{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T20:55:37Z","timestamp":1789419337176,"version":"build-2803163510"},"reference-count":81,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":1529,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Elimination of HIV is a public health priority in China, but there has been reports of an upsurge in HIV among young people. A nationwide cross-sectional survey was conducted to assess the awareness of HIV knowledge, attitudes towards homosexuality and practice of sexual behaviours among Chinese aged 15\u201324 years. Methods: The face-to-face survey was conducted from June to August 2017, collecting data on sociodemographic characteristics, HIV-related knowledge, attitudes towards homosexuality and practice of sexual behaviours among Chinese senior high school and university students. A generalised linear model (GLM) was used to assess the different levels of HIV knowledge between groups, and identify the key contributors to HIV knowledge scores. Results: The survey was completed by 73.6% (1355\/1840) of the students approached. The overall level of HIV-related knowledge was low (58.9%, 10.6\/18); 48.0% (650\/1355) supported same-sex marriage; and 6.9% (93\/1355) self-identified as homosexual or bisexual. The major factors associated with higher scores [mean \u00b1 standard deviation (s.d.)] in HIV knowledge among students included: having received school-based HIV education (11.47 \u00b1 3.51 vs 9.02 \u00b1 4.14, P &amp;lt; 0.05); support for same-sex marriage (11.69 \u00b1 3.33 vs 9.49 \u00b1 4.29, P &amp;lt; 0.05) and older age (11.61 \u00b1 2.78 vs 9.87 \u00b1 4.17, P &amp;lt; 0.05). Compared with females, males were significantly more likely (all P &amp;lt; 0.05) to report masturbation (60.7% vs 7.6%), pornography experiences (77.4% vs 35.3%), sexual encounters (24.6% vs 12.3%), casual sex (37.0% vs 18.1%) and sex under the influence of alcohol (29.5% vs 12.8%). Conclusions: There is is still much room for improvement in terms of HIV\/AIDS prevention and health education for Chinese young people, and more comprehensive and diverse models of education for HIV prevention are urgently needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh20122","type":"journal-article","created":{"date-parts":[[2021,2,26]],"date-time":"2021-02-26T00:06:42Z","timestamp":1614298002000},"page":"64-76","source":"Crossref","is-referenced-by-count":11,"title":["A national survey of HIV knowledge, sexual practices and attitude towards homosexuality for HIV elimination among young people in China"],"prefix":"10.1071","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5181-8986","authenticated-orcid":true,"given":"Luanqi","family":"Ruan","sequence":"first","affiliation":[{"name":"ADepartment of Epidemiology and Biostatistics, School of Public Health, Nantong University, Nantong, Jiangsu, PR China."},{"name":"BMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."},{"name":"CDepartment of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1257-9617","authenticated-orcid":true,"given":"Rui","family":"Zhao","sequence":"additional","affiliation":[{"name":"DChina\u2013Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi\u2019an Jiaotong University Health Science Center, Xi\u2019an, Shaanxi, PR China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason J.","family":"Ong","sequence":"additional","affiliation":[{"name":"BMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."},{"name":"DChina\u2013Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi\u2019an Jiaotong University Health Science Center, Xi\u2019an, Shaanxi, PR China."},{"name":"EDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK."},{"name":"FCentral Clinical School, Faculty of Medicine, Monash University, Melbourne, Vic., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxing","family":"Fu","sequence":"additional","affiliation":[{"name":"GSchool of Sociology and Population Studies, Renmin University of China, Beijing, PR China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Xiong","sequence":"additional","affiliation":[{"name":"HDelan Bright Charity Foundation, Changsha, Hunan, PR China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Chen","sequence":"additional","affiliation":[{"name":"HDelan Bright Charity Foundation, Changsha, Hunan, PR China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Da","family":"He","sequence":"additional","affiliation":[{"name":"HDelan Bright Charity Foundation, Changsha, Hunan, PR China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujia","family":"Chen","sequence":"additional","affiliation":[{"name":"ADepartment of Epidemiology and Biostatistics, School of Public Health, Nantong University, Nantong, Jiangsu, PR China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xun","family":"Zhuang","sequence":"additional","affiliation":[{"name":"ADepartment of Epidemiology and Biostatistics, School of Public Health, Nantong University, Nantong, Jiangsu, PR China."},{"name":"ICorresponding authors. Emails:"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2343-084X","authenticated-orcid":true,"given":"Lei","family":"Zhang","sequence":"additional","affiliation":[{"name":"BMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."},{"name":"CDepartment of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China."},{"name":"DChina\u2013Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi\u2019an Jiaotong University Health Science Center, Xi\u2019an, Shaanxi, PR China."},{"name":"FCentral Clinical School, Faculty of Medicine, Monash University, Melbourne, Vic., Australia."},{"name":"ICorresponding authors. 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