Cited by 211Sex work and related issuesHIV/AIDS Research and InterventionsHIV, Drug Use, Sexual Risk

The DOI matches its Crossref record; 50 of the 50 references it cites were found in a registry or an index.

Surplus men, sex work, and the spread of HIV in China

Abstract

While 70% of HIV positive individuals live in sub-Saharan Africa, it is widely believed that the future of the epidemic depends on the magnitude of HIV spread in India and China, the world's most populous countries. China's 1.3 billion people are in the midst of significant social transformation, which will impact future sexual disease transmission. Soon approximately 8.5 million 'surplus men', unmarried and disproportionately poor and migrant, will come of age in China's cities and rural areas. Meanwhile, many millions of Chinese sex workers appear to represent a broad range of prices, places, and related HIV risk behaviors. Using demographic and behavioral data, this paper describes the combined effect of sexual practices, sex work, and a true male surplus on HIV transmission. Alongside a rapid increase in sexually transmitted disease incidence across developed parts of urban China, surplus men could become a significant new HIV risk group. The anticipated high sexual risk among many surplus men and injecting drug use use among a subgroup of surplus men may create bridging populations from high to low risk individuals. Prevention strategies that emphasize traditional measures--condom promotion, sex education, medical training--must be reinforced by strategies which acknowledge surplus men and sex workers. Reform within female sex worker mandatory re-education centers and site specific interventions at construction sites, military areas, or unemployment centers may hold promise in curbing HIV/sexually transmitted infections. From a sociological perspective, we believe that surplus men and sex workers will have a profound effect on the future of HIV spread in China and on the success or failure of future interventions.

Overview

Integrity signals

Registry

Crossref · 10.1097/01.aids.0000163929.84154.87

Cites

50 of 50 references verified0 citation errors · 0 not checkable

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  • The sex ratio at birth ranges from 1.03 to 1.07 in industrialized countries.

    “The sex ratio at birth, defined as the proportion of male live births to female live births, ranges from 1.03 to 1.07 in industrialized countries. 18”

    From The Effect of China's One-Child Family Policy after 25 Years (2005) · cites this paper as [18]

  • The scarcity of females in China has resulted in kidnapping and trafficking of women for marriage and increased numbers of commercial sex workers, with a potential resultant rise in HIV infection and other sexually transmitted diseases.

    “The scarcity of females has resulted in kidnapping and trafficking of women for marriage and increased numbers of commercial sex workers, with a potential resultant rise in human immunodeficiency virus infection and other sexually transmitted diseases. 25”

    From The Effect of China's One-Child Family Policy after 25 Years (2005) · cites this paper as [25]

Citations

Cites

Flagged first, then by citations

Research works printed but not linked: 7

  1. Ma, 2002, Decreasing STI incidence and increasing condom use among Chinese sex workers following a short term intervention: a prospective cohort study, Sex Transm Infect, 78, 110, 10.1136/sti.78.2.110 · DOI
  2. Huang, 2004, HIV/AIDS Risk Reduction among Brothel-based Female Sex Workers in China: Assessing the terms, content and knowledge of sex work, Sex Transm Dis, 31, 695, 10.1097/01.olq.0000143107.06988.ea · DOI
  3. Anderson, 2003, China's floating population and the potential for HIV transmission: a social-behavioral perspective, AIDS Care, 15, 177, 10.1080/0954012031000068326 · DOI
  4. Voeten, 2002, Clients of female sex workers in Nyanza province, Kenya: a core group in STD/HIV transmission, Sex Transm Dis, 29, 444, 10.1097/00007435-200208000-00003 · DOI
  5. Steen, 2003, Sexually transmitted infection control with sex workers: regular screening and presumptive treatment augment efforts to reduce risk and vulnerability, Reprod Health Matters, 11, 74, 10.1016/S0968-8080(03)02295-X · DOI
  6. Greig, 2003, Multilevel analysis of women's empowerment and HIV prevention: quantitative survey results from a preliminary study in Botswana, AIDS Behavior, 7, 195, 10.1023/A:1023954526639 · DOI
  7. Choi, 2003, Emerging HIV-1 epidemic in China in men who have sex with men, Lancet, 361, 2125, 10.1016/S0140-6736(03)13690-2 · DOI

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Metadata

Authors
Tucker, J. D., Henderson, G. E., Wang, T. F., Huang, Y. Y., Parish, W., Pan, S. M., Chen, X. S., & Cohen, M. S.
Affiliations
  • University of North Carolina at Chapel Hill (US)
  • Tsinghua University (CN)
  • Renmin University of China (CN)
  • University of Chicago (US)
  • Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
Corresponding author
Tucker, Joseph D
Venue
AIDS
Published
2005-04-08
Volume
19
Issue
6
Pages
539-547
ISSN
0269-9370 (ISSN-L)
OpenAlex
W2082703704
Cited by
211
References
50
Citations by year
2026: 2 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 10 · 2020: 5 · 2019: 7 · 2018: 5 · 2017: 4 · 2016: 26 · 2015: 9 · 2014: 7 · 2013: 17 · 2012: 16
FWCI
6.39
Type
journal article
Language
en
Open access
closed
Locations
  • AIDS (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • Fogarty International Center (D43TW001039, D43-TW01039)
Topics
  • Social Sciences › Sociology and Political Science › Sex work and related issues
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
HIV transmission, sex work, female sex workers, intravenous drug use, sexually transmitted infections, migrant workers, HIV prevention strategies, China, urbanization, social change
MeSH terms
Adult, China, Educational Status, Emigration and Immigration, Female, Humans, Male, Sex Work, Sex Ratio, Unemployment, HIV Infections, Marital Status, Heterosexuality, Unsafe Sex

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