Abstract

BackgroundThis study described knowledge about HIV prevention and transmission among labor migrants in China and assessed the factors that associate with HIV knowledge.MethodsThe study is based on primary data collected in Xi’an city, China. The study includes 939 male rural-to-urban migrants aged 28 and older. The multivariate analysis used OLS regression techniques to examine the correlates of HIV knowledge.ResultsMost migrants know what AIDS/HIV is, but many have deficient knowledge about self-protection and the transmission routes of HIV. About 40% of migrants fail to understand that condoms decrease the risk of HIV infection. Higher levels of education and internet usage associate with better HIV knowledge. Migrants who have engaged in sex with commercial sex workers have better HIV knowledge than migrants who have never paid for sex. This includes better knowledge of self-protection.ConclusionLabor migrants are a high risk population for HIV infection. Their lack of HIV knowledge is a serious concern because they are a vulnerable group for infection and their sexual behaviors are spreading HIV to other members of the population and across geographic areas.

Highlights

  • This study described knowledge about HIV prevention and transmission among labor migrants in China and assessed the factors that associate with HIV knowledge

  • Just 22 cases of HIV infection were identified in seven provinces, and each of these originated outside China [1]

  • Injection drug use and tainted blood products were the main sources of HIV infection, but sexual transmission accounts for the majority (85%) of new infections [4,5]

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Summary

Introduction

This study described knowledge about HIV prevention and transmission among labor migrants in China and assessed the factors that associate with HIV knowledge. Just 22 cases of HIV infection were identified in seven provinces, and each of these originated outside China [1]. The disease has reached all 31 provinces and is being spread from high-risk groups (e.g., migrants, sex workers, injection drug users) to other members of the population [1,2,3]. UNAIDS estimates that there are currently 780,000 cases of HIV in China, but other studies place this figure closer to 1.5 million [6,7]. Given China’s massive population, even though the proportion of people with HIV is comparatively low, the absolute number of individuals at risk of

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