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.
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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]
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Cited by
Sorted by citations
The Effect of China's One-Child Family Policy after 25 Years
Hesketh, T., Lu, L., & Xing, Z. W. (2005) · New England Journal of Medicine · doi:10.1056/nejmhpr051833 · Cited by 596
Masculine sex ratios, population age structure and the potential spread of HIV in China
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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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