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Lookup NU author(s): Dr Susanne Choi, Ko-Le Chen
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Using data from a community-based study of injection drug users (IDUs) in Sichuan Province in China, this study compared the level of HIV risk behavior (needle sharing and unsafe sex) amongst female and male IDUs, and examined the risk factors separately for these two groups. Five risk factors were examined in the analysis, including a lack of family support, having an IDU primary sex partner, economic pressure, lack of access to a methadone program, and younger age. Regression results showed that male and female IDUs had different risk factors. For male IDUs, younger age and a lack of family support increased their level of HIV risk behavior. For female IDUs, having an IDU primary sex partner and economic pressure were predictive of their HIV risk behavior. Sex differences in risk factors are explained with respect to gender norms surrounding HIV risk behavior in the context of social relations. Female IDUs who were sex workers suffered additional HIV risk due to their powerlessness in negotiating safe sex with male customers. Practical implications of the findings for HIV/AIDS prevention and intervention work in China are discussed.
Author(s): Choi SYP, Cheung YW, Chen KL
Publication type: Article
Publication status: Published
Journal: Social Science & Medicine
Year: 2006
Volume: 62
Issue: 7
Pages: 1672-1684
ISSN (print): 0277-9536
ISSN (electronic): 1873-5347
URL: http://dx.doi.org/10.1016/j.socscimed.2005.08.046
DOI: 10.1016/j.socscimed.2005.08.046
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