HIV risk and sexual health among female migrants in China

Huang, Wen; Dong, Yanyan; Chen, Lin; Duan, Song; Wang, Jun; Tao, Haidong; Zaller, Nickolas; Operario, Don

doi:10.1093/heapro/dav049

Cited by 14 publications

(25 citation statements)

References 26 publications

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“…The current study brings attention to the behavioral risk for HIV and other STIs/GTIs and low rates of HIV testing among female migrants working in entertainment venues in China. Although employment in entertainment venues can bring financial benefits to young women, especially in comparison with other potential forms of employment such as factory or restaurant work (Huang et al, 2013), this analysis reveals substantial health challenges among these young female migrants. In addition to sexual risk factors, we observed other health problems such as high prevalence of problem drinking (57%) and mental health problems including recent depression symptoms (19%) and suicidal ideation (9%).…”

Section: Discussionmentioning

confidence: 96%

HIV-Related Risk Among Female Migrants Working in Entertainment Venues in China

et al. 2013

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China has experienced a surge in internal migration during the past decade and migrant populations have been identified as a high-risk group for HIV and other sexually transmitted infections (STIs). Young female migrants often find employment in entertainment venues (bars, karaoke parlors, massage parlors) located in metropolitan cities, and sex work transactions frequently occur in these venues. We examined factors associated with risk for HIV, other STIs, and reproductive health challenges in a cross-sectional study of 358 young female migrants, ages 18-29, working in entertainment venues in a rapidly growing urban city in China. Results indicate high levels of behavioral risk for HIV and other STIs, low rates of HIV testing, and high prevalence of problem drinking and mental health problems, including recent depression symptoms and suicidal ideation. Factors associated with increased STIs and genitourinary tract infections included commercial sex work, early sexual debut, abortion history, illicit drug use, and anxiety. Factors associated with increased HIV testing included employment in an affluent entertainment venue, education level, knowledge about where to obtain free HIV tests, condom use, and general HIV/AIDS knowledge. Findings of this study highlight the insufficient coverage of current public health services to female migrants working in entertainment venues, and call for more assertive prevention interventions to mitigate risk for sexual, reproductive, behavioral and mental health problems in this mobile population.

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Section: Discussionmentioning

confidence: 96%

HIV-Related Risk Among Female Migrants Working in Entertainment Venues in China

et al. 2013

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“…The majority of migrated people in Vietnam are young adults with middle-level education status and they migrate to more urban areas mainly for employment reasons [1]. Previous studies indicated that moving to a new workplace may expose these migrant workers to new social networks, ideas, behaviors, or even socially isolated situations that could alter their lifestyle choices, including engaging in sexual risk behaviors [2]. Migrant workers are often subjected to harassment, exploitation, and violence, which may lead to poor health outcomes, and they may also face barriers to health care in the host country, such as limited or lack of health insurance and entitlement to statutory health care [3].…”

Section: Introductionmentioning

confidence: 99%

Characterizing Unsafe Sexual Behavior among Factory Workers in the Context of Rapid Industrialization in Northern Vietnam

Tran

Dang

et al. 2019

IJERPH

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Industrial workers or factory workers, especially migrant workers, have been found to be vulnerable populations at risk of sexually transmitted infections (STIs). However, there has been a gap in literature regarding health behaviors of migrant factory workers. We conducted a cross-sectional study among 230 factory workers in Hanoi and Bac Ninh cities in Northern Vietnam from July to September 2018 to identify sexual risk practices and related factors among migrant and nonmigrant factory workers. Information collected regarding sexual behavior included the number of sexual partners in the previous 12 months and whether they used condoms in their last sexual intercourse. Two-thirds of participants reported having no sexual activity in the last 12 months, and there was a low percentage of participants using condoms in their last sexual intercourse. Being female, living with spouses/partners, and being a nonimmigrant had a negative association with the lack of using condoms in the last sexual intercourse with casual partners/sex workers, as opposed to having mobility and self-care problems and identifying as a binge drinker. Therefore, workplace-based prevention programs focusing on providing tailored sexual health education and promoting condom use among industrial workers, especially those who are immigrant or migrant workers, in Vietnam should be emphasized.

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“…In the general population, sexual transmission accounts for more than 90% of new HIV cases . Increasing trends of HIV infections in high‐risk groups like men who have sex with men (MSM), sex workers, and migrant workers have contributed greatly to the growing HIV epidemic in China . However, the current Health Inquiry Questionnaire used in blood donor screening do not include questions addressing these high‐risk groups.…”

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confidence: 99%

Current risk factors for HIV infection among blood donors in seven Chinese regions

Zeng

Liu

Zhang³

et al. 2020

Transfusion

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BACKGROUND In China, there is a rising concern on the increasing trends of HIV infections in high‐risk groups, who make blood donations that might potentially challenge the blood safety. Analyses on current risk factors for HIV infection among Chinese blood donors are urgently needed for developing effective strategies to defer high‐risk donors and to warrant the safety of the blood supply. STUDY DESIGN AND METHODS We recruited 313 HIV‐positive and 762 HIV‐negative donors from seven study sites in China and evaluated donor demographic characteristics, current medical and behavioral risk factors associated with HIV infection in a case–control survey. Univariable analyses examined the relationship between HIV infection and donor and donation characteristics, medical and behavioral risks, living conditions, and lifestyles. Multivariable logistic regression analyses evaluated the association between selected individual risks and HIV infection. Regression tree analysis was used to select covariates correlated with both HIV infection and individual risks and thus need to be controlled for in logistic regression models. RESULTS Being a man who has sex with men was associated with the highest odds of HIV infection. Not using a condom, having sex with HIV‐infected individuals, having sex partners with sexually transmitted diseases (STDs), having more than two concurrent sex partners, or having an STD were all associated with more than five times higher odds of having HIV. Having remunerated sex was associated with a 2.4 increased odds of having HIV infection. CONCLUSION High‐risk sexual behaviors were among the major risks for HIV infection among Chinese blood donors.

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HIV risk and sexual health among female migrants in China

Cited by 14 publications

References 26 publications

HIV-Related Risk Among Female Migrants Working in Entertainment Venues in China

HIV-Related Risk Among Female Migrants Working in Entertainment Venues in China

Characterizing Unsafe Sexual Behavior among Factory Workers in the Context of Rapid Industrialization in Northern Vietnam

Current risk factors for HIV infection among blood donors in seven Chinese regions

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