title: Population-based sexual behavior surveys in China: Liuzhou compared with other prefectural cities.
abstract: Sexual behaviors in China are rapidly changing; simultaneously, sexually transmitted infections (STI)/HIV prevalence is increasing in the general population. To investigate these major shifts, we examined sexual behaviors and self-reported STI in one prefectural city in southern China, Liuzhou, and compared it to other prefectural cities throughout China. We used adults age 18-39 from two sets of population-based surveys that paralleled each other in both content and method. The first set was the Liuzhou survey conducted in 2008 (n = 398). The second set consisted of two national surveys collected in 2006 and 2010 (n = 2,186). Liuzhou respondents reported more active social and sexual behaviors than their national counterparts, including more socializing, dancing, drinking excessively, sexual activity among never married men and women, purchasing commercial sex among men, one-night stands among men, multiple sexual partnerships and self-reported STI among both men and women. Women in Liuzhou reported greater sexual risk behavior than their national counterparts, although overall they reported less than their male counterparts; they were also more likely to have had an abortion than women in other prefectural cities. Our findings provide a comprehensive overview of the sexual context of Liuzhou among the general population, which may help explain the greater STI/HIV prevalence in Liuzhou.
authors.affiliation: Department of Sociology, Institute of Sexuality and Gender, Renmin University of China, Beijing, China.
authors.forename: Yingying
authors.initials: Y
authors.lastname: Huang
authors.forename: Laurie
authors.initials: L
authors.lastname: Abler
authors.forename: Suiming
authors.initials: S
authors.lastname: Pan
authors.forename: Gail E
authors.initials: GE
authors.lastname: Henderson
authors.forename: Xin
authors.initials: X
authors.lastname: Wang
authors.forename: Xingliang
authors.initials: X
authors.lastname: Yao
authors.forename: William L
authors.initials: WL
authors.lastname: Parish
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002681:China / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D008019:Life Style; D016015:Logistic Models; D008297:Male; D011159:Population Surveillance; D015995:Prevalence; D012309:Risk-Taking; D017678:Sex Distribution; D012737:Sex Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000517:prevention & control*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population; D055815:Young Adult