{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T02:19:29Z","timestamp":1791425969835,"version":"4.3.3"},"reference-count":74,"publisher":"CSIRO Publishing","issue":"6","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":2043,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11,26]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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\u2019s test. Results: Thirty-three articles representing 31 studies were included in the analysis. The pooled HIV prevalence was 4.1% (95% CI 3.1\u20135.0%). 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\u201307 to 53% in 2014\u201316. 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh18231","type":"journal-article","created":{"date-parts":[[2019,9,30]],"date-time":"2019-09-30T21:14:14Z","timestamp":1569878054000},"page":"554-565","source":"Crossref","is-referenced-by-count":20,"title":["HIV and syphilis and sexual risk behaviours among men who have sex with men attending university in China: a systematic review and meta-analysis"],"prefix":"10.1071","volume":"16","author":[{"given":"Song","family":"Fan","sequence":"first","affiliation":[{"name":"ASchool of Public Health, Sun Yat-sen University, Guangzhou, Guangdong 510080, China."},{"name":"BSchool of Public Health, Southwest Medical University, Luzhou, Sichuan 646000, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuyao","family":"Yang","sequence":"additional","affiliation":[{"name":"CDivision of Epidemiology, JC School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong SAR 999077, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengsu","family":"Hou","sequence":"additional","affiliation":[{"name":"ASchool of Public Health, Sun Yat-sen University, Guangzhou, Guangdong 510080, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maohe","family":"Yu","sequence":"additional","affiliation":[{"name":"DDepartment of AIDS\/STD Control and Prevention, Tianjin Center for Disease Control and Prevention, Tianjin 300011, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenzhou","family":"Luo","sequence":"additional","affiliation":[{"name":"ENanshan District Center for Chronic Disease Control, Shenzhen 518000, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meizhen","family":"Liao","sequence":"additional","affiliation":[{"name":"FShandong Center for Disease Control and Prevention, Jinan, Shandong 250014, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhua","family":"Gong","sequence":"additional","affiliation":[{"name":"GFoshan Center for Disease Control and Prevention, Foshan, Guangdong 528051, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaojun","family":"Meng","sequence":"additional","affiliation":[{"name":"HWuxi Center for Disease Control and Prevention, Wuxi, Jiangsu 214023, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Cai","sequence":"additional","affiliation":[{"name":"ISchool of Public Health, Shanghai Jiao Tong University, Shanghai 200020, China."},{"name":"MCorresponding authors. 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