Li Lin, Morrow Martha, Kermode Michelle
School of Population Health, The University of Melbourne, Victoria, Australia.
Work. 2010;37(4):375-86. doi: 10.3233/WOR-2010-1091.
This paper aimed to assess rural-to-urban male migrant workers' HIV vulnerability and prevention needs in a Chinese context, specifically in the city of Chengdu, capital of the south-western province of Sichuan.
The primary sample group were 23 male migrant workers recruited from textile factories and construction sites. In addition, a total of 16 key informants (e.g., factory managers, healthcare providers and policy makers) and seven community members participated in the qualitative phase.
Qualitative methods included semi-structured interviews with male migrant workers and key informants, focus group discussions with migrant workers and local community members, observation, and review of key policy and programmatic documents related to HIV prevention and/or migrant workers.
Findings highlight migrant workers' vulnerability to HIV for a variety of reasons. Their migrant status rendered them economically marginalised and socially isolated. HIV knowledge was poor and discriminatory attitudes towards infected people commonplace. Perceptions of personal HIV risk were low, even though study participants reportedly engaged in sexual behaviours that placed them at risk of infection.
A number of interrelated factors contributed to male rural-to-urban migrant workers' vulnerability to HIV infection. Targeted HIV prevention programs for male migrant workers in Chengdu are urgently needed.
本文旨在评估在中国背景下，尤其是在西南部四川省省会成都市，农村到城市的男性农民工的艾滋病病毒易感性及预防需求。
主要样本组是从纺织厂和建筑工地招募的23名男性农民工。此外，共有16名关键信息提供者（如工厂经理、医疗服务提供者和政策制定者）以及7名社区成员参与了定性研究阶段。
定性方法包括对男性农民工和关键信息提供者进行半结构化访谈、与农民工和当地社区成员进行焦点小组讨论、观察以及查阅与艾滋病病毒预防和/或农民工相关的关键政策和项目文件。
研究结果突出了农民工因多种原因而容易感染艾滋病病毒的情况。他们的农民工身份使他们在经济上处于边缘地位且在社会上孤立无援。艾滋病病毒知识匮乏，对感染者的歧视态度普遍存在。尽管据报道研究参与者的性行为使他们面临感染风险，但他们对自身感染艾滋病病毒风险的认知却很低。
一些相互关联的因素导致农村到城市的男性农民工容易感染艾滋病病毒。成都迫切需要针对男性农民工的艾滋病病毒预防项目。
