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Characteristics and determinants of sexual behavior among adolescents of migrant workers in Shangai (China).
BMC Public Health. 2009 Jun 19; 9:195.BP

Abstract

BACKGROUND

China is facing a critical challenge of rapid and widespread human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) increase. Rural-to-urban migration plays a crucial role in shifting the HIV/sexual transmitted infection (STI) epidemic. The purpose of this study was to assess the prevalence of sexual behaviors and the correlates among the early adolescents of migrant workers in China.

METHODS

A cross-sectional study was conducted in 10 junior high schools from April to June of 2008. A total of 2821 adolescents aged 14.06 +/- 0.93 years (8.9% of migrant workers vs. 91.1% of general residents) participated in the survey. A self-administrated questionnaire was used to collect information on knowledge, attitude, and behaviors associated with increased risk for HIV/STI.

RESULTS

The percentage of adolescents who ever had sexual intercourse or had sexual intercourse in last three months was 7.2% and 4.3% in adolescents of migrant workers, respectively; in contrast, 4.5% and 1.8% in their peers of general residents, respectively. 47.3% adolescents of migrant workers and 34.3% of those adolescents of general residents reported no condom use in sexual intercourse during last three months. Multivariate logistic regression analyses found that migration was a independent risk factor for sexual intercourse in last three months in our sampled adolescents (odds ratio [OR] = 1.23, 95% confidence interval [CI]: 1.01-1.72). In adolescents of migrant workers, factors such as lower family income (OR: 2.22, CI: 1.09-3.05 for low level; OR:1.25, CI: 1.04-1.59 for medium level), younger age at first sexual intercourse (OR: 1.24, CI: 1.09-1.57), lower knowledge on HIV/AIDS (OR: 0.93, CI: 0.90-0.97), and fewer communication on HIV/AIDS related issues (OR: 0.79, CI: 0.90-0.97) were related to sexual intercourse in last three months.

CONCLUSION

Based on these results, we advocated that heightened concerns targeting the adolescents of migrant workers be particularly necessary, given their higher level of sexual experience, lower socioeconomic status, restricted reproductive health information, and vulnerability to HIV/STI.

Authors+Show Affiliations

Shangai Xin Hua Hospital affiliated with Shangai Jiaotong University School of Medicine, Shangai, PR China. Lsh9907@163.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19538756

Citation

Li, Shenghui, et al. "Characteristics and Determinants of Sexual Behavior Among Adolescents of Migrant Workers in Shangai (China)." BMC Public Health, vol. 9, 2009, p. 195.
Li S, Huang H, Cai Y, et al. Characteristics and determinants of sexual behavior among adolescents of migrant workers in Shangai (China). BMC Public Health. 2009;9:195.
Li, S., Huang, H., Cai, Y., Xu, G., Huang, F., & Shen, X. (2009). Characteristics and determinants of sexual behavior among adolescents of migrant workers in Shangai (China). BMC Public Health, 9, 195. https://doi.org/10.1186/1471-2458-9-195
Li S, et al. Characteristics and Determinants of Sexual Behavior Among Adolescents of Migrant Workers in Shangai (China). BMC Public Health. 2009 Jun 19;9:195. PubMed PMID: 19538756.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Characteristics and determinants of sexual behavior among adolescents of migrant workers in Shangai (China). AU - Li,Shenghui, AU - Huang,Hong, AU - Cai,Yong, AU - Xu,Gang, AU - Huang,Fengrong, AU - Shen,Xiaoming, Y1 - 2009/06/19/ PY - 2008/12/11/received PY - 2009/06/19/accepted PY - 2009/6/23/entrez PY - 2009/6/23/pubmed PY - 2009/9/29/medline SP - 195 EP - 195 JF - BMC public health JO - BMC Public Health VL - 9 N2 - BACKGROUND: China is facing a critical challenge of rapid and widespread human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) increase. Rural-to-urban migration plays a crucial role in shifting the HIV/sexual transmitted infection (STI) epidemic. The purpose of this study was to assess the prevalence of sexual behaviors and the correlates among the early adolescents of migrant workers in China. METHODS: A cross-sectional study was conducted in 10 junior high schools from April to June of 2008. A total of 2821 adolescents aged 14.06 +/- 0.93 years (8.9% of migrant workers vs. 91.1% of general residents) participated in the survey. A self-administrated questionnaire was used to collect information on knowledge, attitude, and behaviors associated with increased risk for HIV/STI. RESULTS: The percentage of adolescents who ever had sexual intercourse or had sexual intercourse in last three months was 7.2% and 4.3% in adolescents of migrant workers, respectively; in contrast, 4.5% and 1.8% in their peers of general residents, respectively. 47.3% adolescents of migrant workers and 34.3% of those adolescents of general residents reported no condom use in sexual intercourse during last three months. Multivariate logistic regression analyses found that migration was a independent risk factor for sexual intercourse in last three months in our sampled adolescents (odds ratio [OR] = 1.23, 95% confidence interval [CI]: 1.01-1.72). In adolescents of migrant workers, factors such as lower family income (OR: 2.22, CI: 1.09-3.05 for low level; OR:1.25, CI: 1.04-1.59 for medium level), younger age at first sexual intercourse (OR: 1.24, CI: 1.09-1.57), lower knowledge on HIV/AIDS (OR: 0.93, CI: 0.90-0.97), and fewer communication on HIV/AIDS related issues (OR: 0.79, CI: 0.90-0.97) were related to sexual intercourse in last three months. CONCLUSION: Based on these results, we advocated that heightened concerns targeting the adolescents of migrant workers be particularly necessary, given their higher level of sexual experience, lower socioeconomic status, restricted reproductive health information, and vulnerability to HIV/STI. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/19538756/Characteristics_and_determinants_of_sexual_behavior_among_adolescents_of_migrant_workers_in_Shangai__China__ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-9-195 DB - PRIME DP - Unbound Medicine ER -