A Survey on HIV/AIDS-Related Knowledge, Attitudes, Risk Behaviors, and Characteristics of Men Who Have Sex with Men among University Students in Guangxi, China
In recent years, the prevalence of human immunodeficiency virus (HIV) infection among Chinese university students has increased significantly, and HIV transmission among men who have sex with men (MSM) comprises more than half of the new cases. There is still a lack of research investigating the inc...
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| Veröffentlicht in: | BioMed research international 2020, Vol.2020 (2020), p.1-10 |
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| creator | Wen, Liufang Luo, Yuxin Liang, Hao Jiang, Junjun Zheng, Fangling Liang, Bingyu Xie, Yuan Xie, Long Ye, Li Lin, Yulun Pan, Peijiang Lai, Jingzhen Chen, Rongfeng |
| description | In recent years, the prevalence of human immunodeficiency virus (HIV) infection among Chinese university students has increased significantly, and HIV transmission among men who have sex with men (MSM) comprises more than half of the new cases. There is still a lack of research investigating the incidence of male-to-male sex, the attitudes towards MSM, and the awareness of HIV/AIDS among university students in Guangxi, one of the HIV high-risk areas in China. Therefore, we performed a cross-sectional investigation among 578 male students, recruited by stratified sampling, in universities in Nanning, Guangxi, between January 2016 and March 2017. Researcher-administered anonymous questionnaires were completed. Self-recognition as MSM was found in 8.48% of the subjects. Compared with non-MSM, university student MSM included more people over the age of 20 (OR=4.95), had less migration from other districts of Guangxi (OR=0.26), and the majority were nonmedical students (OR=8.99). In total, 63.25% of the male student participants reported a lack of acceptance of MSM, while 35.47% acknowledged barriers between themselves and acquaintances who were MSM. Overall, 67.30% of the subjects correctly answered questions related to AIDS knowledge. The proportion of MSM subjects who answered the AIDS-related questions completely correctly was significantly lower than that of non-MSM subjects (42.86% vs. 69. 57%, respectively, OR: 0.33), but the self-recognition risk of MSM was significantly higher than that of non-MSM (OR=2.59). Risky behaviors associated with HIV infections, including smoking, alcohol consumption, drug abuse, and inconsistent condom use, were significantly higher among the MSM participants. The percentages of student’s willingness to accept MC and PrEP were 70.93% and 77.51%, respectively. These results raise the alarm that university student MSM in Guangxi, China, require urgent public attention and more effective health education, including the education on MC and PrEP. |
| doi_str_mv | 10.1155/2020/7857231 |
| format | Article |
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There is still a lack of research investigating the incidence of male-to-male sex, the attitudes towards MSM, and the awareness of HIV/AIDS among university students in Guangxi, one of the HIV high-risk areas in China. Therefore, we performed a cross-sectional investigation among 578 male students, recruited by stratified sampling, in universities in Nanning, Guangxi, between January 2016 and March 2017. Researcher-administered anonymous questionnaires were completed. Self-recognition as MSM was found in 8.48% of the subjects. Compared with non-MSM, university student MSM included more people over the age of 20 (OR=4.95), had less migration from other districts of Guangxi (OR=0.26), and the majority were nonmedical students (OR=8.99). In total, 63.25% of the male student participants reported a lack of acceptance of MSM, while 35.47% acknowledged barriers between themselves and acquaintances who were MSM. Overall, 67.30% of the subjects correctly answered questions related to AIDS knowledge. The proportion of MSM subjects who answered the AIDS-related questions completely correctly was significantly lower than that of non-MSM subjects (42.86% vs. 69. 57%, respectively, OR: 0.33), but the self-recognition risk of MSM was significantly higher than that of non-MSM (OR=2.59). Risky behaviors associated with HIV infections, including smoking, alcohol consumption, drug abuse, and inconsistent condom use, were significantly higher among the MSM participants. The percentages of student’s willingness to accept MC and PrEP were 70.93% and 77.51%, respectively. These results raise the alarm that university student MSM in Guangxi, China, require urgent public attention and more effective health education, including the education on MC and PrEP.