Abstract
Migrant women in China are disproportionately affected by HIV/AIDS. This study described HIV/AIDS-related knowledge and behaviors among married migrant women in Shandong province in comparison to non-migrant local women and identified factors associated with HIV testing history and extramarital sex among married migrant women. A probability-based sample of 1,076 migrant and 1,195 local women were included in the analyses. Compared to local women, married migrant women had lower levels of HIV/AIDS knowledge and were more likely to have had premarital sex, extramarital sex, history of sexually transmitted diseases, and drug use. Less than a quarter of migrant women used condoms consistently in extramarital sex. Only 31.0 % of married migrant women had ever tested for HIV, and the rate of premarital HIV testing was very low. Multivariable analysis showed that married migrant women with a history of extramarital sex were more likely to be from Yunnan province, be living in Yantai city, be in their first marriage, have lower family income, have poor relationship with spouses, use drug, have a history of sexually transmitted diseases, and have lower social support. Our findings provide further evidence that married migrant women are at higher risk for HIV infection and that targeted interventions need to be developed for this population.
Similar content being viewed by others
References
Chen, Z. Q., & Liu, Q. L. (2007). Analysis of HIV/AIDS sentinel surveillance in different population in Heze. Modern Preventive Medicine, 34(14), 2730–2731. doi:10.3969/j.issn.1003-8507.2007.14.058.
Fu, J. H., Zhang, Q. H., Lv, F., Liu, X. Z., & Zhang, X. F. (2006). Demographic characteristics of immigrant women in a rural district of Shandong province. Chinese Journal of AIDS & STD, 12(5), 418–420. doi:10.3969/j.issn.1672-5662.2006.05.009.
Gong, Y. R., Yang, L., Gao, J., Xiang, L. F., Ye, R. H., Yang, Y. C., … He., N. (2012). HIV prevalence and risk factors among premarital couples in Dehong prefecture of Yunnan province, 2010. Chinese Journal of AIDS & STD, 18(3), 156–158.
Jiang, Y. R., Liao, L. Z., & Yan, Y. P. (2002). The position and role of sex-related culture in the development of southwest China’s ethnic minority communities. Thinking, 28(4), 71–75. doi:10.3969/j.issn.1001-778X.2002.04.020.
Liu, Z. H., Bi, Z. Q., Dong, L., Zhang, S. H., & Gao, H. Q. (2005). Effectiveness assessment of media materials on AIDS prevention in rural areas, Shandong province. Chinese Journal of Health Education, 21(8), 605–607. doi:10.3969/j.issn.1002-9982.2005.08.013.
Lu, C. F., Jia, C. X., Zhang, J. Y., Wang, X. X., Wang, D. F., & Liu, L. Y. (2011). Reliability and validity of social support rating scale in rural suicides. Chinese Mental Health Journal, 25(3), 218–222. doi:10.3969/j.issn.1000-6729.2011.03.012.
Lv, C. X., Fu, J. H., Zhang, X. F., Dong, L., Su, S. L., & Qian, Y. S. (2011). Analysis of HIV epidemic situation and immigrant population in Shandong. Modern Preventive Medicine, 38(21), 4351–4352.
MOHC, UNAIDS, & WHO. (2012). Estimated AIDS epidemic in China in 2011. Chinese Journal of AIDS & STD , 18(1), 1–5.
Pan, X., Zhu, Y., Wang, Q., Zheng, H., Chen, X., Su, J., … Wang, N. (2013). Prevalence of HIV, syphilis, HCV and their high risk behaviors among migrant workers in Eastern China. PLoS One, 8(2), e57258. doi:10.1371/journal.pone.0057258.
Su, S. L., Kang, D. M., Li, J. Z., Fu, J. H., Wang, T. Z., Zhang, S. Y., … Lin, B. (2011). Investigation on HIV/AIDS and related disease infection status among immigrant women in rural areas of Shandong province. Modern Preventive Medicine, 38(8), 1545–1546.
Wang, X. (2006). A survey of HIV infections among non-native women in rural areas in certain city, Shandong province. Chinese Journal of Disease Control and Prevention, 10(6), 620–621. doi:10.3969/j.issn.1674-3679.2006.06.020.
Xiao, S. Y. (1994). The theoretical basis and research applications of social support rating scale. Journal of Clinical Psychiatry, 4(2), 98–100.
Xiao, Y., Kristensen, S., Sun, J., Lu, L., & Vermund, S. H. (2007). Expansion of HIV/AIDS in China: Lessons from Yunnan Province. Social Science and Medicine, 64(3), 665–675. doi:10.1016/j.socscimed.2006.09.019.
Yan, J. (2011). Examination result and epidemiology analysis of different crowd HIV serology in a city 2007–2010 year. Guide of China Medicine, 9(24), 182–183. doi:10.3969/j.issn.1671-8194.2011.24.147.
Yao, Y., Wang, N., Chu, J., Ding, G., Jin, X., Sun, Y., … Smith, K. (2009). Sexual behavior and risks for HIV infection and transmission among male injecting drug users in Yunnan, China. International Journal of Infectious Diseases, 13(2), 154–161. doi:10.1016/j.ijid.2008.05.1228.
Zhang, Y. Q., Li, Z. C., Kong, Y., Li, X. T., Liu, D. Y., Shu, H. Y., … Zhang, C. Y. (2008). Analysis on HIV and syphilis infection situation among married immigrant women in rural areas. Chinese Journal of Public Health, 24(1), 17–18.
Zhou, Y. J., Liu, W., Dong, B. Q., Liang, S. L., Li, X. M., Fang, X. Y., … Guo, N. Z. (2007). Analysis on HIV-related knowledge, attitude, condom using and STD prevalence among commercial sex workers in township. Chinese Journal of Disease Control and Prevention, 11(5), 488–490. doi:10.3969/j.issn.1674-3679.2007.05.014.
Zhou, Y. H., Yao, Z. H., Liu, F. L., Li, H., Jiang, L., Zhu, J. W., … Zheng, Y. T. (2012). High prevalence of HIV, HCV, HBV and co-infection and associated risk factors among injecting drug users in Yunnan Province, China. PLoS One, 7(8), e42937. doi:10.1371/journal.pone.0042937.
Zhuang, X., Wu, Z. Y., Poundstone, K., Yang, C. Q., Zhong, Y. Q., & Jiang, S. Y. (2012). HIV-related high-risk behaviors among Chinese migrant construction laborers in Nantong, Jiangsu. PloS One, 7(3), e31986. doi:10.1371/journal.pone.0031986.
Acknowledgments
This study was supported by Humanity and Social Science Youth foundation of Ministry of Education of China (10YJCZH109). The authors would like to acknowledge the staff of Linyi Center for Disease Control and Prevention, Weifang Center for Disease Control and Prevention, and Yantai Center for Disease Control and Prevention for their help. We would like to express special thanks to Gifty Marley for her help in language editing.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Song, Y., Kang, D., Wang, G. et al. HIV/AIDS-related Knowledge and Behaviors Among Rural Married Migrant Women in Shandong Province, China: A Comparison Study. Arch Sex Behav 44, 367–374 (2015). https://doi.org/10.1007/s10508-014-0360-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10508-014-0360-9