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Migration experiences and reported commercial and non-commercial sexual behaviors among newly diagnosed HIV infections in China: a cross-sectional study
Migration is known to influence human health. China has a high migration rate and a significant number of people who are HIV-positive, but little is known about how these factors intersect in sexual risk behaviors. This study aimed to explore sexual risk behaviors between migrants and non-migrants a...
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Published in: | BMC infectious diseases 2023-06, Vol.23 (1), p.370-370, Article 370 |
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description | Migration is known to influence human health. China has a high migration rate and a significant number of people who are HIV-positive, but little is known about how these factors intersect in sexual risk behaviors.
This study aimed to explore sexual risk behaviors between migrants and non-migrants among newly diagnosed HIV infections, and assess the changes of sexual risk behaviors with length of stay in the current city of migrants.
A cross-sectional questionnaire was conducted among people newly diagnosed with HIV from July 2018 to December 2020 who lived in Zhejiang Province. In the study, sexual risk behaviors included having multiple sexual partners and unprotected sexual behaviors (in commercial sexual behaviors, non-commercial sexual behaviors, heterosexual behaviors, and homosexual behaviors). Binary logistic regression models were employed to explore the influencing factors of sexual risk behaviors, measured by multiple sexual partners and unprotected sexual partners.
A total of 836 people newly diagnosed with HIV/AIDS were incorporated in the study and 65.31% (546) were migrants. The percentages of non-commercial sexual behaviors among migrants were statistically higher than those of non-migrants. Commercial heterosexual behavior was higher among non-migrants compared with migrants. The proportion of study participants having unprotected sexual behaviors and multiple sexual partners with commercial/non-commercial partners was both higher among migrants compared with non-migrants. Among migrants, the likelihood of sexual risk behaviors in both commercial and non-commercial sex increased in the first 3 years and reduced after 10 years. Compared with non-migrants, migrants were statistically associated with multiple sexual partners [P = .007, odds ratio (OR) = 1.942]. However, migrants did not exhibit a significant difference in unprotected sexual behaviors compared with non-migrants. In addition, migrants aged between 18 and 45 years who relocated to the current city in the past 2-3 years tended to have multiple sexual partners (P |
doi_str_mv | 10.1186/s12879-023-08333-6 |
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This study aimed to explore sexual risk behaviors between migrants and non-migrants among newly diagnosed HIV infections, and assess the changes of sexual risk behaviors with length of stay in the current city of migrants.
A cross-sectional questionnaire was conducted among people newly diagnosed with HIV from July 2018 to December 2020 who lived in Zhejiang Province. In the study, sexual risk behaviors included having multiple sexual partners and unprotected sexual behaviors (in commercial sexual behaviors, non-commercial sexual behaviors, heterosexual behaviors, and homosexual behaviors). Binary logistic regression models were employed to explore the influencing factors of sexual risk behaviors, measured by multiple sexual partners and unprotected sexual partners.
A total of 836 people newly diagnosed with HIV/AIDS were incorporated in the study and 65.31% (546) were migrants. The percentages of non-commercial sexual behaviors among migrants were statistically higher than those of non-migrants. Commercial heterosexual behavior was higher among non-migrants compared with migrants. The proportion of study participants having unprotected sexual behaviors and multiple sexual partners with commercial/non-commercial partners was both higher among migrants compared with non-migrants. Among migrants, the likelihood of sexual risk behaviors in both commercial and non-commercial sex increased in the first 3 years and reduced after 10 years. Compared with non-migrants, migrants were statistically associated with multiple sexual partners [P = .007, odds ratio (OR) = 1.942]. However, migrants did not exhibit a significant difference in unprotected sexual behaviors compared with non-migrants. In addition, migrants aged between 18 and 45 years who relocated to the current city in the past 2-3 years tended to have multiple sexual partners (P < .05).