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2020/7857231</identifier><identifier>PMID: 32626763</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; AIDS ; Attitudes ; China - epidemiology ; College students ; Colleges & universities ; Condoms ; Cross-Sectional Studies ; Disease transmission ; Drug abuse ; Education ; Gays & lesbians ; Health aspects ; Health care ; Health Knowledge, Attitudes, Practice ; Health Risk Behaviors ; Health risks ; Heterosexuality - statistics & numerical data ; HIV ; HIV (Viruses) ; HIV infection ; HIV Infections - psychology ; HIV Infections - transmission ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Humans ; Infection ; Infections ; Male ; Men ; Population ; Preventive medicine ; Questionnaires ; Questions ; Recognition ; Risk ; Risk taking ; Self-recognition ; Sexual behavior ; Sexually transmitted diseases ; STD ; Students ; Students - psychology ; Students - statistics & numerical data ; Studies ; Surveys ; Universities ; University students ; Viruses ; Young Adult</subject><ispartof>BioMed research international, 2020, Vol.2020 (2020), p.1-10</ispartof><rights>Copyright © 2020 Jingzhen Lai et al.</rights><rights>COPYRIGHT 2020 John Wiley & Sons, Inc.</rights><rights>Copyright © 2020 Jingzhen Lai et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. http://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2020 Jingzhen Lai et al. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-9da39bccd17a9e9fe91971e83bf5e50e2526d104ef3ec9ef5981de912c332cb03</citedby><cites>FETCH-LOGICAL-c499t-9da39bccd17a9e9fe91971e83bf5e50e2526d104ef3ec9ef5981de912c332cb03</cites><orcidid>0000-0001-7688-4867 ; 0000-0003-4905-9348 ; 0000-0001-7534-5124</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312710/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312710/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32626763$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Gigantesco, Antonella</contributor><contributor>Antonella Gigantesco</contributor><creatorcontrib>Wen, Liufang</creatorcontrib><creatorcontrib>Luo, Yuxin</creatorcontrib><creatorcontrib>Liang, Hao</creatorcontrib><creatorcontrib>Jiang, Junjun</creatorcontrib><creatorcontrib>Zheng, Fangling</creatorcontrib><creatorcontrib>Liang, Bingyu</creatorcontrib><creatorcontrib>Xie, Yuan</creatorcontrib><creatorcontrib>Xie, Long</creatorcontrib><creatorcontrib>Ye, Li</creatorcontrib><creatorcontrib>Lin, Yulun</creatorcontrib><creatorcontrib>Pan, Peijiang</creatorcontrib><creatorcontrib>Lai, Jingzhen</creatorcontrib><creatorcontrib>Chen, Rongfeng</creatorcontrib><title>A Survey on HIV/AIDS-Related Knowledge, Attitudes, Risk Behaviors, and Characteristics of Men Who Have Sex with Men among University Students in Guangxi, China</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>In recent years, the prevalence of human immunodeficiency virus (HIV) infection among Chinese university students has increased significantly, and HIV transmission among men who have sex with men (MSM) comprises more than half of the new cases. There is still a lack of research investigating the incidence of male-to-male sex, the attitudes towards MSM, and the awareness of HIV/AIDS among university students in Guangxi, one of the HIV high-risk areas in China. Therefore, we performed a cross-sectional investigation among 578 male students, recruited by stratified sampling, in universities in Nanning, Guangxi, between January 2016 and March 2017. Researcher-administered anonymous questionnaires were completed. Self-recognition as MSM was found in 8.48% of the subjects. Compared with non-MSM, university student MSM included more people over the age of 20 (OR=4.95), had less migration from other districts of Guangxi (OR=0.26), and the majority were nonmedical students (OR=8.99). In total, 63.25% of the male student participants reported a lack of acceptance of MSM, while 35.47% acknowledged barriers between themselves and acquaintances who were MSM. Overall, 67.30% of the subjects correctly answered questions related to AIDS knowledge. The proportion of MSM subjects who answered the AIDS-related questions completely correctly was significantly lower than that of non-MSM subjects (42.86% vs. 69. 