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迁移、社交网络与农村地区未婚男性的 HIV 性风险行为

Migration, Social Networks, and HIV Sexual Risk Behaviors Among Involuntary Bachelors in Rural China.

机构信息

Institute for Population and Development Studies, School of Public Policy and Administration, Xi'an Jiaotong University, 28 Xianning West Road, Xi'an, Shaanxi Province, 710049, China.

Institute for Population and Social Policy Studies, School of Management, Xi'an Polytechnic University, 19 Jinhua South Road, Xi'an, Shaanxi Province, 710048, China.

出版信息

AIDS Behav. 2021 Mar;25(3):875-885. doi: 10.1007/s10461-020-03052-4. Epub 2020 Sep 29.

DOI:10.1007/s10461-020-03052-4
PMID:32990878
Abstract

In rural China there is an abnormally high male-biased sex ratio. The result is a large number of involuntary bachelors. This study examines how migration and social networks relate to bachelors' sexual risk behaviors. Data are from a cross-sectional questionnaire survey in which 740 male respondents who had rural household registration, had never married, and were aged 28 or older were interviewed in 2017. Logistic regression reveals that both migration and social networks place the bachelors at an especially high risk of HIV transmission by increasing the chance that they engage in commercial sex, whereas only social networks are significantly associated with sexual partnership concurrency. Additionally, social networks mediate the association between migration and commercial sex. This suggests that social networks play an important role in bachelors' risk of HIV transmission and that further intervention should address their social networks.

摘要

在中国农村,存在着异常高的男性偏性比。其结果是大量的被迫单身汉。本研究考察了迁移和社交网络如何与单身汉的性风险行为相关。数据来自于 2017 年的一项横断面问卷调查,其中 740 名男性受访者具有农村户籍、从未结婚且年龄在 28 岁及以上。逻辑回归显示,迁移和社交网络都通过增加他们从事商业性性行为的机会,使单身汉处于特别高的 HIV 传播风险之中,而只有社交网络与性伴关系的同时发生显著相关。此外,社交网络中介了迁移与商业性性行为之间的关联。这表明,社交网络在单身汉感染 HIV 的风险中起着重要作用,进一步的干预措施应该针对他们的社交网络。

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本文引用的文献

1
How Bachelorhood and Migration Increase the HIV Transmission Risk Through Commercial Sex in China?单身和流动如何增加中国商业性性行为中的 HIV 传播风险?
AIDS Behav. 2020 Mar;24(3):791-801. doi: 10.1007/s10461-019-02640-3.
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Social capital, migration stress, depression and sexual risk behaviors among rural-to-urban migrants in China: a moderated mediation modeling analysis.
社会资本、迁移压力、抑郁与中国农村到城市移民的性风险行为:有调节的中介模型分析。
Anxiety Stress Coping. 2019 Jul;32(4):362-375. doi: 10.1080/10615806.2019.1596673. Epub 2019 Mar 20.
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