Alcohol intoxication and sexual risk behaviors among rural-to-urban migrants in China
Alcohol intoxication and sexual risk behaviors among rural-to-urban migrants in China
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DOI：
10.1016/j.drugalcdep.2005.01.003
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发表时间：
2005-07-01
影响因子：
4.2
通讯作者：
Liu, HJ
中科院分区：
文献类型：
--
作者：
Lin, DH;Li, XM;Liu, HJ
背景：我国流动人口是危险性行为和酒精中毒的高危人群。为设计有效的干预预防方案以减少酒精滥用和HIV感染，需要了解流动人口中酒精中毒的患病率及其与性风险行为的关系。方法：收集2002年北京和南京2153名有性经验的年轻农村到城市流动人口的横断面数据。大约三分之一的参与者在前一个月至少有一次酒精中毒，男性多于女性（40.2%对23.7%，p < 0.001）。与未醉酒的参与者相比，在过去30天内醉酒的受访者报告了更多的心理问题，包括更高的抑郁评分，对生活和工作的满意度较低，以及对同伴参与风险行为的感知较高。醉酒的受访者比非醉酒的受访者更有可能进行婚前性行为（76%对60.2%，p < 0.001），有多个性伴侣（13.4%对5.2%，p < 0.001），购买性（12.6%对4.9%，p < 0.001）和出售性（10.1%对3.7%，p < 0.001）。然而，酒精中毒和不一致/不使用避孕套之间没有联系。控制抑郁症，同伴风险参与，年龄，性别和其他社会人口统计学变量的多变量分析表明，酒精中毒与婚前性行为，多个性伴侣，购买和出售sex.Conclusions：相比，一般中国人口，中毒水平升高中国农村到城市的移民。酒精中毒与危险性行为有关。艾滋病毒/艾滋病预防和干预工作应包括预防酗酒/滥用的内容，以有效降低中国农村到城市的年轻流动人口的性风险。(c)2005爱思唯尔爱尔兰有限公司保留所有权利。
Background: The migrant population in China is at high risk for sexual risk behavior and alcohol intoxication. Information about the prevalence of alcohol intoxication and its association with sexual risk behavior among migrants is needed for designing effective intervention prevention programs for reduction in alcohol abuse and HIV infection.Methods: Cross-sectional data were collected from 2153 sexually experienced young rural-to-urban migrants in Beijing and Nanjing, China, in 2002.Results: Approximately one-third of the participants had been intoxicated with alcohol at least once during the previous month, with more males than females reporting intoxication (40.2% versus 23.7%,p < 0.001). Compared to non-intoxicated participants, respondents with alcohol intoxication in previous 30 days reported more psychological problems, including higher depression scores, lower levels of satisfaction with life and work, and higher perception of peer involvement in risk behavior. Intoxicated respondents were more likely to engage in premarital sex than non-intoxicated respondents (76% versus 60.2%, p < 0.001), have multiple sexual partners (13.4% versus 5.2%, p < 0.001), purchase sex (12.6% versus 4.9%, p < 0.001), and sell sex (10.1% versus 3.7%, p < 0.001). However, there was no association between alcohol intoxication and inconsistent/non-use of condoms. Multivariate analysis controlling for depression, peer risk involvement, age, gender, and other socio-demographic variables indicated that alcohol intoxication was independently correlated with premarital sex, multiple sexual partners, and buying and selling sex.Conclusions: Compared to the general Chinese population, levels of intoxication were elevated among Chinese rural-to-urban migrants. Alcohol intoxication was associated with sexual risk behaviors. HIV/AIDS prevention and intervention efforts should include components of alcohol use/abuse prevention for an effective reduction of sexual risk among young rural-to-urban migrants in China. (c) 2005 Elsevier Ireland Ltd. All rights reserved.