV testing

Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 434 ◽  
Author(s):  
Kimberly Tyler ◽  
Lisa Melander
Keyword(s):  
Social Network ◽  
Hiv Testing ◽  
Sexual Risk ◽  
Risk Behaviours ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sexually Transmissible Infections ◽  
Unit Increase ◽  
Key Factor ◽  
Sexual Risk Behaviours

Background: The study examined whether engaging in drug and sexual risk behaviours with social network and non-network members (strangers) differentially affected the decision to test for sexually transmissible infections (STIs) and HIV. Methods: A cross-sectional survey was conducted among 249 homeless youths aged 14–21 years. Results: Multivariate analyses revealed that females were over three times more likely than males to test for STIs (adjusted odds ratio (AOR) = 3.34; 95% confidence interval (CI) = 1.54–7.25). For every one unit increase in age, there was a 37% increase in the likelihood of having tested for STIs (AOR = 1.37; 95% CI = 1.12–1.68). Youths who had sex after using alcohol and drugs with strangers were approximately 3.5 times more likely to have tested for STIs (AOR = 3.45; 95% CI = 1.38–8.61). For every one unit increase in age, there was a 26% increase in the likelihood of having tested for HIV (AOR = 1.26; 95% CI = 1.05–1.51). Youths who had sex with a stranger after using alcohol or drugs were over three times more likely to test for HIV (AOR = 3.22; 95% CI = 1.42–7.31). No social network variables reached significance for STI or HIV testing. Conclusions: Being older and engaging in drug and sexual risk behaviours with strangers are important correlates of STI and HIV testing. Females are more likely than males to be tested for STIs. Engaging in risky behaviours with social network members was not a key factor in deciding whether to be tested.

Sexual risk behaviours and HIV-1 prevalence among urban men who have sex with men in Cape Town, South Africa

Sexual Health ◽  
2010 ◽  
Vol 7 (2) ◽  
pp. 149 ◽  
Author(s):  
Earl Burrell ◽  
Daniella Mark ◽  
Robert Grant ◽  
Robin Wood ◽  
Linda-Gail Bekker
Keyword(s):  
South Africa ◽  
Sexual Risk ◽  
Cape Town ◽  
Risk Behaviour ◽  
Hiv Prevalence ◽  
Sexual Risk Behaviour ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Sex With Men ◽  
Hiv 1

Background: Distinct homosexual and heterosexual HIV epidemics have previously been recognised in South Africa. However, linked HIV prevalence and self-reported sexual risk behaviour data have not been reported for men who have sex with men (MSM) in Cape Town since 1986. Methods: We conducted a cross-sectional, anonymous, venue-based HIV risk behaviour and prevalence study of 542 self-identified MSM in greater Cape Town using a self-administered risk questionnaire and the OraSure® testing device to asses HIV-1 prevalence. Results: This sample had an overall HIV prevalence of 10.4% (56/539). We found that self-identifying as gay, homosexual or queer (adjusted odds ratio (AOR) 4.5, 95% confidence interval (CI) 1.0–20.0) and reporting ever having had a sexually transmissible infection diagnosis (AOR 4.3, 95% CI: 2.3–8.3) were significantly predictive of testing HIV-1 positive, while reporting unprotected anal intercourse with a known HIV-negative partner (AOR 0.4, 95% CI: 0.2–0.9) was significantly protective. Conclusion: These data suggest a mature epidemic with consistent high-risk taking among MSM in Cape Town, and significant associations of select self-reported risk behaviours and HIV-1 serostatus. There is a need for continued and robust HIV surveillance along with detailed risk behaviour trends over time to inform the development of targeted risk-reduction interventions for this population.

scholarly journals HIV testing is associated with increased knowledge and reductions in sexual risk behaviours among men in Cape Town, South Africa

2013 ◽  
Vol 12 (4) ◽  
pp. 195-201 ◽  
Author(s):  
Lori AJ Scott-Sheldon ◽  
Michael P Carey ◽  
Kate B Carey ◽  
Demetria Cain ◽  
Leickness C Simbayi ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Testing ◽  
Sexual Risk ◽  
Cape Town ◽  
Risk Behaviours ◽  
Sexual Risk Behaviours

scholarly journals Sexual risk behaviours associated with unlicensed driving among young adults in Miami’s electronic dance music nightclub scene

Sexual Health ◽  
2017 ◽  
Vol 14 (6) ◽  
pp. 584 ◽  
Author(s):  
Mance E. Buttram ◽  
Steven P. Kurtz ◽  
Roddia J. Paul
Keyword(s):  
Young Adults ◽  
Sexual Risk ◽  
Dance Music ◽  
Risk Behaviours ◽  
Electronic Dance Music ◽  
Sexual Risk Reduction ◽  
Group Sex ◽  
Sexual Risk Behaviours ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Literature indicates that unlicensed driving (UD) offenders report substance use risk behaviours, yet data related to sexual risk behaviours is unknown. This study examined sexual and other risk behaviours among young adults in Miami, Florida, comparing UD and non-UD offenders (n = 498). Compared with others, UD offenders were more likely to report group sex history, being high for sex half the time or more, purchasing sex and sexually transmissible infection history. Results suggest that locating sexual risk reduction interventions inside of the justice system would benefit UD offenders.

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