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Meta-Analysis
. 2015 Dec 21:15:1272.
doi: 10.1186/s12889-015-2614-4.

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

Zhongrong Yang  1 , Zhaohui Huang  2 , Zhengquan Dong  3 , Sichao Zhang  4 , Jiankang Han  5 , Meihua Jin  6
Affiliations
Meta-Analysis

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

Zhongrong Yang et al. BMC Public Health. .

Abstract

Background: The aim of this study was to investigate the prevalence of high-risky behaviors, such as unprotected anal intercourse (UAI) in the last 6 months, condom using in their last homosexual anal intercourse, No. of male partners in the last 6 months among high school and college male students who have sex with men (MSM) in China.

Methods: The relevant trials were retrieved up to June 2015 from several public databases, and a meta-analysis was conducted according to the published studies. The estimated rate and its 95 % confidence intervals (CI) of the relevant indexes among high school and college student MSM were collected and calculated using a fixed-effects model (the Mantel-Haenszel method) or a random-effects model (the DerSimonian and Laird method) when appropriate.

Results: A total of 15 studies (18 research data), including 3297 student MSM, were performed in this meta-analysis. The overall results showed that the rate of student MSM who reported having had UAI in the last 6 months was 65.2 % (95 % CI = 60.2 % to 70.1 %), the prevalence of student MSM having more than one male partner in the last 6 months was 58.2 % (95 % CI = 51.1 % to 65.4 %), the rate of student MSM who reported using a condom in their last homosexual anal intercourse experience was 57.5 % (95 % CI = 49.8 % to 65.1 %), the prevalence of student MSM who were infected with HIV was 3.8 % (95 % CI = 2.5 % to 5.1 %), and the rate of student MSM who were infected with syphilis was 4.6 % (95 % CI = 3.8 % to 5.4 %).

Conclusions: There are high UAI prevalence and low condom using rate in the last homosexual anal intercourse experience among high school and college student MSM in China, and corresponding control measures for this group and more effective health education of student MSM are required to prevent HIV or sexually transmitted diseases from spreading to the general population.

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Figures

Fig. 1
Fig. 1
Flow diagram for selecting a study for meta-analysis
Fig. 2
Fig. 2
Forest plot for UAI of student MSM in the meta-analysis
Fig. 3
Fig. 3
Funnel plot for UAI of student MSM in the meta-analysis
See this image and copyright information in PMC

References

    1. Omunakwe HE, Okoye H, Efobi C, Onodingene M, Chinenye S, Nwauche CA: Disclosure amongst adult HIV patients on antiretroviral therapy in Port Harcourt, Nigeria. International journal of STD & AIDS 2014;26(10):729-32. - PubMed
    1. Gamarel KE, Golub SA: Intimacy Motivations and Pre-exposure Prophylaxis (PrEP) Adoption Intentions Among HIV-Negative Men Who Have Sex with Men (MSM) in Romantic Relationships. Ann Behav Med 2014; 49(2):177-86. - PMC - PubMed
    1. Leelawiwat W, Rutvisuttinunt W, Arroyo M, Mueanpai F, Kongpechsatit O, Chonwattana W, et al: Increasing HIV-1 Molecular Complexity among MSM in Bangkok. AIDS Res Hum Retroviruses 2014; 31(4):393-400. - PubMed
    1. Kiwanuka N, Mpendo J, Nalutaaya A, Wambuzi M, Nanvubya A, Kitandwe PK, et al. An assessment of fishing communities around Lake Victoria, Uganda, as potential populations for future HIV vaccine efficacy studies: an observational cohort study. BMC Public Health. 2014;14(1):986. doi: 10.1186/1471-2458-14-986. - DOI - PMC - PubMed
    1. Grant RM, Lama JR, Anderson PL, McMahan V, Liu AY, Vargas L, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. 2010;363(27):2587–2599. doi: 10.1056/NEJMoa1011205. - DOI - PMC - PubMed

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