title: HIV/AIDS - Related Knowledge, Attitudes, and Sexual Practices among Migrant Wives in Rural Anhui Province, China.
abstract: BACKGROUND
  Migrant wives have been increasing in some poor rural regions of China and they may bridge HIV transmission across regions. This study aimed to assess HIV/AIDS-related knowledge, attitudes and sexual practices among this population in rural Anhui Province, China.
  
  
  METHODS
  A cross-sectional survey was conducted with questionnaire of HIV/AIDS-related knowledge, attitudes, and sexual practices between June 2011 and May 2012. A total of 730 migrant wives and 207 local women were enrolled in this study. Unpaired T-test, Chi-square was utilized to compare the difference of HIV/AIDS knowledge, attitudes and sexual practices between migrant wives and local women.
  
  
  RESULTS
  Around 80% of the migrant wives were from Yunnan, Guizhou, or Sichuan Provinces. The main sources of HIV/AIDS information were TV/radio, posters, and newspapers/periodicals. HIV/AIDS knowledge level among migrant wives was significantly lower than that among local women (e.g. 47.1% vs 57.0% (p<0.001) answered "Yes" for the question "Can an apparently healthy person be HIV-infected?"), and stigma and prejudice towards HIV/AIDS among migrant wives were more common than those among local women (e.g. 73.2% vs 65.7% (p=0.006) answered "No" for the question "If a shopkeeper or food seller had the HIV, would you buy food from them?"). Compared to local women, migrant wives were more likely to have ever had sex during menstruation (6.8% vs 3.4%, p=0.065) and extramarital sex (17.5% vs 10.1%, p=0.01), and were less likely to consistently use condoms with their husbands (45.8% vs 57.5%, p<0.001) or extramarital sex partners (48.8% vs 58.95, p<0.001).
  
  
  CONCLUSIONS
  Migrant wives in rural China had a low HIV/AIDS knowledge level and high prevalence of stigma and prejudice and risky sexual behaviors. Local HIV/AIDS prevention programs should target this neglected population.
authors.affiliation: Melbourne Sexual Health Centre, Alfred Health, Melbourne, Australia ; School of Population and Global Health, the University of Melbourne, Melbourne, Australia ; School of Public Health and Community Medicine, the University of New South Wales, Sydney, Australia ; Centre for Population Health, Burnet Institute, Melbourne, Australia.
authors.forename: Huachun
authors.initials: H
authors.lastname: Zou
authors.affiliation: School of Population and Global Health, the University of Melbourne, Melbourne, Australia.
authors.forename: Xin
authors.initials: X
authors.lastname: Dai
authors.affiliation: Wuxi Center for Disease Control and Prevention, Wuxi, China.
authors.forename: Xiaojun
authors.initials: X
authors.lastname: Meng
authors.affiliation: Anhui Provincial Center for Disease Control and Prevention, Hefei, China.
authors.forename: Huadong
authors.initials: H
authors.lastname: Wang
authors.affiliation: School of Public Health, Wannan Medical College, Wuhu, China.
authors.forename: Chao
authors.initials: C
authors.lastname: Jiang
authors.affiliation: Anhui Provincial Center for Disease Control and Prevention, Hefei, China.
authors.forename: Yanchun
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Clinical Laboratory, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Zhang
authors.affiliation: School of Food Science, Guangdong Pharmaceutical University, Zhongshan, China.
authors.forename: Yongqing
authors.initials: Y
authors.lastname: Gao
authors.affiliation: School of Environment and Sustainability, University of Saskatchewan, SK, Canada.
authors.forename: Song
authors.initials: S
authors.lastname: Tang
authors.affiliation: School of Public Health, Medical College of Soochow University, Suzhou, China ; School of Public Health and Tropical Medicine, Tulane.
authors.forename: Tan
authors.initials: T
authors.lastname: Xu
authors.affiliation: School of Food Science, Guangdong Pharmaceutical University, Zhongshan, China ; School of Public Health and Tropical Medicine, Tulane.
authors.forename: Wenjie
authors.initials: W
authors.lastname: Sun
authors.affiliation: School of Public Health, Wannan Medical College, Wuhu, China.
authors.forename: Yufeng
authors.initials: Y
authors.lastname: Wen
keywords: Attitudes; HIV/AIDS; Knowledge; Migrant wives; Sexual practices
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