Migration and sexual partnerships among unmarried young men in Thailand: a longitudinal approach.

Migration and sexual partnerships among unmarried young men in Thailand: a longitudinal approach.
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DOI:
10.1007/s00038-020-01491-3
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发表时间:
2020-12
影响因子:
4.6
通讯作者:
VanLandingham M
VanLandingham M
中科院分区:
医学3区
文献类型:
--
作者:
Zhang M;Anglewicz P;VanLandingham M

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移民通常比非移民报告更多的性行为。在现有的工作中,选择的潜在混淆效应显得很大。我们的目标是,一旦考虑到选择因素,辨别移民是否真的比非移民的同龄人从事更多的性活动。我们使用了来自泰国纵向面板研究的三波数据。小组成员是农村未婚男子,其中一些人后来移居到城市地区并在那里重新接受面谈。研究人员将外来人口与非外来人口进行了比较,并将其与长期城市居民的单独样本进行了比较。最终移民和非移民在移民前的性伙伴关系方面没有差异。与农村非移民相比,移民增加了与稳定伴侣和陌生人的性伙伴关系。搬到城市地区的未婚男性与稳定伴侣和陌生人的性伙伴关系增加。如果没有适当的保护手段,这种行为模式会使这些男性及其性伴侣面临意外怀孕和性传播感染的高风险。公共卫生项目应该针对未婚男性流动人口进行避孕和性传播感染预防。
Migrants typically report more sexual behavior than non-migrants. In existing work, the potentially confounding effects of selection loom large. Our objective is to discern whether migrants actually do engage in more sexual activity than their non-migrating counterparts, once selection is accounted for. We used three waves of data from a longitudinal panel study in Thailand. Panel members were rural unmarried men, some of whom subsequently migrated to urban areas and were re-interviewed there. Migrants were compared to their non-migrant counterparts and to a separate sample of long-term urban dwellers. There were no differences between eventual migrants and non-migrant counterparts in sexual partnerships before migration. Migration increased sexual partnerships with stable partners and strangers, compared with rural non-migrants. Unmarried men who moved to urban areas had increased sexual partnerships with stable partners and strangers. Without proper means of protection, this pattern of behavior puts these men and their sexual partners at elevated risk of unwanted pregnancy and sexually transmitted infections (STIs). Public health programs should target unmarried male migrants for pregnancy control and STI prevention.
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