36 2 2012 3 Vol. 36 No. 2 March 2012 60 Population Research * 50 40 108 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.Email Liu_qian@ ruc.edu.cn *
2 61 1 1985 1985 ~ 1989 1989 ~ 1994 1995 2006 Wu etc 2004 Wu etc 2007 HIV /AIDS 2006 2. 5% 2007 3. 4% 2009 8. 3% 2006 30. 6% 2007 38. 9% 2009 46. 3% 2006 2007 2009 50 HIV 2009 2001 50 HIV HIV 4. 1% 2003 10. 6% 2005 ~ 2009 50 4. 4 1 2009 2000 50 4. 5% 5. 6% 7. 4% 9. 3% 16. 4% 2005 2011 60 1. 7 13% 65 1990 6% 2030 15. 8% 2050 23. 1% 2001 1 2001 Lawson 2008 Stein 2007 630 45 55. 6% 75. 3% 2007 2004 ~ 2007 4 50 50 2007 80 38 /10 2009 disease illness 1992
62 36 2003 Richard etc 2005 2010 2 2. 1 PX 1 PX 4 10 PX 1996 PX HIV 2009 12 31 HIV 564 50 75 13. 3% 2009 50 18 25. 35% 2003 PX PX PX 20 ~ 30 100 ~ 200 200 50 60 2010 50 2005 50 2. 2 2010 10 PX 40 108 40 4 respondent driven sampling RDS PX 1 PX
2 63 40 108 97 40 SPSS 36 95 2. 3 HIV 40 109 LT LU XQ 30 301 1 302 30 2 2. 4 3 3. 1 97 56 87 50 65. 62% 75 10. 42% 12000 / 600000 / 57. 73% 48. 45 51. 55% 53. 61% 34. 02% 12. 37% 1 2 1 ~ 3 34. 74% 22. 21% 311 56 LT 5 3 ~ 4 LT 31 31 302 70 LT 2 30 7 1 ~ 2 314 74 31 9 31 3. 2 HIV 95 HIV HIV 0 0 8 57. 37 43. 0 73. 0 60 ~ 74
64 36 12. 5% 3 /24 36 HIV 0 1 7 HIV 4 45. 63% 45 /96 75 90% 9 /10 1 Table 1 Age Distribution of Clients % < 50 33 34. 38 33 34. 38 51 ~ 60 29 30. 21 62 64. 58 61 ~ 74 24 25. 00 86 89. 58 75 + 10 10. 42 96 100. 00 * 1 2 Table 2 Occupation Distribution of Clients % 26 27. 66 26 27. 66 26 27. 66 52 54. 32 / 17 18. 09 69 72. 41 * 10 10. 64 79 83. 05 4 4. 26 83 87. 31 3 3. 19 86 90. 50 3 3. 19 89 93. 69 5 5. 31 94 100. 00 * ** 3 3 Table 3 Reasons for Obtaining Sexual Service % 33 34. 74 21 22. 21 18 18. 95 4 4. 21 1 1. 05 3 3. 16 40% 5 6 192 73 80 192
2 65 2 4 Table 4 Answers of Modes of HIV Transmission n % n % n % 66 68. 04 35 87. 5 5. 53 0. 018 70 72. 92 35 87. 5 3. 41 0. 064 56 58. 33 33 82. 5 7. 29 0. 006 48 49. 48 29 72. 5 6. 09 0. 013 43 44. 33 29 72. 5 9. 01 0. 002 * 1 P Table 5 5 Condom Use in Recent Three Months for Clients and Sex Workers * n % n % 49 54. 44 41 45. 56 90 24 60. 0 16 40. 0 40 χ 2 = 0. 34 P = 0. 55 * 6 Table 6 Condom Use at the First Sex n % n % n % n < 50 15 50. 00 15 50. 00 0 0. 00 30 51 ~ 60 12 44. 44 14 51. 85 1 3. 70 27 61 ~ 74 7 29. 17 16 66. 67 1 4. 17 24 75 + 2 20. 00 8 80. 00 0 0. 00 10 36 39. 56 53 58. 24 2 2. 20 91 χ 2 = 4. 05 P = 0. 044 3. 3 PX PX LU XQ 5 20 10 Richard Rothenberg 2005
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
2 67 2 Figure 2 LT 30 31 32 11 Network of Sex Worker No. 30 31 32 11 in LT Venue 323 117 Freeman 1979 97 42 30 9. 3 36. 4% 114 87 114 PX 1976 114 1981 11 PX 114 11 114 11 114
68 36 42 421 42 421 53 42 10 42 1 ~ 2 42 421 421 42 42 421 311 56 2. 5 2500 2 ~ 3 2000 ~ 3000 1 LT 20 100 ~ 150 108 3 4 PX
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