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
Rattachement africain : cn, gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
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.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- 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
- Date Crossref
- 28/11/2025
- Éditeur
- Frontiers Media SA
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Hangzhou Medical College pays non établi dans la noticeUniversité ou école supérieure
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Peking University Center for Health Policy and Technology Assessment pays non établi dans la noticeUniversité ou école supérieure
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Fudan University pays non établi dans la noticeUniversité ou école supérieure
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University College London Institute for Global Health pays non établi dans la noticeUniversité ou école supérieure
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School of Public Health pays non établi dans la noticeUniversité ou école supérieure
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Shaanxi Provincial Center for Disease Control and Prevention pays non établi dans la noticeInstitution
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Chongqing Center for Disease Control and Prevention pays non établi dans la noticeOrganisation à but non lucratif
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Chinese Center for Health Education pays non établi dans la noticeInstitution
Hangzhou Medical College, Center for Health Policy and Technology Assessment — Peking University et Fudan University, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.