International Journal of Environmental Research and Public Health
Volume 11, Issue 3, 2014, Pages 2846-2864

Male rural-to-urban migrants and risky sexual behavior: A cross-sectional study in Shanghai, China (Article) (Open Access)

Wu J.-Q.* , Wang K.-W. , Zhao R. , Li Y.-Y. , Zhou Y. , Li Y.-R. , Ji H.-L. , Ji M.
  • a School of Public Health, Fudan University, No. 138 Yixueyuan Road, Shanghai 200032, China, Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research, Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China, The Key Laboratory of Family Planning Device of National Population and Family Planning Commission, 2140 XieTu Road, Shanghai 200032, China
  • b School of Public Health, Fudan University, No. 138 Yixueyuan Road, Shanghai 200032, China, Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research, Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China
  • c School of Public Health, Fudan University, No. 138 Yixueyuan Road, Shanghai 200032, China, Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research, Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China
  • d Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research, Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China
  • e Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research, Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China, The Key Laboratory of Family Planning Device of National Population and Family Planning Commission, 2140 XieTu Road, Shanghai 200032, China
  • f Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research, Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China
  • g Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research, Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China
  • h College of Nursing University of South Florida, 4202 East Fowler Avenue FAO 100, Tampa, FL 33620, United States

Abstract

This study examined the prevalence and the determinants of risky sexual behavior (defined as having multiple sex partners and paying for sex) among male rural-to-urban migrants in China. An anonymous questionnaire was used to collect information on socio-demographics, knowledge, attitudes, and behavior associated with increased risk of risky sexual behavior from 4,069 subjects. In total 1,132 (27.8%) participants reported two or more sex partners and 802 (19.7%) participants paid for sex. A considerable proportion (29.6%-41.5%) did not use a condom during risky sexual behavior. Logistic regression analysis revealed that unmarried status (OR: 0.62, CI: 0.42-0.85 for married), earlier age at first sexual experience (OR: 0.67, 95% CI: 0.31-0.91 for ≥22 years old), poor perception of risk of acquiring HIV/AIDS (OR: 1.51, 95% CI: 1.33-1.96 for unlikely; OR: 2.38, 95% CI: 1.61-3.70 for impossible), frequent exposure to pornography (OR: 0.67, 95% CI: 0.60-0.81 for sometimes; OR: 0.31, 95% CI: 0.11-0.43 for never), attitudes toward legalization of commercial sex (OR: 0.39, 95% CI: 0.21-0.59 for no), peer influence (OR: 0.51, 95% CI: 0.27-0.88 for no), and not knowing someone who had/had died from HIV/AIDS (OR: 0.35, 95% CI: 0.20-0.53 for yes) were all significantly associated with having multiple sex partners. Those who paid for sex showed similar findings. © 2014 by the authors; licensee MDPI, Basel, Switzerland.

Author Keywords

China Migration Migrants HIV/AIDS Risky sexual behavior

Index Keywords

concurrent sexual partnership China immigrant HIV Infections sexual behavior Human immunodeficiency virus infection Erotica health care policy demography health risk sex ratio human middle aged statistics and numerical data condom Condoms rural population peer pressure Urbanization Human immunodeficiency virus Shanghai Cross-Sectional Studies pornography condom use Young Adult risk perception social status cross-sectional study marriage psychology Adolescent health program male Humans Multivariate Analysis Cities prostitution peer group prevalence Health Knowledge, Attitudes, Practice Article high risk behavior Risk-Taking city rural-urban migration adult attitude to sexuality migration utilization Transients and Migrants structured questionnaire acquired immune deficiency syndrome attitude to health public health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84897838660&doi=10.3390%2fijerph110302846&partnerID=40&md5=264b680f7f6d975400c3d1a6561d0f50
DOI: 10.3390/ijerph110302846
ISSN: 16617827
Cited by: 7
Original Language: English