Abstract

ObjectivesThe aim of this study is to systematically review the published studies and summarize the estimates of HIV and syphilis prevalences among high school and college student MSM in China in order to provide information for conducting targeted interventions.MethodsPubmed, Chinese National Knowledge Infrastructure, Wanfang and Google Scholar databases were searched in January 2013 to identify relevant articles. Data of eligible citations were extracted by two reviewers. All analyses were performed using Comprehensive Meta-Analysis V2.0 and SPSS V17.0.ResultsTwenty-four eligible studies (6 in English and 18 in Chinese), published between 2006 and 2012, with a total of 3083 student MSM participants, were included. The meta-analyses showed that the prevalences of HIV and syphilis among studied student MSM were 4.4% (95% CI: 3.0%, 6.4%) and 5.7% (95% CI: 4.8%, 6.7%), respectively. HIV prevalence increased over the study period (3.0% in 2003–2006; 4.5% in 2007–2008, and 6.8% in 2009–2010, trend test chi-square = 11.3, p = 0.001).ConclusionsStudent MSM have become high-risk populations for HIV infection in China. The high prevalence of syphilis and the increasing HIV prevalence trend indicate the potential for a more severe HIV epidemic. Comprehensive intervention strategies that address condom promotion, syphilis detection and treatment, and health education need to be tailored to this vulnerable population to prevent HIV and syphilis infections.

Highlights

  • According to a report from the Chinese Ministry of Health, it estimated that there were approximately 780,000 people living with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) in 2011 in China [1]

  • Among the 7.8 million people living with HIV (PLHIV), 46.5% were infected by heterosexual transmission and 17.4% were infected by homosexual transmission [1]

  • The objective of this study is to summarize the prevalence of HIV and syphilis among high school and college student MSM in China by conducting a meta-analysis of published studies

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Summary

Introduction

According to a report from the Chinese Ministry of Health, it estimated that there were approximately 780,000 people living with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) in 2011 in China [1]. AIDS is currently one of the leading causes of death among 15to 24-year old adolescents and young adults worldwide [2]. Many in this age group are high school and college students and China has the largest number of students in the world [3]. According to a report from the Chinese Ministry of Education, there were an estimated 46.8 million high school students and 31.1 million college students in China by the end of 2010, approximately half of whom are male [4]

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