57%, respectively, OR: 0.33), but the self-recognition risk of MSM was significantly higher than that of non-MSM (OR=2.59). Risky behaviors associated with HIV infections, including smoking, alcohol consumption, drug abuse, and inconsistent condom use, were significantly higher among the MSM participants. The percentages of student’s willingness to accept MC and PrEP were 70.93% and 77.51%, respectively. These results raise the alarm that university student MSM in Guangxi, China, require urgent public attention and more effective health education, including the education on MC and PrEP.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>Attitudes</subject><subject>China - epidemiology</subject><subject>College students</subject><subject>Colleges & universities</subject><subject>Condoms</subject><subject>Cross-Sectional Studies</subject><subject>Disease transmission</subject><subject>Drug abuse</subject><subject>Education</subject><subject>Gays & lesbians</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Risk Behaviors</subject><subject>Health risks</subject><subject>Heterosexuality - statistics & numerical data</subject><subject>HIV</subject><subject>HIV (Viruses)</subject><subject>HIV infection</subject><subject>HIV Infections - psychology</subject><subject>HIV Infections - transmission</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infection</subject><subject>Infections</subject><subject>Male</subject><subject>Men</subject><subject>Population</subject><subject>Preventive medicine</subject><subject>Questionnaires</subject><subject>Questions</subject><subject>Recognition</subject><subject>Risk</subject><subject>Risk taking</subject><subject>Self-recognition</subject><subject>Sexual behavior</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Students</subject><subject>Students - psychology</subject><subject>Students - statistics & numerical data</subject><subject>Studies</subject><subject>Surveys</subject><subject>Universities</subject><subject>University students</subject><subject>Viruses</subject><subject>Young Adult</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNks1v0zAYhyMEYtPYjTOyxAWJlvojieMLUimwVgwhrQyOluu8ST1Se9hOu_41_Ku4tHTACR_8-ejxa-uXZU8JfkVIUYwopnjEq4JTRh5kp6nPhyXJycPjnLGT7DyEG5xaRUosysfZCaMlLXnJTrMfYzTv_Rq2yFk0nX0ZjWdv58Mr6FSEGn2wbtNB3cIAjWM0sa8hDNCVCd_QG1iqtXE-rZWt0WSpvNIRvAnR6IBcgz6CRV-XDk3VGtAc7tDGxOWvXbVytkXX1qzBBxO3aL4z2xiQseiiV7a9M4OkNFY9yR41qgtwfhjPsuv37z5PpsPLTxezyfhyqHMh4lDUiomF1jXhSoBoQBDBCVRs0RRQYKAFLWuCc2gYaAFNISpSJ4hqxqheYHaWvd57b_vFCmqdqvGqk7ferJTfSqeM_PvEmqVs3VpyRignO8GLg8C77z2EKFcmaOg6ZcH1QdKc4jIne_T5P-iN671Nz0sU4aJiVUXuqVZ1II1tXLpX76RyXLKi4ELkPFGDPaW9C8FDcyyZYLmLiNxFRB4ikvBnfz7zCP8ORAJe7oH0-bXamP_UQWKgUfc0YZxizH4CBL7MeA</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Wen, Liufang</creator><creator>Luo, Yuxin</creator><creator>Liang, Hao</creator><creator>Jiang, Junjun</creator><creator>Zheng, Fangling</creator><creator>Liang, Bingyu</creator><creator>Xie, Yuan</creator><creator>Xie, Long</creator><creator>Ye, Li</creator><creator>Lin, Yulun</creator><creator>Pan, Peijiang</creator><creator>Lai, Jingzhen</creator><creator>Chen, Rongfeng</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7688-4867</orcidid><orcidid>https://orcid.org/0000-0003-4905-9348</orcidid><orcidid>https://orcid.org/0000-0001-7534-5124</orcidid></search><sort><creationdate>2020</creationdate><title>A Survey on HIV/AIDS-Related Knowledge, Attitudes, Risk Behaviors, and Characteristics of Men Who Have Sex with Men among University Students in Guangxi, China</title><author>Wen, Liufang ; Luo, Yuxin ; Liang, Hao ; Jiang, Junjun ; Zheng, Fangling ; Liang, Bingyu ; Xie, Yuan ; Xie, Long ; Ye, Li ; Lin, Yulun ; Pan, Peijiang ; Lai, Jingzhen ; Chen, Rongfeng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-9da39bccd17a9e9fe91971e83bf5e50e2526d104ef3ec9ef5981de912c332cb03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS</topic><topic>Attitudes</topic><topic>China - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wen, Liufang</au><au>Luo, Yuxin</au><au>Liang, Hao</au><au>Jiang, Junjun</au><au>Zheng, Fangling</au><au>Liang, Bingyu</au><au>Xie, Yuan</au><au>Xie, Long</au><au>Ye, Li</au><au>Lin, Yulun</au><au>Pan, Peijiang</au><au>Lai, Jingzhen</au><au>Chen, Rongfeng</au><au>Gigantesco, Antonella</au><au>Antonella Gigantesco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Survey on HIV/AIDS-Related Knowledge, Attitudes, Risk Behaviors, and Characteristics of Men Who Have Sex with Men among University Students in