title: Knowledge, attitudes, and practices of voluntary HIV counseling and testing among rural migrants in Shanghai, China.
abstract: A study of knowledge, attitudes and practices (KAP) of voluntary HIV counseling and testing (VCT) among rural migrants was conducted in Shanghai, China. An anonymous questionnaire was administered face-to-face. Among 2,690 participants, 78% reported having had lifetime sexual intercourse with 41.3% of singles reporting sexual intercourse, 9.2% having had multiple sex partners in the past year, only 19% of the participants always using condoms whereas 61.6% did not use in their sexual acts in the past month, 80% knew HIV infection was diagnosed through a blood test, 46.5% had heard of VCT ever before, but only 3.5% felt that they were likely to be HIV-infected now or in the future and only 62 (2.3%) had ever had HIV testing with 19 of them getting tested at a VCT site. Gender, working venue, multiple sex partnerships and knowledge of VCT were independently correlated with having had HIV testing. This study suggests that a much greater effort is needed to promote safer sex and to improve VCT knowledge and services among rural migrants particularly those who are engaging in risky behaviors.
authors.affiliation: Department of Epidemiology, School of Public, Health, Fudan University, Shanghai, China. nhe@shmu.edu.cn
authors.forename: Na
authors.initials: N
authors.lastname: He
authors.forename: Jinling
authors.initials: J
authors.lastname: Zhang
authors.forename: Jinjian
authors.initials: J
authors.lastname: Yao
authors.forename: Xiuhong
authors.initials: X
authors.lastname: Tian
authors.forename: Genming
authors.initials: G
authors.lastname: Zhao
authors.forename: Qingwu
authors.initials: Q
authors.lastname: Jiang
authors.forename: Roger
authors.initials: R
authors.lastname: Detels
mesh_terms: D015492:AIDS Serodiagnosis / Q000523:psychology* / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000368:Aged; D002681:China / Q000453:epidemiology; D003376:Counseling / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control / Q000523:psychology*; D015497:HIV-1; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D014505:Urban Population; D035141:Voluntary Programs / Q000706:statistics & numerical data; D055815:Young Adult