HIV-related risk behaviors and history of sexually transmitted diseases among male migrants who patronize commercial sex in China.
OBJECTIVE
Men who pay for sexual services are at increased risk for HIV/sexually transmitted disease. Data on the sociodemographic and behavioral characteristics of such men in China are limited.


METHODS
Two cross-sectional surveys, using similar instruments, were completed among Chinese migrants in Beijing, Shanghai, and Nanjing in 2002. A total of 1304 rural-to-urban migrant men from community settings ("community sample") and 465 migrant men attending sexually transmitted disease clinics ("STD clinic sample") were included in the current study.


RESULTS
Ten percent of men in the community sample and 32.7% of men in the STD clinic sample reported having ever paid for sex. Nearly 20% of clients from the community sample and 60% of clients from the STD clinic sample reported a history of STDs. For both the community and STD clinic samples, working at industrial or construction sectors, multiple sexual partners, regular sex partner having sex with others, and a history of drug use were associated with being a male client. In addition, perceived peer sexual risk and perceived vulnerability to STD were associated with being a male client in the community sample, and a history of STD and being tested for STD/HIV were associated with being a male client in the STD sample.


CONCLUSIONS
Male migrants who paid for sex in China were vulnerable to HIV/STDs. HIV prevention efforts should target young migrant men who work at factory and construction sectors. STD clinics may be important sites for outreach and intervention efforts among male clients.
Wang
Bo
B
The Carman and Ann Adams Department of Pediatrics Prevention Research Center, Wayne State University, Detroit, Michigan 48201, USA. bwang@med.wayne.edu
Li
Xiaoming
X
Stanton
Bonita
B
Fang
Xiaoyi
X
Lin
Danhua
D
Mao
Rong
R
D000328:Adult; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D018562:Disease Transmission, Infectious; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control / Q000635:transmission*; D006801:Humans; D008297:Male; D012309:Risk-Taking; D011477:Sex Work; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control / Q000635:transmission; D011795:Surveys and Questionnaires; D014171:Transients and Migrants / Q000706:statistics & numerical data*