In China, the serious involuntary bachelorhood due to sex ratio imbalance in decades is expected to dramatically increase the spread of HIV through heterosexual contact. However, the higher HIV transmission risk and its correlates among never married men in rural China are not well understood. This study explored whether and how bachelorhood and migration increased the HIV transmission risk through commercial sex. By combining two cross-sectional survey data from never married men in rural areas and male migrants (including both married and unmarried men) in urban areas, a total of 1030 participants who were never married and age 28 and above or married male migrants were included in this study. The results show that both bachelorhood and migration put the never married male migrants at particularly higher HIV transmission risk by increasing both the possibility of engaging in commercial sex, and the frequency and inconsistency of condom use in commercial sex. Selection bias into marriage and neighborhood characteristics associated with exposure to commercial sexual risk may partly explain why male migrants that never married had a higher commercial sex related risk than that of married male migrants and never married non-migrant males.
En China, se anticipa que la gravedad de la soltería involuntaria causada por decenios de desequilibrio entre la proporción de sexos aumente drásticamente la propagación del VIH a través del contacto heterosexual. Sin embargo, el mayor riesgo de transmisión del VIH y sus correlatos entre aquellos hombres que nunca se han casado y que habitan en las zonas rurales de China no se conocen bien. Este estudio exploró la posibilidad y la manera en que la soltería y la migración aumentaron el riesgo de transmisión del VIH a través del sexo comercial. Al combinar dos datos de encuestas transversales de hombres que nunca se han casado en áreas rurales y hombres migrantes (incluidos hombres casados y solteros) en áreas urbanas, un total de 1030 participantes que nunca se casaron y tenían 28 años o más o que eran hombres migrantes casados fueron incluidos en este estudio. Los resultados muestran que tanto la soltería como la migración ponen a los migrantes varones que nunca se han casado en un riesgo de transmisión del VIH particularmente mayor al aumentar tanto la posibilidad de tener relaciones sexuales comerciales como la frecuencia y uso inconsistente del condón. El sesgo de selección en las características del matrimonio y las particularidades del vecindario asociadas con la exposición al riesgo que trae consigo el sexo comercial en parte explica porque los hombres migrantes que nunca se han casado tuvieron un riesgo relacionado con el sexo comercial más alto que el de los hombres migrantes casados y los hombres no migrantes que nunca se han casado.
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Data collection for this study was possible thanks to financial support of National Nature Science Foundation of China (71573202). We are very grateful for the funding.
Conflict of interest
The authors declare that they have no conflict of interest.
The study was approved by the Research Ethics Committee, Xi’an Jiaotong University (No: 2016-415). The workers who participated in this study gave written informed consent.
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Xiao, Q., Liu, H. & Wu, B. How Bachelorhood and Migration Increase the HIV Transmission Risk Through Commercial Sex in China?. AIDS Behav 24, 791–801 (2020). https://doi.org/10.1007/s10461-019-02640-3
- HIV transmission risk
- Commercial sex
- riesgo de transmisión del VIH
- Sexo comercial