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1 Vol. 36 No. 2 March Population Research * HIV Risk and Sexual Network among the Elderly Clients of the Sex Industry The Case of Guangxi Liu Qian Gou Jing Li Fei Abstract HIV cases involving older people aged over 50 years have increased rapidly in China. Having sex is the major mode of HIV transmission.this study using qualitative and quantitative data investigates HIV risk and the sexual network among the elderly clients in the low price sex industry in a border county in Guangxi Province.Observation interview and questionnaire survey are conducted and HIV syphilis hepatitis C test are applied.40 sex workers and 108 clients are involved in the research.there is a stable sex network among clients and sex workers and the elderly clients are under HIV risk by the sex network. Keywords Sex Industry Elderly Clients HIV Sex Network Authors Liu Qian is Associate Professor Institute of Anthropology School of Sociology and Population Studies Renmin University of China.Guo Jing is Associate Professor Medical Sociology Section School of Sociology and Population Studies Renmin University of China.Li Fei is lecture Chinese Academy of Medical Sciences /Peking Union Medical College. Liu_qian@ ruc.edu.cn *

2 ~ ~ Wu etc 2004 Wu etc 2007 HIV /AIDS % % % % % % HIV HIV HIV 4. 1% % 2005 ~ % 5. 6% 7. 4% 9. 3% 16. 4% % % % % Lawson 2008 Stein % 75. 3% ~ / disease illness 1992

3 Richard etc PX 1 PX 4 10 PX 1996 PX HIV HIV % % 2003 PX PX PX 20 ~ ~ PX respondent driven sampling RDS PX 1 PX

4 SPSS HIV LT LU XQ % % / / % % % % % ~ % % LT 5 3 ~ 4 LT LT ~ HIV 95 HIV HIV ~ 74

5 % 3 /24 36 HIV HIV % 45 / % 9 /10 1 Table 1 Age Distribution of Clients % < ~ ~ * 1 2 Table 2 Occupation Distribution of Clients % / * * ** 3 3 Table 3 Reasons for Obtaining Sexual Service % %

6 Table 4 Answers of Modes of HIV Transmission n % n % n % * 1 P Table 5 5 Condom Use in Recent Three Months for Clients and Sex Workers * n % n % χ 2 = P = * 6 Table 6 Condom Use at the First Sex n % n % n % n < ~ ~ χ 2 = P = PX PX LU XQ Richard Rothenberg 2005

7 66 36 LU XQ LU XQ LU XQ LU XQ LU XQ 1 Figure 1 XQ 11 Network of Sex Worker No. 11 in XQ Venue XQ 1 LT 2 degree adjacent Freeman 1979

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10 2 69 /References Wang Ning and Sun XinHua Epidemiology of H IV / A IDS and Challenges in China. Wang Longde. Epidemic and control of A I DS in China Beijing Beijing Press Wu Z Rou KM and Cui HX The HIV /AIDS Epidemic in China History Current Strategies and Future Challenges AIDS Education and Prevention 16 Supplement A Wu Z Sullivan SG Wang Y Rotheram - Borus MJ Evolution of China' s Response to HIV /AIDS Lancet Chinese Ministry of Health UNAIDS and WHO Update on the HIV /AIDS Epidemic and Response in China. Beijing China CDC National Center for AIDS /STD Control and Prevention State Council AIDS Working Committee Office UN Theme Group on HIV /A IDS in China A Joint Assessment of HIV /AIDS Prevention Treatment and Care in China. Beijing State Council AIDS Working Committee Office Chinese Ministry of Health UNAIDS and WHO Update on the HIV /A IDS Epidemic in China. Beijing China CDC National Center for AIDS /STD Control and Prevention Wu Zunyou Challenges of HIV Surveillance in China. Disease Surveillance Xu Qin Lv Fan Yuan Ye Zhu Hao Wu Xiaolan Zhai Dehua and Zhang Qiu Impact of HIV on the Elderly Population. Population Research

11 70 36 Xu Qin Lv Fan HIV Prevalence in the Elderly Population in China Population and Economics http / /www. cncaprc. gov. cn /info / html China National Committee on Aging Policy Considerations Responding to Population Change in China. http / / www. cncaprc. gov. cn /info / html accessed by August 23rd Zeng Yi Main Features of Population Aging and Policy Considerations in China. Population and Economics http / /www. cncaprc. gov. cn /info / html China National Committee on Aging Getting Old Before Getting Rich How Does China Respond to the Grey Wave. http / /www. cncaprc. gov. cn /info / html accessed by August 23rd Annie Lawson Sex and the Septuagenarian. METRO Life & Times 13 August 19th Tuesday Melbourne Australia 14 Rob Stein Elderly Staying Sexually Active. The Washington Post August 23rd Thursday A - SECTION A Yao Xiaotao Sexual Health and Its Influencing Factors among the Elderly Population. Chinese Practical Medicine http / /www. ncstdc. org /yqjc - detail /work /2009 /work_039. pdf China Center of Disease Control STD Reported Cases Analysis http / /www. ncstdc. org /yqjc - detail /work /2009 / work_039. pdf accessed on July 30th Forters & Anderson Medical Anthropology Taiwan Laurels Press HIV Yang Hongmei Social Network and HIV Transmission. Chinese Journal of HIV /STD Richard Rothenberg Stephen Q Muth etc Social and Geographic Distance in HIV Risk. Sexually Transmitted Diseases Gao Li Li Xiaochun Wang Lu and Wang Liyan A Review of the Impact of Sexual Network on HIV Transmission. Chinese Primary Health Wu Cangping From Demography to Gerontology. Capital Normal University Press Richard Rothenberg Stephen Q Muth etc Social and Geographic Distance in HIV Risk. Sexually Transmitted Diseases Freeman L. C Centrality in Social Networks Conceptual Clarification. Social Network

Dan Buettner / /

Dan Buettner / / 39 1 2015 1 Vol. 39 No. 1 January 2015 74 Population Research 80 + /60 + 90 + 90 + 0 80 100028 Measuring and Comparing Population Longevity Level across the Regions of the World Lin Bao Abstract Appropriate