Evidence map›Paper›PMID 42548641›Full record

ArticleFrontiers in public health2026

Patterns and correlates of casual sexual behavior through the internet and inconsistent condom use among MSM college students in Zhejiang province, China: a cross-sectional study, 2022.

Lin Chen, Jun Jiang, Yun Xu, Xin Zhou, Jiezhe Yang, Xiaohong Pan, Wei Cheng, Chengliang Chai, Jianmin Jiang

Abstract read
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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Lin ChenDepartment of HIV/AIDS and STDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Jun JiangDepartment of HIV/AIDS and STDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Yun XuDepartment of HIV/AIDS and STDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Xin ZhouDepartment of HIV/AIDS and STDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Jiezhe YangDepartment of HIV/AIDS and STDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Xiaohong PanDepartment of HIV/AIDS and STDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Wei ChengDepartment of HIV/AIDS and STDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Chengliang ChaiDepartment of HIV/AIDS and STDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.
Jianmin JiangZhejiang Key Lab of Vaccine, Infectious Disease Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To identify factors associated with casual sexual behavior mediated via the Internet (CSBI) and condom use with casual sexual partners found on the Internet (CSPI) among men who have sex with men (MSM) college students in Zhejiang Province, China, we conducted a cross-sectional study in six cities of Zhejiang in 2022. Methods: All subjects were recruited by four community-based organizations (CBOs), and information on demographic characteristics, risky sexual behavior, and health practices was collected. Univariate and multivariable logistic regression analyses were performed using SPSS software to identify factors associated with CSBI and condom use with CSPI. Results: Of the 671 participants, 73.3% (492/671) identified as gay, 317 (47.2%) reported CSBI in the past 6 months, and 31.5% (100/317) of these reported inconsistent condom use with these CSPI. The odds of engaging in CSBI in the past 6 months were significantly higher among MSM who watched pornographic videos ≥3 times per month (adjusted Odds Ratio (aOR) = 2.404, 95% confidence interval (CI): 1.598-3.617), and those who had a regular male sexual partner (aOR = 1.900, 95% CI:1.369-2.637). The odds of inconsistent condom use with CSPI in the past 6 months were significantly higher among participants who disclosed sexual orientation (aOR = 1.711, 95% CI: 1.010-2.898), those identified as bisexual or uncertain sexual orientation (aOR = 2.228, 95% CI: 1.241-3.999), and those had sexual contact with "both student and non-student partners" (aOR = 1.897, 95% CI: 1.092-3.297). In contrast, participants with a high level of condom use self-efficacy (aOR = 0.340, 95% CI: 0.212-0.657) and those who obtained human immunodeficiency virus (HIV) knowledge from the MSM communities (aOR = 0.447, 95% CI: 0.245-0.815) had a significantly lower odds of inconsistent condom use. Conclusion: A high prevalence of web-based casual sexual behavior was observed among MSM college students, particularly among those who frequently viewed pornography or maintained a stable male sexual partner. Students who have sexual contact with non-student partners were associated with inconsistent condom use. Additionally, MSM community-based interventions need more support to improve HIV knowledge and condom use with online casual partners.

Indexed as

CondomsHomosexuality, MaleInternetSexual BehaviorStudentsUnsafe SexAdultChinaCross-Sectional StudiesHumansMaleRisk-TakingSexual PartnersUniversitiesYoung Adultcasual sexual behaviorcross-sectional studyhuman immunodeficiency virus (HIV)internetmen who have sex with men

Identifiers

PMID42548641
PMCPMC13429633

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.