title: HIV/AIDS-related knowledge and behaviors among rural married migrant women in Shandong Province, China: a comparison study.
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.
authors.affiliation: Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, 44 West Wenhua Road, Jinan, 250012, Shandong Province, China.
authors.forename: Yapei
authors.initials: Y
authors.lastname: Song
authors.forename: Dianmin
authors.initials: D
authors.lastname: Kang
authors.forename: Guoyong
authors.initials: G
authors.lastname: Wang
authors.forename: Chongyi
authors.initials: C
authors.lastname: Wei
authors.forename: Xiaorun
authors.initials: X
authors.lastname: Tao
authors.forename: Tao
authors.initials: T
authors.lastname: Huang
authors.forename: Yuesheng
authors.initials: Y
authors.lastname: Qian
authors.forename: Tiwen
authors.initials: T
authors.lastname: Zhu
authors.forename: Shan
authors.initials: S
authors.lastname: Yang
authors.forename: Shaoqi
authors.initials: S
authors.lastname: Yu
authors.forename: Hong
authors.initials: H
authors.lastname: Wang
authors.forename: Wei
authors.initials: W
authors.lastname: Ma
mesh_terms: D000328:Adult; D001210:Asia, Southeastern / Q000208:ethnology; D002681:China / Q000453:epidemiology; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008393:Marriage; D036301:Qualitative Research; D012424:Rural Population; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000208:ethnology; D018454:Spouses; D011795:Surveys and Questionnaires; D014171:Transients and Migrants / Q000523:psychology*