International Journal for Equity in Health
Volume 18, Issue 1, 2019

Age and regional disparity in HIV education among migrants in China: Migrants population dynamic monitoring survey, 2014-2015 (Article) (Open Access)

Zhu Z. , Guo M. , Petrovsky D.V. , Dong T. , Hu Y.* , Wu B.
  • a School of Nursing Fudan University, Shanghai, China, Fudan University Centre for Evidence-based Nursing, A Joanna Briggs Institute Centre of Excellence, Shanghai, 200032, China
  • b School of Public Affairs, Zhejiang University, Hangzhou, China
  • c Rory Meyers College of Nursing, New York University, New York, 10010, United States
  • d Institute of Gerontology, Renmin University of China, Beijing, China
  • e School of Nursing Fudan University, Shanghai, China, Fudan University Centre for Evidence-based Nursing, A Joanna Briggs Institute Centre of Excellence, Shanghai, 200032, China
  • f School of Nursing Fudan University, Shanghai, China, Rory Meyers College of Nursing, New York University, New York, 10010, United States, NYU Aging Incubator, New York, 10010, United States

Abstract

Objective: A lack of education among migrants remains an important but overlooked issue that indirectly contributes to HIV transmission. It is necessary to know who has received HIV education and who has a lower probability of being educated among migrants across different regions and age groups in China. Methods: We used pooled data from the 2014 and 2015 Migrants Population Dynamic Monitoring Survey. The study population included 406,937 Chinese migrants. Participants were asked whether they had received any HIV education after migrating to the destination city. Regions were categorized into east-coast, central, northwest, southwest, west-Tibet, west-Uyghur, and northeast regions. Hierarchical logistic regression modeling was conducted to investigate the relationships between the independent variables and HIV education. Results: Of 406,937 participants, half (50.6%) had reported receiving HIV education. Individuals in the west-Uyghur region had the highest proportion of receiving HIV education (73.0%), followed by the southwest region (67.9%) and the west-Tibet region (54.8%). Methods of receiving HIV education varied among different age groups. Individuals who were in a region with a higher prevalence of HIV, a lower density of medical professionals, and a higher density of migrants were more likely to receive HIV education. Conclusions: The study showed significant regional disparities among migrants in China. More HIV resources need to be allocated to regions with large-scale floating populations, such as the east-coast region. Providing multiple options, including both new and traditional media, for both young and elderly migrants is essential. HIV education should be tailored to the age of migrants with low educational and income levels. © 2019 The Author(s).

Author Keywords

China Migration AIDS HIV education migrant HIV

Index Keywords

education China Tibet HIV Infections HIV education Human immunodeficiency virus infection independent variable Population Dynamics human epidemiology Aged nonhuman seashore groups by age Human immunodeficiency virus meta analysis Surveys and Questionnaires Humans migrant psychology male female spatiotemporal analysis questionnaire prevalence Article disease transmission disease prevalence adult migration human experiment age Emigration and Immigration Transients and Migrants social class monitoring acquired immune deficiency syndrome Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068706668&doi=10.1186%2fs12939-019-0999-x&partnerID=40&md5=d218e1f15e6c027aa64e7bf0a9b64f53
DOI: 10.1186/s12939-019-0999-x
ISSN: 14759276
Original Language: English