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Male Rural-to-Urban Migrants and Risky Sexual Behavior: A Cross-Sectional Study in Shanghai, China

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  • Jun-Qing Wu

    (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 in 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
    These authors contributed equally to this work.)

  • Ke-Wei Wang

    (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 in Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China
    These authors contributed equally to this work.)

  • Rui Zhao

    (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 in Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China)

  • Yu-Yan Li

    (Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research in Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China)

  • Ying Zhou

    (Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research in 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)

  • Yi-Ran Li

    (Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research in Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China)

  • Hong-Lei Ji

    (Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research in Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China)

  • Ming Ji

    (College of Nursing University of South Florida, 4202 East Fowler Avenue FAO 100 Tampa, FL 33620, USA)

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.

Suggested Citation

  • Jun-Qing Wu & Ke-Wei Wang & Rui Zhao & Yu-Yan Li & Ying Zhou & Yi-Ran Li & Hong-Lei Ji & Ming Ji, 2014. "Male Rural-to-Urban Migrants and Risky Sexual Behavior: A Cross-Sectional Study in Shanghai, China," IJERPH, MDPI, vol. 11(3), pages 1-19, March.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:3:p:2846-2864:d:33844
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    References listed on IDEAS

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    1. Weller, Susan C., 1993. "A meta-analysis of condom effectiveness in reducing sexually transmitted HIV," Social Science & Medicine, Elsevier, vol. 36(12), pages 1635-1644, June.
    2. Wang, Bo & Li, Xiaoming & Stanton, Bonita & Fang, Xiaoyi, 2010. "The influence of social stigma and discriminatory experience on psychological distress and quality of life among rural-to-urban migrants in China," Social Science & Medicine, Elsevier, vol. 71(1), pages 84-92, July.
    3. Lin Lu & Manhong Jia & Yanling Ma & Li Yang & Zhiwei Chen & David D. Ho & Yan Jiang & Linqi Zhang, 2008. "The changing face of HIV in China," Nature, Nature, vol. 455(7213), pages 609-611, October.
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