Trends in high-risk sexual behaviors among general population groups in China: a systematic review.

<h4>Background</h4>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.<h4>Methods</h4>We systematically searched the English and...

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Main Authors: Rui Cai, Jan Hendrik Richardus, Caspar W N Looman, Sake J de Vlas
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0079320
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author Rui Cai
Jan Hendrik Richardus
Caspar W N Looman
Sake J de Vlas
author_facet Rui Cai
Jan Hendrik Richardus
Caspar W N Looman
Sake J de Vlas
author_sort Rui Cai
collection DOAJ
description <h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Discussion</h4>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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spelling doaj-art-e3c31dce14cf494c8445c1810e8ddbca2025-08-20T03:17:51ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-01811e7932010.1371/journal.pone.0079320Trends in high-risk sexual behaviors among general population groups in China: a systematic review.Rui CaiJan Hendrik RichardusCaspar W N LoomanSake J de Vlas<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Discussion</h4>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.https://doi.org/10.1371/journal.pone.0079320
spellingShingle Rui Cai
Jan Hendrik Richardus
Caspar W N Looman
Sake J de Vlas
Trends in high-risk sexual behaviors among general population groups in China: a systematic review.
PLoS ONE
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
url https://doi.org/10.1371/journal.pone.0079320
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