Recorded presentation

Hongjie Liu, PhD, MS¹, Xiaoming Li, PhD¹, Bonita Stanton, MD¹, Hui Liu, MD², Guojun Liang, MD³, Xinguang Chen, MD, PhD¹, Hongmei Yang, MD, PhD¹, and Yan Hong⁴. (1) Pediatric Prevention Research Center, Wayne State University, 4201 St. Antonie Street, UHC 6D, Detroit, MI 48201, 313-745-1235, hongjie@med.wayne.edu, (2) Dept. of STD Control and Prevention, China Center for Diseases Prevention and Control, Nawei Road, Beijing, China, (3) National Institute of STD Prevention and Control, Dept. of STD Control and Prevention, Jiang Wong Miao Road, Nanjing, China, (4) Department of Health Policy & Management, Johns Hopkins University, Bloomberg School of Public Health, 624 N. Broadway, #750, Baltimore, MD 21205

Background: To identify risk factors associated with sexually transmitted diseases (STDs) among rural-to-urban migrants in Beijing, China. Methods: A case-control study was conducted among migrants in 2002. Cases consisted of 531 migrants who visited public STD clinics. Control subjects were 2,222 migrants recruited from 10 occupational clusters. Multiple logistic regression was employed for data analysis. Results: A large proportion of the migrants reported having had multiple sex partners (72% in the cases and 30% in the controls). Migrants with STD complaints were more likely to report having traded in sex (selling or buying sex) (OR = 2.34, 95% CI: 1.55-3.54), multiple sex partners (OR for 2-3 partners vs. 0-1 partners =2.52, 95 CI: 1.69-3.73; OR for 4 or more vs. 0-1=7.08, 95% CI = 4.19-11.96) and higher perceived HIV-related stigma (OR=1.86, 95% CI: 1.30-2.65). Having STD-related complaints was also associated with advanced age (OR=1.14, 95% CI: 1.08-1.20), male gender (OR=3.11, 95% CI: 2.23-4.33), higher education (OR=4.47, 95% CI: 2.30-8.69) and higher perceived risk of HIV infection (OR=2.59, 95% CI: 1.40-4.81). Migrants who shifted frequently between cities (OR=0.47, 95%CI: 0.29-0.79) or changed jobs frequently (OR=0.68, 95% CI: 0.60-0.77) were less likely to acquire an STD. Reported condom use was 20% among the cases and 7% among the controls. Conclusions: This study demonstrates that many migrants have engaged in risky sexual behaviors and that acquisition of a STD is associated with higher participation in risk behaviors. Appropriate behavioral intervention programs are advocated to reduce the risk and stigma among the special population.

Learning Objectives: At the conclusion of the session, the participant in this session will be able to

(
• recognize that rural-to-urban migrants in China are at risk of HIV/STD infection; (
• identify risk factors associated with acquisition of an STD; (
• discuss the implications for HIV/STD prevention among the vulnerable population.

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Recorded presentation