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

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

1,2,3,†,* , 1,2,†
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
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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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. View Full-Text
Keywords: migration; HIV/AIDS; migrants; risky sexual behavior; China migration; HIV/AIDS; migrants; risky sexual behavior; China

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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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