AIDS
Volume 21, Issue SUPPL. 8, 2007, Pages S73-S79

HIV risks among two types of male migrants in Shanghai, China: Money boys vs. general male migrants (Article)

He N.* , Wong F.Y. , Huang Z.J. , Ding Y. , Fu C. , Smith B.D. , Young D. , Jiang Q.
  • a Department of Epidemiology, Fudan University School of Public Health, Key Laboratory for Public Health Safety, Shanghai, China, 138 Yi Xue Yuan Road, Shanghai 200032, China
  • b Department of International Health, Georgetown University School of Nursing and Health Studies, Washington, DC, United States, Box 571107, St. Mary's Hall 224, 3700 Reservoir Road N.W., Washington, DC 20057, United States
  • c Department of International Health, Georgetown University School of Nursing and Health Studies, Washington, DC, United States
  • d Department of Epidemiology, Fudan University School of Public Health, Key Laboratory for Public Health Safety, Shanghai, China
  • e Department of Epidemiology, Fudan University School of Public Health, Key Laboratory for Public Health Safety, Shanghai, China
  • f Department of International Health, Georgetown University School of Nursing and Health Studies, Washington, DC, United States
  • g Department of International Health, Georgetown University School of Nursing and Health Studies, Washington, DC, United States
  • h Department of Epidemiology, Fudan University School of Public Health, Key Laboratory for Public Health Safety, Shanghai, China

Abstract

OBJECTIVES: To examine HIV/AIDS-related knowledge, attitudes and behaviours among 'money boys' and general male migrants in Shanghai, China. DESIGN: A quantitative cross-sectional design with self-administered paper-and-pencil instruments was used. METHODS: A total of 239 money boys were enrolled using community popular opinion leader and respondent-driven sampling methods, and 100 general male migrants were enrolled through venue-based sampling. RESULTS: Compared to general male migrants, money boys were significantly younger, better educated, more likely to be single, earned a higher income, suffered greater stress, and were less satisfied with life in Shanghai. Both groups had substantial misconceptions about HIV/AIDS, although general male migrants were less well informed. Furthermore, both groups reported low rates of condom use, regardless of who their sexual partners were. Money boys were more likely to use alcohol, had more sexual partners and more casual sex partners, and were more likely to engage in other sexual risks. Moreover, they were likely to be the victims of sexual violence at the hands of their clients. More than half of the money boys had been tested for HIV and 3% self-reported to be HIV-positive, whereas only 1% of the general male migrants had ever been tested and all self-reported to be HIV-negative. Infection with other sexually transmitted diseases was also reported by money boys. CONCLUSIONS: This study suggests an urgent need to implement HIV/AIDS prevention and intervention programs targeting male migrants, especially money boys and their clients. Some recommendations for conducting interventions among the male migrant population in China are suggested. © 2007 Lippincott Williams & Wilkins, Inc.

Author Keywords

HIV Sexual behaviour Alcohol use male migrants Prostitutes

Index Keywords

urban population China HIV Infections education program Alcohol Drinking Human immunodeficiency virus infection lowest income group risk motivation Sampling Studies human sexuality Self Report violence condom Condoms economic aspect priority journal Homosexuality, Male Cross-Sectional Studies Sexually Transmitted Diseases migrant worker health program Humans bisexuality Adolescent male Socioeconomic Factors high risk population prostitution Health Knowledge, Attitudes, Practice patient education Article Risk-Taking male prostitute infection prevention major clinical study adult Sex Offenses Transients and Migrants employment
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-37549066907&doi=10.1097%2f01.aids.0000304700.85379.f3&partnerID=40&md5=9d708d482356af2b58f3189c67f98d85
DOI: 10.1097/01.aids.0000304700.85379.f3
ISSN: 02699370
Cited by: 63
Original Language: English