Abstract

Background: The commercial sexual behaviorual behavior maybe a high risk factor for STD/ HIV spread. To understand the commercial sexual behaviorual behavior and some potential influencing factors among migrants in Shanghai, Beijing, Chongqin, Chengdu, Shanxi and Hanzhou, we conducted this epidemiology survey. Methods: This study was an epidemiological cross-sectional survey that was conducted in Shanghai, Beijing, Chongqin, Chengdu, Shanxi and Hanzhou. During October 2011 to Feb. 2012, quantitative data was collected by the trained investigators using designed questionnaires through face to face anonymous in-depth questionnaire survey. Results: Total 783 migrants were enrolled in this study by multi-phrase sampling in 6 provinces and cities, 704 of whom had sexual behavior. The proportion of subjects who had commercial sexual behaviorual behavior was 4.60%. The results of uni-variate analysis showed that 8.20% of male subjects and 2.15% of women had commercial sexual behaviorual behavior. Multi-logistic regression showed that gender, sex partner for the first sexual lives were potential influencing factors of commercial sexual behaviorual behavior. Compared with men, women had lower commercial sexual behavior (OR=0.28, 95% CI: 0.13-0 .63). Those whose first sexual partner were not the spouse had slightly higher commercial sexual behavior (OR=2.26, 95%CI:0.91-5.65), but the difference was not statistically significant (P=0.081). Conclusions: The commercial sexual behavior has played the bridge role on the spread of RE|TI/STD/HIV/AIDS from high-risk groups to the general population. Male migrants have higher risks of commercial sexual behavior, and those who had a non-spouse sex partners for the first time also had a higher commercial sexual behavior. To advocate safe sex and to reduce commercial sexual behavior, especially for male migrants should be put more emphasis on.

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