Frontiers in public health · 2025
Differences in HIV-related knowledge, attitudes, and behaviors among men who have sex with men (MSM): comparison between HIV-positive and HIV-negative college students.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Jing Zhengwei, Chang Wenhui, Wang Hongyuan, Zhou Chao, Cui Tao, Xu Shiyao, Liao Peng, Li Fei, Hesketh Therese, Ning Yan, Wang Zhifeng
Аннотация
OBJECTIVE: This study aimed to compare HIV-related knowledge, attitudes, sexual behaviors, and social networking between MSM college students with and without HIV infection, and to identify associated factors sustaining the high HIV prevalence in this population.
METHODS: A cross-sectional survey was conducted among 686 HIV-positive and HIV-negative MSM college students recruited from Guangdong, Chongqing, and Shaanxi provinces (January 2019-March 2021) via local Centers for Disease Control institutions and Non-Governmental Organizations. Data were collected through structured face-to-face interviews assessing sociodemographic, HIV knowledge sexual practices, and social behaviors. Comparative analyses utilized t-tests and Barnard/Fisher exact tests (significance: p < 0.05), reporting effect sizes.
RESULTS: HIV-positive students were significantly older (median: 23 vs. 22 years; p = 0.007, δ = 0.14) and more likely to engage in off-campus MSM networking (V = 0.20, p < 0.001). Overall HIV knowledge awareness was 75.4%. However, it was significantly deficient in recognizing the interconnected epidemic risk between sexually transmitted infections and HIV. HIV-negative students reported higher rates of sexual activity with peers (V = 0.28, p < 0.001), favorable attitudes toward one-night stands (V = 0.13, p = 0.019), and stronger protective practices including disclosing HIV status pre-intercourse (25.2% vs. 9.1%; V = 0.21, p < 0.001), consistent condom use with casual partners (87.6% vs. 68.0%; V = 0.24, p < 0.001), and with partners met on-line (60.9% vs. 39.9%; V = 0.21, p < 0.001). Only 50.6% of online partnerships involved condom consistency.
CONCLUSION: Persisting high HIV incidence among Chinese MSM students suggests deficits in translating HIV knowledge into protective behaviors, notably in on-line partner-seeking contexts. Tailored interventions must address structural vulnerabilities through integrated campus health services and technology-enabled risk-reduction strategies.
METHODS: A cross-sectional survey was conducted among 686 HIV-positive and HIV-negative MSM college students recruited from Guangdong, Chongqing, and Shaanxi provinces (January 2019-March 2021) via local Centers for Disease Control institutions and Non-Governmental Organizations. Data were collected through structured face-to-face interviews assessing sociodemographic, HIV knowledge sexual practices, and social behaviors. Comparative analyses utilized t-tests and Barnard/Fisher exact tests (significance: p < 0.05), reporting effect sizes.
RESULTS: HIV-positive students were significantly older (median: 23 vs. 22 years; p = 0.007, δ = 0.14) and more likely to engage in off-campus MSM networking (V = 0.20, p < 0.001). Overall HIV knowledge awareness was 75.4%. However, it was significantly deficient in recognizing the interconnected epidemic risk between sexually transmitted infections and HIV. HIV-negative students reported higher rates of sexual activity with peers (V = 0.28, p < 0.001), favorable attitudes toward one-night stands (V = 0.13, p = 0.019), and stronger protective practices including disclosing HIV status pre-intercourse (25.2% vs. 9.1%; V = 0.21, p < 0.001), consistent condom use with casual partners (87.6% vs. 68.0%; V = 0.24, p < 0.001), and with partners met on-line (60.9% vs. 39.9%; V = 0.21, p < 0.001). Only 50.6% of online partnerships involved condom consistency.
CONCLUSION: Persisting high HIV incidence among Chinese MSM students suggests deficits in translating HIV knowledge into protective behaviors, notably in on-line partner-seeking contexts. Tailored interventions must address structural vulnerabilities through integrated campus health services and technology-enabled risk-reduction strategies.