Li Xiaoming, Zhang Liying, Stanton Bonita, Fang Xiaoyi, Xiong Qing, Lin Danhua
Prevention Research Center, Carman and Ann Adams Department of Pediatrics, School of Medicine, Wayne State University, Detroit, MI, USA.
AIDS Educ Prev. 2007 Oct;19(5):396-407. doi: 10.1521/aeap.2007.19.5.396.
The relationship between rural-to-urban migration and the spread of HIV is well described, although most studies focus on sexual risk behaviors among rural-to-urban migrants at the urban destination areas. Few studies have examined the sexual risk behaviors of migrants who have returned from urban areas to their rural homes ("return migrants") in comparison with those of local rural residents who have never migrated to cities ("nonmigrants"). This study examines the potential association between rural-to-urban migration and sexual risk behaviors by comparing sexual risk behaviors between 553 return migrants and 441 nonmigrants from same rural communities in China. Findings reveal that, after controlling for sociodemographic characteristics, return migrants in rural areas had higher levels of sexual risk, including unprotected sex, than nonmigrants. Among return migrants, sexual risk behaviors were associated with age, gender, marital status, and number of different jobs they had previously held in the cities. These findings underscore the importance for HIV/AIDS education and prevention efforts targeting the migrant population in urban destinations as well as the return-migrant population in rural areas.
农村人口向城市迁移与艾滋病病毒传播之间的关系已有详尽描述,不过大多数研究聚焦于农村进城务工人员在城市目的地地区的性风险行为。与从未迁移到城市的当地农村居民(“未迁移者”)相比,很少有研究考察过从城市地区返回农村老家的移民(“返乡移民”)的性风险行为。本研究通过比较中国同一农村社区的553名返乡移民和441名未迁移者的性风险行为,考察农村人口向城市迁移与性风险行为之间的潜在关联。研究结果显示,在控制了社会人口学特征后,农村地区的返乡移民比未迁移者有更高的性风险水平,包括无保护性行为。在返乡移民中,性风险行为与年龄、性别、婚姻状况以及他们之前在城市从事过的不同工作的数量有关。这些研究结果凸显了针对城市目的地地区的移民人口以及农村地区的返乡移民人口开展艾滋病毒/艾滋病教育和预防工作的重要性。