ABSTRACT
Objective To investigate characteristics and influencing factors of heterosexual behavior among young men who have sex with men (YMSM) in Taizhou, and to provide evidence for conducting intervention on acquired immune deficiency syndrome (AIDS). Methods The demographic characteristics, behavioral characteristics and AIDS related knowledge of YMSM in Taizhou were investigated by the method of questionnaire survey from January to July in 2015, February to September in 2016, January to August in 2017, and January to August in 2018. Human immunodeficiency virus (HIV), syphilis and hepatitis C virus (HCV) were tested in everyone. Results A total of 432 YMSM were recruited, including 56 YMSM who had heterosexual behavior. 14.3% of YMSM who had heterosexual behavior never used condoms when having heterosexual behavior. 26.8% did not use condoms when having the last heterosexual behavior. The detection rates of HIV and syphilis were both 5.4%. No HCV positive person was found. The awareness rate of AIDS related knowledge was 91.1%. In multivariate logistic regression, marital status and local residence time were influencing factors of heterosexual behavior among YMSM. Conclusions YMSM in Taizhou are at risk of spreading HIV and syphilis. Although the awareness rate of AIDS related knowledge is better, there are still high-risk behavior such as commercial sex behavior and knowledge-practice separation such as not using condoms. It is necessary to promote intervention activities for safe sexual behavior, especially among YMSM who are married and live in the local areas for less than 2 years.
ABSTRACT
Objective This present study was to examine the prevalence and determinants of one-night-stand behavior among young men who have sex with men (YMSM).Methods A total of 403 YMSM aged 16 to 25 were recruited through internet promotion,extending activity and HIV VCT in Wuhan.Data was gathered through anonymous questionnaire.Binary logistic regression was used to examine factors associated with one-night-stand behavior.Results Of the 398 YMSM,48.99％ (195/ 398) reported having had casual sex in the last 6 months.Of the ones having had casual sex,34.29％ (60/175) and 28.65％ (49/171) reported using condoms consistently during anal or oral sexual contacts,respectively.These figures were lower than those of YMSM not having casual sexual contacts [with anal sex as 49.08％ (80/163) and oral sex as 38.85％ (61/157)].76.80％ (149/194) of the YMSM reported having had multiple sexual partners,with the figure higher than those without [33.15％ (60/ 181)] (P＜0.01).Results from the logistic regression analysis showed that the following factors seemed to be associated with casual sex activities among YMSM,including:often using intemet,(OR=4.89,95％ CI:1.90-12.54),taking illegal drugs (OR=2.72,95％ CI:1.60-4.63).Conclusions YMSM who bad engaged in casual sex,practicing unprotected sex or having multiple sexual partners,were recognized as high risk population.Targeted intervention programs are needed to decrease the one-night-stand behavior.Internct intervention strategy seemed an important method to serve the purpose.
ABSTRACT
Objective This present study was to examine the prevalence and determinants of one-night-stand behavior among young men who have sex with men (YMSM).Methods A total of 403 YMSM aged 16 to 25 were recruited through internet promotion,extending activity and HIV VCT in Wuhan.Data was gathered through anonymous questionnaire.Binary logistic regression was used to examine factors associated with one-night-stand behavior.Results Of the 398 YMSM,48.99％ (195/ 398) reported having had casual sex in the last 6 months.Of the ones having had casual sex,34.29％ (60/175) and 28.65％ (49/171) reported using condoms consistently during anal or oral sexual contacts,respectively.These figures were lower than those of YMSM not having casual sexual contacts [with anal sex as 49.08％ (80/163) and oral sex as 38.85％ (61/157)].76.80％ (149/194) of the YMSM reported having had multiple sexual partners,with the figure higher than those without [33.15％ (60/ 181)] (P＜0.01).Results from the logistic regression analysis showed that the following factors seemed to be associated with casual sex activities among YMSM,including:often using intemet,(OR=4.89,95％ CI:1.90-12.54),taking illegal drugs (OR=2.72,95％ CI:1.60-4.63).Conclusions YMSM who bad engaged in casual sex,practicing unprotected sex or having multiple sexual partners,were recognized as high risk population.Targeted intervention programs are needed to decrease the one-night-stand behavior.Internct intervention strategy seemed an important method to serve the purpose.