People newly diagnosed with HIV engaged in different sexual risk behaviors among migrants and non-migrants and more attention should be paid to migrants. For non-migrants, it is urgent to promote the prevention of commercial sexual behaviors. For migrants, prevention of non-commercial sexual behaviors and universal access to health care especially for new arrivals who migrated to the current city for 2-3 years are needed. Moreover, sexual health education and early HIV diagnosis are necessary for the entire population.</description><identifier>ISSN: 1471-2334</identifier><identifier>EISSN: 1471-2334</identifier><identifier>DOI: 10.1186/s12879-023-08333-6</identifier><identifier>PMID: 37264345</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; AIDS ; Analysis ; China - epidemiology ; Condoms ; Cross-Sectional Studies ; Diagnosis ; Health care access ; Health policy ; HIV ; HIV (Viruses) ; HIV infection ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; Homosexuality ; Human immunodeficiency virus ; Humans ; Infectious diseases ; Medical research ; Medicine, Experimental ; Middle Aged ; Migrants ; Migration ; Prevention ; Regression analysis ; Regression models ; Risk ; Risk taking ; Sex ; Sexual Behavior ; Sexual health ; Sexual Partners ; Sexually transmitted diseases ; STD ; Young Adult</subject><ispartof>BMC infectious diseases, 2023-06, Vol.23 (1), p.370-370, Article 370</ispartof><rights>2023. The Author(s).</rights><rights>COPYRIGHT 2023 BioMed Central Ltd.</rights><rights>2023. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c632t-48e21648afa10ae5f92b12f81f21c95842fc2e4948f211158056e91dda8431e73</citedby><cites>FETCH-LOGICAL-c632t-48e21648afa10ae5f92b12f81f21c95842fc2e4948f211158056e91dda8431e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233894/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2827027872?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37264345$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, Yuyin</creatorcontrib><creatorcontrib>Luo, Yan</creatorcontrib><creatorcontrib>Cheng, Feng</creatorcontrib><creatorcontrib>Zeng, Huatang</creatorcontrib><creatorcontrib>Wu, Liqun</creatorcontrib><creatorcontrib>Gao, Liangmin</creatorcontrib><creatorcontrib>Xu, Junfang</creatorcontrib><title>Migration experiences and reported commercial and non-commercial sexual behaviors among newly diagnosed HIV infections in China: a cross-sectional study</title><title>BMC infectious diseases</title><addtitle>BMC Infect Dis</addtitle><description>Migration is known to influence human health. China has a high migration rate and a significant number of people who are HIV-positive, but little is known about how these factors intersect in sexual risk behaviors.
This study aimed to explore sexual risk behaviors between migrants and non-migrants among newly diagnosed HIV infections, and assess the changes of sexual risk behaviors with length of stay in the current city of migrants.
A cross-sectional questionnaire was conducted among people newly diagnosed with HIV from July 2018 to December 2020 who lived in Zhejiang Province. In the study, sexual risk behaviors included having multiple sexual partners and unprotected sexual behaviors (in commercial sexual behaviors, non-commercial sexual behaviors, heterosexual behaviors, and homosexual behaviors). Binary logistic regression models were employed to explore the influencing factors of sexual risk behaviors, measured by multiple sexual partners and unprotected sexual partners.
A total of 836 people newly diagnosed with HIV/AIDS were incorporated in the study and 65.31% (546) were migrants. The percentages of non-commercial sexual behaviors among migrants were statistically higher than those of non-migrants. Commercial heterosexual behavior was higher among non-migrants compared with migrants. The proportion of study participants having unprotected sexual behaviors and multiple sexual partners with commercial/non-commercial partners was both higher among migrants compared with non-migrants. Among migrants, the likelihood of sexual risk behaviors in both commercial and non-commercial sex increased in the first 3 years and reduced after 10 years. Compared with non-migrants, migrants were statistically associated with multiple sexual partners [P = .007, odds ratio (OR) = 1.942]. However, migrants did not exhibit a significant difference in unprotected sexual behaviors compared with non-migrants. In addition, migrants aged between 18 and 45 years who relocated to the current city in the past 2-3 years tended to have multiple sexual partners (P < .05).
