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Int. J. Environ. Res. Public Health 2014, 11(3), 2846-2864; doi:10.3390/ijerph110302846
Article

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

1,2,3,†,* , 1,2,†
,
1,2
,
2
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2,3
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2
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 and
4
1 School of Public Health, Fudan University, No. 138 Yixueyuan Road, Shanghai 200032, China 2 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 3 The Key Laboratory of Family Planning Device of National Population and Family Planning Commission, 2140 XieTu Road, Shanghai 200032, China 4 College of Nursing University of South Florida, 4202 East Fowler Avenue FAO 100 Tampa, FL 33620, USA These authors contributed equally to this work.
* Author to whom correspondence should be addressed.
Received: 18 November 2013 / Revised: 26 February 2014 / Accepted: 26 February 2014 / Published: 10 March 2014
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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 migration; HIV/AIDS; migrants; risky sexual behavior; China
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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Wu, J.-Q.; Wang, K.-W.; Zhao, R.; Li, Y.-Y.; Zhou, Y.; Li, Y.-R.; Ji, H.-L.; Ji, M. Male Rural-to-Urban Migrants and Risky Sexual Behavior: A Cross-Sectional Study in Shanghai, China. Int. J. Environ. Res. Public Health 2014, 11, 2846-2864.

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