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

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.

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Perceptions of sexual risk behaviours and substance abuse among adolescents in South Africa: A qualitative investigation

AIDS Care ◽

10.1080/09540120500456243 ◽

2006 ◽

Vol 18 (3) ◽

pp. 215-219 ◽

Cited By ~ 38

Author(s):

Neo K. Morojele ◽

Judith S. Brook ◽

Millicent A. Kachieng'A

Keyword(s):

South Africa ◽

Substance Abuse ◽

Sexual Risk ◽

Risk Behaviours ◽

Qualitative Investigation ◽

Sexual Risk Behaviours

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Perception of risk of HIV and sexual risk behaviours among students in the United States, Turkey and South Africa

SAHARA-J Journal of Social Aspects of HIV/AIDS ◽

10.1080/17290376.2011.9724980 ◽

2011 ◽

Vol 8 (1) ◽

pp. 19-26 ◽

Cited By ~ 4

Author(s):

Adedeji Adefuye ◽

Tititlayo C Abiona ◽

Joseph A Balogun ◽

Seyi Ladele Amosun ◽

Jose Frantz ◽

...

Keyword(s):

United States ◽

South Africa ◽

Sexual Risk ◽

The United States ◽

Risk Behaviours ◽

Perception Of Risk ◽

Sexual Risk Behaviours

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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 ◽

10.1071/sh09113 ◽

2010 ◽

Vol 7 (4) ◽

pp. 434 ◽

Cited By ~ 12

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.

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

Sexual Health ◽

10.1071/sh09090 ◽

2010 ◽

Vol 7 (2) ◽

pp. 149 ◽

Cited By ~ 40

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.

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