Trends in High-Risk Sexual Behaviors among General Population Groups in China: A Systematic Review

被引:16
作者
Cai, Rui [1 ,2 ]
Richardus, Jan Hendrik [1 ]
Looman, Caspar W. N. [1 ]
de Vlas, Sake J. [1 ]
机构
[1] Univ Med Ctr, Erasmus MC, Dept Publ Hlth, Rotterdam, Netherlands
[2] China Scholarship Council, Beijing, Peoples R China
关键词
REPUBLIC-OF-CHINA; TRANSMITTED INFECTIONS; HIV; WORKERS;
D O I
10.1371/journal.pone.0079320
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background: The objective of this review was to investigate whether Chinese population groups that do not belong to classical high risk groups show an increasing trend of engaging in high-risk sexual behaviors. Methods: We systematically searched the English and Chinese literature on sexual risk behaviors published between January 1980 and March 2012 in PubMed and the China National Knowledge Infrastructure (CNKI). We included observational studies that focused on population groups other than commercial sex workers (CSWs) and their clients, and men who have sex with men (MSM) and quantitatively reported one of the following indicators of recent high-risk sexual behavior: premarital sex, commercial sex, multiple sex partners, condom use or sexually transmitted infections (STIs). We used generalized linear mixed model to examine the time trend in engaging in high-risk sexual behaviors. Results: We included 174 observational studies involving 932,931 participants: 55 studies reported on floating populations, 73 on college students and 46 on other groups (i.e. out-of-school youth, rural residents, and subjects from gynecological or obstetric clinics and premarital check-up centers). From the generalized linear mixed model, no significant trends in engaging in high-risk sexual behaviors were identified in the three population groups. Discussion: Sexual risk behaviors among certain general population groups have not increased substantially. These groups are therefore unlikely to incite a STI/HIV epidemic among the general Chinese population. Because the studied population groups are not necessarily representative of the general population, the outcomes found may not reflect those of the general population.
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页数:8
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