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

Jun-Qing Wu, Ke-Wei Wang, Rui Zhao, Yu-Yan Li, Ying Zhou, Yi-Ran Li, Hong-Lei Ji and Ming Ji
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Jun-Qing Wu: School of Public Health, Fudan University, No. 138 Yixueyuan Road, Shanghai 200032, China
Ke-Wei Wang: School of Public Health, Fudan University, No. 138 Yixueyuan Road, Shanghai 200032, China
Rui Zhao: School of Public Health, Fudan University, No. 138 Yixueyuan 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
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

IJERPH, 2014, vol. 11, issue 3, 1-19

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.

Keywords: migration; HIV/AIDS; migrants; risky sexual behavior; China (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2014
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