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Trends in High-Risk Sexual Behaviors among General Population Groups in China: A Systematic Review
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 beh...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3827370/ https://www.ncbi.nlm.nih.gov/pubmed/24236121 http://dx.doi.org/10.1371/journal.pone.0079320 |
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author | Cai, Rui Richardus, Jan Hendrik Looman, Caspar W. N. de Vlas, Sake J. |
author_facet | Cai, Rui Richardus, Jan Hendrik Looman, Caspar W. N. de Vlas, Sake J. |
author_sort | Cai, Rui |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3827370 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-38273702013-11-14 Trends in High-Risk Sexual Behaviors among General Population Groups in China: A Systematic Review Cai, Rui Richardus, Jan Hendrik Looman, Caspar W. N. de Vlas, Sake J. PLoS One Research Article 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. Public Library of Science 2013-11-13 /pmc/articles/PMC3827370/ /pubmed/24236121 http://dx.doi.org/10.1371/journal.pone.0079320 Text en © 2013 Cai et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Cai, Rui Richardus, Jan Hendrik Looman, Caspar W. N. de Vlas, Sake J. Trends in High-Risk Sexual Behaviors among General Population Groups in China: A Systematic Review |
title | Trends in High-Risk Sexual Behaviors among General Population Groups in China: A Systematic Review |
title_full | Trends in High-Risk Sexual Behaviors among General Population Groups in China: A Systematic Review |
title_fullStr | Trends in High-Risk Sexual Behaviors among General Population Groups in China: A Systematic Review |
title_full_unstemmed | Trends in High-Risk Sexual Behaviors among General Population Groups in China: A Systematic Review |
title_short | Trends in High-Risk Sexual Behaviors among General Population Groups in China: A Systematic Review |
title_sort | trends in high-risk sexual behaviors among general population groups in china: a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3827370/ https://www.ncbi.nlm.nih.gov/pubmed/24236121 http://dx.doi.org/10.1371/journal.pone.0079320 |
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