People newly diagnosed with HIV engaged in different sexual risk behaviors among migrants and non-migrants and more attention should be paid to migrants. For non-migrants, it is urgent to promote the prevention of commercial sexual behaviors. For migrants, prevention of non-commercial sexual behaviors and universal access to health care especially for new arrivals who migrated to the current city for 2-3 years are needed. Moreover, sexual health education and early HIV diagnosis are necessary for the entire population.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>Analysis</subject><subject>China - epidemiology</subject><subject>Condoms</subject><subject>Cross-Sectional Studies</subject><subject>Diagnosis</subject><subject>Health care access</subject><subject>Health policy</subject><subject>HIV</subject><subject>HIV (Viruses)</subject><subject>HIV infection</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>Homosexuality</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Middle Aged</subject><subject>Migrants</subject><subject>Migration</subject><subject>Prevention</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Risk</subject><subject>Risk taking</subject><subject>Sex</subject><subject>Sexual Behavior</subject><subject>Sexual health</subject><subject>Sexual Partners</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Young Adult</subject><issn>1471-2334</issn><issn>1471-2334</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNks1u1DAUhSMEoqXwAixQJDawSPFfEpsNqkZARyqqxE-3lse5yXiU2IOdlJk34XFxMqVMEAvkha3j754rH98keY7ROca8eBMw4aXIEKEZ4pTSrHiQnGJW4oxQyh4enU-SJyFsEMIlJ-JxckJLUjDK8tPk5yfTeNUbZ1PYbcEbsBpCqmyVetg630OVatd14LVR7aRbZ7MjKcBuiNsK1urWOB9rO2eb1MKPdp9WRjXWhWhyubxJja1Bj71CPKaLtbHqbapS7V0IWThcjY79UO2fJo9q1QZ4drefJd8-vP-6uMyurj8uFxdXmS4o6TPGgeCCcVUrjBTktSArTGqOa4K1yDkjtSbABONRwDjnKC9A4KpSnFEMJT1LlgffyqmN3HrTKb-XThk5Cc43Uvne6BYkR0wjXRQ6J4zlqBYcRUsFQAUABhy93h28tsOqg0qD7b1qZ6bzG2vWsnG3Esc_pFyw6PDqzsG77wOEXnYmaGhbZcENQRJOCC3jKiL68i904wYf85uoEpGSl-QP1aj4gvgBLjbWo6m8KHPMOGNCROr8H1RcFXRGOwu1ifqs4PWsIDI97PpGDSHI5ZfP_89e38xZcmCnmfBQ34eHkRyHXh6GXsbA5DT0ckzixXHs9yW_p5z-Asn8-60</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Zhou, Yuyin</creator><creator>Luo, Yan</creator><creator>Cheng, Feng</creator><creator>Zeng, Huatang</creator><creator>Wu, Liqun</creator><creator>Gao, Liangmin</creator><creator>Xu, Junfang</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20230601</creationdate><title>Migration experiences and reported commercial and non-commercial sexual behaviors among newly diagnosed HIV infections in China: a cross-sectional study</title><author>Zhou, Yuyin ; Luo, Yan ; Cheng, Feng ; Zeng, Huatang ; Wu, Liqun ; Gao, Liangmin ; Xu, Junfang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c632t-48e21648afa10ae5f92b12f81f21c95842fc2e4948f211158056e91dda8431e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS</topic><topic>Analysis</topic><topic>China - epidemiology</topic><topic>Condoms</topic><topic>Cross-Sectional Studies</topic><topic>Diagnosis</topic><topic>Health care access</topic><topic>Health policy</topic><topic>HIV</topic><topic>HIV (Viruses)</topic><topic>HIV infection</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - prevention & control</topic><topic>Homosexuality</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Middle Aged</topic><topic>Migrants</topic><topic>Migration</topic><topic>Prevention</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Risk</topic><topic>Risk taking</topic><topic>Sex</topic><topic>Sexual Behavior</topic><topic>Sexual health</topic><topic>Sexual Partners</topic><topic>Sexually transmitted diseases</topic><topic>STD</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhou, Yuyin</creatorcontrib><creatorcontrib>Luo, Yan</creatorcontrib><creatorcontrib>Cheng, Feng</creatorcontrib><creatorcontrib>Zeng, Huatang</creatorcontrib><creatorcontrib>Wu, Liqun</creatorcontrib><creatorcontrib>Gao, Liangmin</creatorcontrib><creatorcontrib>Xu, Junfang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Proquest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>BMC infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhou, Yuyin</au><au>Luo, Yan</au><au>Cheng, Feng</au><au>Zeng, Huatang</au><au>Wu, Liqun</au><au>Gao, Liangmin</au><au>Xu, Junfang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Migration experiences and reported commercial and non-commercial sexual behaviors among newly diagnosed HIV infections in China: a cross-sectional study</atitle><jtitle>BMC infectious diseases</jtitle><addtitle>BMC Infect Dis</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>23</volume><issue>1</issue><spage>370</spage><epage>370</epage><pages>370-370</pages><artnum>370</artnum><issn>1471-2334</issn><eissn>1471-2334</eissn><abstract>Migration is known to influence human health. China has a high migration rate and a significant number of people who are HIV-positive, but little is known about how these factors intersect in sexual risk behaviors.
This study aimed to explore sexual risk behaviors between migrants and non-migrants among newly diagnosed HIV infections, and assess the changes of sexual risk behaviors with length of stay in the current city of migrants.
A cross-sectional questionnaire was conducted among people newly diagnosed with HIV from July 2018 to December 2020 who lived in Zhejiang Province. In the study, sexual risk behaviors included having multiple sexual partners and unprotected sexual behaviors (in commercial sexual behaviors, non-commercial sexual behaviors, heterosexual behaviors, and homosexual behaviors). Binary logistic regression models were employed to explore the influencing factors of sexual risk behaviors, measured by multiple sexual partners and unprotected sexual partners.
A total of 836 people newly diagnosed with HIV/AIDS were incorporated in the study and 65.31% (546) were migrants. The percentages of non-commercial sexual behaviors among migrants were statistically higher than those of non-migrants. Commercial heterosexual behavior was higher among non-migrants compared with migrants. The proportion of study participants having unprotected sexual behaviors and multiple sexual partners with commercial/non-commercial partners was both higher among migrants compared with non-migrants. Among migrants, the likelihood of sexual risk behaviors in both commercial and non-commercial sex increased in the first 3 years and reduced after 10 years. Compared with non-migrants, migrants were statistically associated with multiple sexual partners [P = .007, odds ratio (OR) = 1.942]. However, migrants did not exhibit a significant difference in unprotected sexual behaviors compared with non-migrants. In addition, migrants aged between 18 and 45 years who relocated to the current city in the past 2-3 years tended to have multiple sexual partners (P < .05).
People newly diagnosed with HIV engaged in different sexual risk behaviors among migrants and non-migrants and more attention should be paid to migrants. For non-migrants, it is urgent to promote the prevention of commercial sexual behaviors. For migrants, prevention of non-commercial sexual behaviors and universal access to health care especially for new arrivals who migrated to the current city for 2-3 years are needed. Moreover, sexual health education and early HIV diagnosis are necessary for the entire population.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>37264345</pmid><doi>10.1186/s12879-023-08333-6</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acquired immune deficiency syndrome Adolescent Adult AIDS Analysis China - epidemiology Condoms Cross-Sectional Studies Diagnosis Health care access Health policy HIV HIV (Viruses) HIV infection HIV Infections - epidemiology HIV Infections - prevention & control Homosexuality Human immunodeficiency virus Humans Infectious diseases Medical research Medicine, Experimental Middle Aged Migrants Migration Prevention Regression analysis Regression models Risk Risk taking Sex Sexual Behavior Sexual health Sexual Partners Sexually transmitted diseases STD Young Adult |
title | Migration experiences and reported commercial and non-commercial sexual behaviors among newly diagnosed HIV infections in China: a cross-sectional study |
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