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Objective To assess the prevalence of AIDS-related sexual behaviors and HIV infection status in young men who have sex with men (YMSM) in China.Methods Literature retrieval was conducted to obtain the related literature indexed by CNKI,Wangfang and PubMed databases from January 2005 to February 2015.Two reviewers independently screened the literature according to the inclusion and exclusion criteria,extracted data and assessed the methodological quality.Meta-analysis was performed by the R software.Results Thirty seven studies involving 32 110 YMSM were included.75.5％ (95％ CI:68.8％-81.2％) YMSM sought sexual partners through Internet and 65.5％ (95％CI:60.0％-70.6％) had more than 2 sexual partners.In the last 6 months,89.1％ (95％ CI:84.2％-92.6％) YMSM had anal intercourse and 42.0％ (95％ CI:37.4％-46.6％) used condom consistently;11.4％ (95％CI:8.4％-15.4％) had vaginal intercourse and 36.9％ (95％CI:32.4％-41.6％) used condom consistently.The pooled prevalence of HIV infection was 5.0％ (95％CI:3.9％-6.5％),sub-group analysis showed that the prevalence of HIV infection in the eastern,central and western China were 4.2％ (95％CI:2.6％-6.6％),1.9％ (95％C1:0.8％-4.6％),6.3％ (95％ CI:4.7％-8.5％),respectively,and there were significant differences among different areas.Conclusion The prevalence of AIDS-related risk sexual behaviors and incidence of HIV infection in YMSM were high in China,it is necessary to conduct AIDS intervention in this population.
ABSTRACT
Objective To assess the prevalence of AIDS-related sexual behaviors and HIV infection status in young men who have sex with men (YMSM) in China.Methods Literature retrieval was conducted to obtain the related literature indexed by CNKI,Wangfang and PubMed databases from January 2005 to February 2015.Two reviewers independently screened the literature according to the inclusion and exclusion criteria,extracted data and assessed the methodological quality.Meta-analysis was performed by the R software.Results Thirty seven studies involving 32 110 YMSM were included.75.5％ (95％ CI:68.8％-81.2％) YMSM sought sexual partners through Internet and 65.5％ (95％CI:60.0％-70.6％) had more than 2 sexual partners.In the last 6 months,89.1％ (95％ CI:84.2％-92.6％) YMSM had anal intercourse and 42.0％ (95％ CI:37.4％-46.6％) used condom consistently;11.4％ (95％CI:8.4％-15.4％) had vaginal intercourse and 36.9％ (95％CI:32.4％-41.6％) used condom consistently.The pooled prevalence of HIV infection was 5.0％ (95％CI:3.9％-6.5％),sub-group analysis showed that the prevalence of HIV infection in the eastern,central and western China were 4.2％ (95％CI:2.6％-6.6％),1.9％ (95％C1:0.8％-4.6％),6.3％ (95％ CI:4.7％-8.5％),respectively,and there were significant differences among different areas.Conclusion The prevalence of AIDS-related risk sexual behaviors and incidence of HIV infection in YMSM were high in China,it is necessary to conduct AIDS intervention in this population.
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Objective To explore the association between sexual sensation seeking and risk sexual behaviors among young men who have sex with men (YMSM) who were under 25 years old.Methods 403 YMSM were recruited through online publicity,organization of outdoor activities together with HIV voluntary counseling and testing services from May to November in 2013.A total number of 375 (93.05％) valid questionnaires were received.Results Data showed that,among the 375 YMSM,37.9％ had sex with men for the first time without using a condom,55.7％ had multiple sexual partners,51.7％ had one-night stand,and 5.6％ engaged in group sex activities.Results from correlation analysis showed that sexual sensation seeking was positively correlated with four risk sexual behaviors (r=0.247,0.218,0.296 and 0.252,respectively).Data from the Unconditional logistic regression analysis showed that YMSM with high sexual sensation seeking were more likely to engage in risk sexual behaviors.Conclusion Sexual sensation seeking was associated with risk sexual behaviors among YMSM.More knowledge and behavior education based on the sexual sensation seeking should be emphasized,as well as increasing the awareness on HIV-related risk sexual behaviors.