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How Bachelorhood and Migration Increase the HIV Transmission Risk Through Commercial Sex in China?
AIDS Behav. 2020 Mar; 24(3):791-801.AB

Abstract

In China, the serious involuntary bachelorhood due to sex ratio imbalance in decades is expected to dramatically increase the spread of HIV through heterosexual contact. However, the higher HIV transmission risk and its correlates among never married men in rural China are not well understood. This study explored whether and how bachelorhood and migration increased the HIV transmission risk through commercial sex. By combining two cross-sectional survey data from never married men in rural areas and male migrants (including both married and unmarried men) in urban areas, a total of 1030 participants who were never married and age 28 and above or married male migrants were included in this study. The results show that both bachelorhood and migration put the never married male migrants at particularly higher HIV transmission risk by increasing both the possibility of engaging in commercial sex, and the frequency and inconsistency of condom use in commercial sex. Selection bias into marriage and neighborhood characteristics associated with exposure to commercial sexual risk may partly explain why male migrants that never married had a higher commercial sex related risk than that of married male migrants and never married non-migrant males.

Authors+Show Affiliations

Institute of Innovation and Entrepreneurship, School of Economics and Management, Xi'an Technological University, Xi'an, Shaanxi Province, China.Institute for Population and Development Studies, School of Public Policy and Administration, Xi'an Jiaotong University, 28 Xianning West Road, Xi'an, 710049, Shaanxi Province, China. liuhuij@mail.xjtu.edu.cn.Hartford Institute for Geriatric Nursing, New York University, New York City, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31429030

Citation

Xiao, Qunying, et al. "How Bachelorhood and Migration Increase the HIV Transmission Risk Through Commercial Sex in China?" AIDS and Behavior, vol. 24, no. 3, 2020, pp. 791-801.
Xiao Q, Liu H, Wu B. How Bachelorhood and Migration Increase the HIV Transmission Risk Through Commercial Sex in China? AIDS Behav. 2020;24(3):791-801.
Xiao, Q., Liu, H., & Wu, B. (2020). How Bachelorhood and Migration Increase the HIV Transmission Risk Through Commercial Sex in China? AIDS and Behavior, 24(3), 791-801. https://doi.org/10.1007/s10461-019-02640-3
Xiao Q, Liu H, Wu B. How Bachelorhood and Migration Increase the HIV Transmission Risk Through Commercial Sex in China. AIDS Behav. 2020;24(3):791-801. PubMed PMID: 31429030.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - How Bachelorhood and Migration Increase the HIV Transmission Risk Through Commercial Sex in China? AU - Xiao,Qunying, AU - Liu,Huijun, AU - Wu,Bei, PY - 2019/8/21/pubmed PY - 2020/6/25/medline PY - 2019/8/21/entrez KW - Bachelorhood KW - Commercial sex KW - HIV transmission risk KW - Migration SP - 791 EP - 801 JF - AIDS and behavior JO - AIDS Behav VL - 24 IS - 3 N2 - In China, the serious involuntary bachelorhood due to sex ratio imbalance in decades is expected to dramatically increase the spread of HIV through heterosexual contact. However, the higher HIV transmission risk and its correlates among never married men in rural China are not well understood. This study explored whether and how bachelorhood and migration increased the HIV transmission risk through commercial sex. By combining two cross-sectional survey data from never married men in rural areas and male migrants (including both married and unmarried men) in urban areas, a total of 1030 participants who were never married and age 28 and above or married male migrants were included in this study. The results show that both bachelorhood and migration put the never married male migrants at particularly higher HIV transmission risk by increasing both the possibility of engaging in commercial sex, and the frequency and inconsistency of condom use in commercial sex. Selection bias into marriage and neighborhood characteristics associated with exposure to commercial sexual risk may partly explain why male migrants that never married had a higher commercial sex related risk than that of married male migrants and never married non-migrant males. SN - 1573-3254 UR - https://www.unboundmedicine.com/medline/citation/31429030/How_Bachelorhood_and_Migration_Increase_the_HIV_Transmission_Risk_Through_Commercial_Sex_in_China L2 - https://doi.org/10.1007/s10461-019-02640-3 DB - PRIME DP - Unbound Medicine ER -