Trends in high-risk sexual behaviors among general population groups in China: a systematic review.
Trends in high-risk sexual behaviors among general population groups in China: a systematic review.
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DOI：
10.1371/journal.pone.0079320
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
de Vlas SJ
中科院分区：
文献类型：
--
作者：
Cai R;Richardus JH;Looman CW;de Vlas SJ
本综述的目的是调查中国人群中不属于典型高危人群的人群是否表现出从事高危性行为的趋势。我们系统地检索了PubMed和中国知网（CNKI）1980年1月至2012年3月期间发表的关于性风险行为的中英文文献。我们纳入了观察性研究，这些研究关注商业性工作者（CSW）及其客户以外的人群，以及男男性行为者（MSM），并定量报告了近期高危性行为的以下指标之一：婚前性行为，商业性行为，多个性伴侣，安全套使用或性传播感染（STI）。我们使用广义线性混合模型来检验从事高危性行为的时间趋势。我们纳入了174项观察性研究，涉及932，931名受试者：55项研究报告了流动人口，73项研究报告了大学生，46项研究报告了其他群体（即校外青年，农村居民以及妇产科诊所和婚前检查中心的受试者）。从广义线性混合模型来看，在这三个人群中，没有发现从事高风险性行为的显著趋势。某些普通人群中的危险性行为没有大幅增加。因此，这些群体不太可能在中国普通人群中引发性病/艾滋病流行。由于所研究的人口群体不一定代表一般人口，所发现的结果可能不反映一般人口的结果。
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. 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. 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. 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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DOI：
10.2471/blt.10.082552
发表时间：
2011-03-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
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作者：
Wu, Zunyou;Wang, Yu;Bulterys, Marc
通讯作者：
Bulterys, Marc
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影响因子：
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作者：
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通讯作者：
Zhang L
DOI：
10.1097/qai.0b013e3181958530
发表时间：
2009-04-01
影响因子：
3.6
作者：
Wang, Lu;Wang, Ning;Smith, Kumi
通讯作者：
Smith, Kumi