16th International AIDS Conference Toronto, Canada - August 13 - 18, 2006

HIV-RELATED RISK BEHAVIORS AND HISTORY OF SEXUALLY TRANSMITTED DISEASES AMONG MALE MIGRANTS WHO PATRONIZE COMMERCIAL SEX IN CHINA

Int Conf AIDS. 2006 Aug 13-18;16 Abstract No. MoAc0305

Wang B.¹, Li X.¹, Stanton B.¹, Fang X.², Lin D.², Mao R.^3
1Wayne State University, Pediatrics, Detroit, United States, ²Beijing Normal University, Institute of Departmental Psychology, Beijing, China, ³Nanjing University, Institute of Mental Health, Nanjing, China

BACKGROUND: Men who pay for sexual services are at increased risk for HIV/STD. Data on the socio-demographic and behavioral characteristics of such men in China are limited.

METHODS: Two cross-sectional surveys, using similar instruments, were completed among Chinese migrants in Beijing, Shanghai, and Nanjing in 2002. 1304 rural-to-urban migrant men from community settings (“community sample”) and 465 migrant men attending STD clinics (“STD clinic sample”) were included in the current study.

RESULTS: Ten percent of men in the community sample and 32.7% of men in the STD clinic sample reported having ever paid for sex. Nearly 20% of clients from the community sample and 60% of clients from the STD clinic sample reported a history of STDs. For both the community and STD clinic samples, working at industrial or construction sectors, multiple sexual partners, regular sex partner having sex with others, and a history of drug use were associated with being a male client. In addition, perceived peer sexual risk and perceived vulnerability to STD were associated with being a male client in the community sample, and history of STD and being tested for STD/HIV were associated with being a male client in the STD sample.

CONCLUSIONS: Male migrants who paid for sex in China were vulnerable to HIV/STDs. HIV prevention efforts should target young migrant men who work at factory and construction sectors. STD clinics may be important sites for outreach and intervention efforts among male clients.

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2006-08-13
MoAc0305

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