中国东部城市高端娱乐中心工人的移民身份与 HIV/性传播感染风险。
HIV/STI risk by migrant status among workers in an urban high-end entertainment centre in Eastern China.
机构信息
HIV Center for Clinical and Behavioral Studies, Department of Psychiatry, New York State Psychiatric Institute, Columbia University, 1051 Riverside Drive, Unit 15, New York, NY 10032, USA.
出版信息
Health Educ Res. 2011 Apr;26(2):283-95. doi: 10.1093/her/cyr002. Epub 2011 Mar 9.
Large-scale internal migration in China may be an important mechanism for the spread of HIV/sexually transmitted infections (STIs) because of the risk behaviours of migrants. We conducted a self-administered survey among 724 employees of a high-end entertainment centre in Kunshan, Jiangsu Province, China. Using logistic regression, we examined the association of hometown of origin (Kunshan city, elsewhere in Jiangsu Province, or another province in China) and consecutive years living in Kunshan with measures of HIV/STI risk behaviour. We found that increased time living in Kunshan was associated with lower odds of using condoms as contraception [odds ratio (OR) = 0.78, 95% confidence interval (CI): 0.64-0.95] and consistent condom use with a casual partner (OR = 0.66, 95% CI: 0.47-0.93), after controlling for gender, marital status age and income. The odds of having had an STI were significantly lower for Kunshan natives than those originally from outside provinces (OR = 0.25, 95% CI: 0.07-0.96), but increasing years living in Kunshan was not related to lower risk for an STI. Our findings do not support the hypothesis that migrants living far from home participate in higher risk behaviour than locals. Findings suggest that adaptation to local culture over time may increase HIV/STI risk behaviours, a troublesome finding.
中国大规模的内部迁移可能是 HIV/性传播感染(STI)传播的一个重要机制,因为移民存在风险行为。我们在中国江苏省昆山市一家高端娱乐中心对 724 名员工进行了一项自我管理调查。使用逻辑回归,我们检查了原籍地(昆山市、江苏省其他地区或中国其他省份)和连续居住在昆山的年限与 HIV/性传播感染风险行为措施之间的关联。我们发现,在控制了性别、婚姻状况、年龄和收入后,在昆山居住的时间增加与使用避孕套作为避孕措施的几率降低有关[比值比(OR)=0.78,95%置信区间(CI):0.64-0.95],以及与偶然伴侣使用一致的避孕套[OR=0.66,95% CI:0.47-0.93]。与原籍地在江苏省以外的人相比,昆山本地人感染性传播感染的几率明显较低(OR=0.25,95% CI:0.07-0.96),但在昆山居住的年限增加与性传播感染的风险降低无关。我们的研究结果不支持这样的假设,即远离家乡的移民比当地人参与的风险行为更高。研究结果表明,随着时间的推移适应当地文化可能会增加 HIV/性传播感染的风险行为,这是一个令人不安的发现。