AIDS Patient Care and STDs
Volume 19, Issue 1, 2005, Pages 49-57

Risk factors for sexually transmitted disease among rural-to-urban migrants in China: Implications for HIV/sexually transmitted disease prevention (Article)

Liu H.* , Li X. , Stanton B. , Liang G. , Chen X. , Yang H. , Hong Y.
  • a Pediatric Prevention Research Center, Wayne State University, Detroit, MI, United States, Pediatric Prevention Research Center, School of Medicine, Wayne State University, 4201 St. Antoine, Detroit, MI 48201-2196, United States; Natl. Ctr. AIDS/STD Prev. and Contr., China Ctr. for Dis. Prev. and Contr., Beijing, China
  • b Pediatric Prevention Research Center, Wayne State University, Detroit, MI, United States
  • c Pediatric Prevention Research Center, Wayne State University, Detroit, MI, United States
  • d Department of Epidemiology, Natl. Ctr. STD and Leprosy Contr., Nanjing, China
  • e Pediatric Prevention Research Center, Wayne State University, Detroit, MI, United States
  • f Pediatric Prevention Research Center, Wayne State University, Detroit, MI, United States
  • g Dept. of Hlth. Policy and Management, Johns Hopkins Univ. Bloomberg S., Baltimore, MD, United States

Abstract

The objective of the study was to identify risk factors associated with sexually transmitted diseases (STDs) among rural-to-urban migrants in Beijing in 2002. Migrants with STDs consisted of 432 migrants who sought STD care in two public STD clinics. Migrants without STDs included 892 migrants recruited from 10 occupational clusters. Multiple logistic regression was used for data analysis. Compared to migrants without STDs, migrants with STDs were more likely to report having engaged in commercial sex (selling or buying sex) (odds ratio [OR] = 2.70, 95% confidence interval [CI]: 1.71-4.25), multiple sex partners in the previous month (OR = 6.50, 95% CI: 3.73-11.32) and higher perceived HIV-related stigma (OR = 1.89, 95% CI: 1.30-2.75). Being a migrant with an STD was also associated with female gender (OR = 4.10, 95% CI: 2.89-5.82), higher education (OR = 2.92, 95% CI: 1.40-6.06), and higher monthly salary (OR = 1.68. 95% CI: 1.23-2.29). Migrants with STDs visited their hometowns more frequently and had more stable jobs than migrants without STDs. Approximately 10% of the migrants with STDs and 7.7% of the migrants without STDs always used condoms. This study suggests that among migrants, acquisition of an STD is associated with higher participation in risk behaviors as would be expected, but also with higher perceived stigma, education, stable jobs, salary, and with female gender. Appropriate behavioral intervention programs are advocated to reduce the risk and stigma among the special population.

Author Keywords

[No Keywords available]

Index Keywords

patient care urban area China rural area educational status HIV Infections sexual behavior Human immunodeficiency virus infection Safe Sex human sex difference Odds Ratio condom Confidence Intervals Behavior Control Job Satisfaction rural health behavioral risk factor surveillance system prognosis sexual transmission Urban Health sexually transmitted disease Sexually Transmitted Diseases Humans male female Socioeconomic Factors risk factor primary prevention Risk Factors socioeconomics Incidence Article major clinical study adult migration infection risk Sex Distribution age distribution Case-Control Studies Transients and Migrants risk reduction attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-12844277160&doi=10.1089%2fapc.2005.19.49&partnerID=40&md5=ef37777f6fc9a55f15f70c41f59e6c30
DOI: 10.1089/apc.2005.19.49
ISSN: 10872914
Cited by: 50
Original Language: English