Drug and Alcohol Dependence
Volume 79, Issue 1, 2005, Pages 103-112

Alcohol intoxication and sexual risk behaviors among rural-to-urban migrants in China (Article)

Lin D. , Li X. , Yang H.* , Fang X. , Stanton B. , Chen X. , Abbey A. , Liu H.
  • a Beijing Normal University, Institute of Developmental Psychology, Beijing 100875, China, Prevention Research Center, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, 4201 St. Antoine Street, Detroit, MI 48201, United States
  • b Prevention Research Center, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, 4201 St. Antoine Street, Detroit, MI 48201, United States
  • c Prevention Research Center, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, 4201 St. Antoine Street, Detroit, MI 48201, United States
  • d Beijing Normal University, Institute of Developmental Psychology, Beijing 100875, China
  • e Prevention Research Center, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, 4201 St. Antoine Street, Detroit, MI 48201, United States
  • f Prevention Research Center, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, 4201 St. Antoine Street, Detroit, MI 48201, United States
  • g Department of Community Medicine, Wayne State University, Detroit, MI 48201, United States
  • h Prevention Research Center, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, 4201 St. Antoine Street, Detroit, MI 48201, United States

Abstract

Background: The migrant population in China is at high risk for sexual risk behavior and alcohol intoxication. Information about the prevalence of alcohol intoxication and its association with sexual risk behavior among migrants is needed for designing effective intervention prevention programs for reduction in alcohol abuse and HIV infection. Methods: Cross-sectional data were collected from 2153 sexually experienced young rural-to-urban migrants in Beijing and Nanjing, China, in 2002. Results: Approximately one-third of the participants had been intoxicated with alcohol at least once during the previous month, with more males than females reporting intoxication (40.2% versus 23.7%, p < 0.001). Compared to non-intoxicated participants, respondents with alcohol intoxication in previous 30 days reported more psychological problems, including higher depression scores, lower levels of satisfaction with life and work, and higher perception of peer involvement in risk behavior. Intoxicated respondents were more likely to engage in premarital sex than non-intoxicated respondents (76% versus 60.2%, p < 0.001), have multiple sexual partners (13.4% versus 5.2%, p < 0.001), purchase sex (12.6% versus 4.9%, p < 0.001), and sell sex (10.1% versus 3.7%, p < 0.001). However, there was no association between alcohol intoxication and inconsistent/non-use of condoms. Multivariate analysis controlling for depression, peer risk involvement, age, gender, and other sociodemographic variables indicated that alcohol intoxication was independently correlated with premarital sex, multiple sexual partners, and buying and selling sex. Conclusions: Compared to the general Chinese population, levels of intoxication were elevated among Chinese rural-to-urban migrants. Alcohol intoxication was associated with sexual risk behaviors. HIV/AIDS prevention and intervention efforts should include components of alcohol use/abuse prevention for an effective reduction of sexual risk among young rural-to-urban migrants in China. © 2005 Elsevier Ireland Ltd. All rights reserved.

Author Keywords

Sexual risk behavior Alcohol intoxication Rural-to-urban migrants China

Index Keywords

China depression sexual behavior Human immunodeficiency virus infection human Health Behavior rural population controlled study mental stress priority journal Job Satisfaction Urbanization mental disease male female risk factor prostitution Article group psychology major clinical study adult migration alcohol abuse alcohol intoxication
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-27644469462&doi=10.1016%2fj.drugalcdep.2005.01.003&partnerID=40&md5=0f8e9a41b7c24272c9e47bf71ef8c16a
DOI: 10.1016/j.drugalcdep.2005.01.003
ISSN: 03768716
Cited by: 52
Original Language: English