Abstract
ObjectiveA lack of education among migrants remains an important but overlooked issue that indirectly contributes to HIV transmission. It is necessary to know who has received HIV education and who has a lower probability of being educated among migrants across different regions and age groups in China.MethodsWe used pooled data from the 2014 and 2015 Migrants Population Dynamic Monitoring Survey. The study population included 406,937 Chinese migrants. Participants were asked whether they had received any HIV education after migrating to the destination city. Regions were categorized into east-coast, central, northwest, southwest, west-Tibet, west-Uyghur, and northeast regions. Hierarchical logistic regression modeling was conducted to investigate the relationships between the independent variables and HIV education.ResultsOf 406,937 participants, half (50.6%) had reported receiving HIV education. Individuals in the west-Uyghur region had the highest proportion of receiving HIV education (73.0%), followed by the southwest region (67.9%) and the west-Tibet region (54.8%). Methods of receiving HIV education varied among different age groups. Individuals who were in a region with a higher prevalence of HIV, a lower density of medical professionals, and a higher density of migrants were more likely to receive HIV education.ConclusionsThe study showed significant regional disparities among migrants in China. More HIV resources need to be allocated to regions with large-scale floating populations, such as the east-coast region. Providing multiple options, including both new and traditional media, for both young and elderly migrants is essential. HIV education should be tailored to the age of migrants with low educational and income levels.
Highlights
According to reports from the United Nations, there were 258 million international migrants and 740 million internal world migrants in 2017
Individuals who were in a region with a higher prevalence of Human Immunodeficiency Virus (HIV), a lower density of medical professionals, and a higher density of migrants were more likely to receive HIV education (P < 0.000)
The results indicated that the rates of receiving HIV education among seven regions in China were significantly different
Summary
According to reports from the United Nations, there were 258 million international migrants and 740 million internal world migrants in 2017. Economic and political factors contribute to the high risk of HIV infection among migrants, including restrictive health-related policies [6], lack of access to HIV education and services [6], discrimination and exploitation [7]. Among these factors, limited HIV knowledge among migrants remains an important but overlooked global issue that increases the risk of HIV transmission [8]. In China, low educational attainment among migrants makes them even more vulnerable to HIV transmission [9]
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