Guangxi, China</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2020</date><risdate>2020</risdate><volume>2020</volume><issue>2020</issue><spage>1</spage><epage>10</epage><pages>1-10</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>In recent years, the prevalence of human immunodeficiency virus (HIV) infection among Chinese university students has increased significantly, and HIV transmission among men who have sex with men (MSM) comprises more than half of the new cases. There is still a lack of research investigating the incidence of male-to-male sex, the attitudes towards MSM, and the awareness of HIV/AIDS among university students in Guangxi, one of the HIV high-risk areas in China. Therefore, we performed a cross-sectional investigation among 578 male students, recruited by stratified sampling, in universities in Nanning, Guangxi, between January 2016 and March 2017. Researcher-administered anonymous questionnaires were completed. Self-recognition as MSM was found in 8.48% of the subjects. Compared with non-MSM, university student MSM included more people over the age of 20 (OR=4.95), had less migration from other districts of Guangxi (OR=0.26), and the majority were nonmedical students (OR=8.99). In total, 63.25% of the male student participants reported a lack of acceptance of MSM, while 35.47% acknowledged barriers between themselves and acquaintances who were MSM. Overall, 67.30% of the subjects correctly answered questions related to AIDS knowledge. The proportion of MSM subjects who answered the AIDS-related questions completely correctly was significantly lower than that of non-MSM subjects (42.86% vs. 69. 57%, respectively, OR: 0.33), but the self-recognition risk of MSM was significantly higher than that of non-MSM (OR=2.59). Risky behaviors associated with HIV infections, including smoking, alcohol consumption, drug abuse, and inconsistent condom use, were significantly higher among the MSM participants. The percentages of student’s willingness to accept MC and PrEP were 70.93% and 77.51%, respectively. These results raise the alarm that university student MSM in Guangxi, China, require urgent public attention and more effective health education, including the education on MC and PrEP.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>32626763</pmid><doi>10.1155/2020/7857231</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-7688-4867</orcidid><orcidid>https://orcid.org/0000-0003-4905-9348</orcidid><orcidid>https://orcid.org/0000-0001-7534-5124</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2314-6133 |
| ispartof | BioMed research international, 2020, Vol.2020 (2020), p.1-10 |
| issn | 2314-6133 2314-6141 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7312710 |
| source | MEDLINE; PubMed Central Open Access; Wiley-Blackwell Open Access Titles; PubMed Central; Alma/SFX Local Collection |
| subjects | Acquired immune deficiency syndrome Adolescent Adult AIDS Attitudes China - epidemiology College students Colleges & universities Condoms Cross-Sectional Studies Disease transmission Drug abuse Education Gays & lesbians Health aspects Health care Health Knowledge, Attitudes, Practice Health Risk Behaviors Health risks Heterosexuality - statistics & numerical data HIV HIV (Viruses) HIV infection HIV Infections - psychology HIV Infections - transmission Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Infection Infections Male Men Population Preventive medicine Questionnaires Questions Recognition Risk Risk taking Self-recognition Sexual behavior Sexually transmitted diseases STD Students Students - psychology Students - statistics & numerical data Studies Surveys Universities University students Viruses Young Adult |
| title | A Survey on HIV/AIDS-Related Knowledge, Attitudes, Risk Behaviors, and Characteristics of Men Who Have Sex with Men among University Students in Guangxi, China |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T17%3A49%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Survey%20on%20HIV/AIDS-Related%20Knowledge,%20Attitudes,%20Risk%20Behaviors,%20and%20Characteristics%20of%20Men%20Who%20Have%20Sex%20with%20Men%20among%20University%20Students%20in%20Guangxi,%20China&rft.jtitle=BioMed%20research%20international&rft.au=Wen,%20Liufang&rft.date=2020&rft.volume=2020&rft.issue=2020&rft.spage=1&rft.epage=10&rft.pages=1-10&rft.issn=2314-6133&rft.eissn=2314-6141&rft_id=info:doi/10.1155/2020/7857231&rft_dat=%3Cgale_pubme%3EA635579947%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2417983881&rft_id=info:pmid/32626763&rft_galeid=A635579947&rfr_iscdi=true |