title: Male rural-to-urban migrants and risky sexual behavior: a cross-sectional study in Shanghai, China.
abstract: This study examined the prevalence and the determinants of risky sexual behavior (defined as having multiple sex partners and paying for sex) among male rural-to-urban migrants in China. An anonymous questionnaire was used to collect information on socio-demographics, knowledge, attitudes, and behavior associated with increased risk of risky sexual behavior from 4,069 subjects. In total 1,132 (27.8%) participants reported two or more sex partners and 802 (19.7%) participants paid for sex. A considerable proportion (29.6%-41.5%) did not use a condom during risky sexual behavior. Logistic regression analysis revealed that unmarried status (OR: 0.62, CI: 0.42-0.85 for married), earlier age at first sexual experience (OR: 0.67, 95% CI: 0.31-0.91 for ≥ 22 years old), poor perception of risk of acquiring HIV/AIDS (OR: 1.51, 95% CI: 1.33-1.96 for unlikely; OR: 2.38, 95% CI: 1.61-3.70 for impossible), frequent exposure to pornography (OR: 0.67, 95% CI: 0.60-0.81 for sometimes; OR: 0.31, 95% CI: 0.11-0.43 for never), attitudes toward legalization of commercial sex (OR: 0.39, 95% CI: 0.21-0.59 for no), peer influence (OR: 0.51, 95% CI: 0.27-0.88 for no), and not knowing someone who had/had died from HIV/AIDS (OR: 0.35, 95% CI: 0.20-0.53 for yes) were all significantly associated with having multiple sex partners. Those who paid for sex showed similar findings.
authors.affiliation: School of Public Health, Fudan University, No. 138 Yixueyuan Road, Shanghai 200032, China. wujq1688@163.com.
authors.forename: Jun-Qing
authors.initials: JQ
authors.lastname: Wu
authors.affiliation: School of Public Health, Fudan University, No. 138 Yixueyuan Road, Shanghai 200032, China. wkw168@yeah.net.
authors.forename: Ke-Wei
authors.initials: KW
authors.lastname: Wang
authors.affiliation: School of Public Health, Fudan University, No. 138 Yixueyuan Road, Shanghai 200032, China. zhaorui821030@163.com.
authors.forename: Rui
authors.initials: R
authors.lastname: Zhao
authors.affiliation: Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research in Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China. llyyyrr@sina.com.
authors.forename: Yu-Yan
authors.initials: YY
authors.lastname: Li
authors.affiliation: Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research in Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China. yingzhou2012@163.com.
authors.forename: Ying
authors.initials: Y
authors.lastname: Zhou
authors.affiliation: Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research in Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China. llyyyrr@sina.com.
authors.forename: Yi-Ran
authors.initials: YR
authors.lastname: Li
authors.affiliation: Department of Epidemiology and Social Science on Reproductive Health, Shanghai Institute of Planned Parenthood Research/WHO Collaborating Centre for Research in Human Reproduction Unit of Epidemiology, 2140 XieTu Road, Shanghai 200032, China. hongleiji@gmail.com.
authors.forename: Hong-Lei
authors.initials: HL
authors.lastname: Ji
authors.affiliation: College of Nursing University of South Florida, 4202 East Fowler Avenue FAO 100 Tampa, FL 33620, USA. mji@health.usf.edu.
authors.forename: Ming
authors.initials: M
authors.lastname: Ji
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China; D002947:Cities / Q000706:statistics & numerical data; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D004882:Erotica; D015658:HIV Infections; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010379:Peer Group; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data*; D014171:Transients and Migrants / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult