HIV knowledge, attitudes, and sexual characteristics of university male students who have sex with men: A cross-sectional survey

To explore the knowledge, attitudes, and sexual behaviors regarding HIV among university men who have sex with men (MSM) , we conducted a questionnaire survey with 462 students from 15 universities in 11city of Jiangxi Province. The HIV awareness rate was 69.1%..The reported rate of engaging in sexting was 65.2%. The overall attitude towards sex was relatively open, with 85.9% having engaged in high-risk sexual behaviors. Regression results indicated that factors influencing high-risk sexual behaviors included academic major, awareness of HIV knowledge, attitudes towards multiple sexual partners, attitudes towards premarital sex, and attitudes towards homosexual marriage. Although MSM university students have some knowledge of HIV, their attitudes and high-risk behaviors are a matter of concern. Targeted sexual health education and interventions are needed to reduce high-risk behaviors and HIV infection risks.