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Bare Branches, Prostitution, and HIV in China: A~Demographic Analysis

  • Avraham Y. Ebenstein
  • Ethan Jennings
Part of the The Springer Series on Demographic Methods and Population Analysis book series (PSDE, volume 22)

The alarming rise in China’s reported HIV cases in the last decade has caused concern among government officials and public health researchers. The increase in reported HIV cases is especially worrying because the majority of new cases are not observed in traditional high risk populations (such as intravenous drug users and recipients of former plasma donors), but are sexually transmitted. This chapter analyzes the demographic patterns in China that may be an important determinant of the increase in sexually transmitted HIV infections. High sex ratios, numbers of men relative to numbers of women, in young cohorts of Chinese men and women contribute to the increasing failure of Chinese men to marry. These men, referred to as bare branches (guang gun) since they will be unable to extend the family tree, are more likely to migrate to regions with more favorable marriage markets, and may be more likely to purchase sex.

Keywords

Sexually Transmitted Infection Total Fertility Rate Marriage Market Intravenous Drug User Child Policy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Banister, J. and K. Hill. 2004. Mortality in China 1964–2000. Population Studies (58)1:55–75.PubMedCrossRefGoogle Scholar
  2. Beyrer, C., et al. 2000. Overland heroin trafficking routes and HIV-1 spread in south and south-east Asia (AIDS 14(1)7, January 2000, pp. 75–83).PubMedCrossRefGoogle Scholar
  3. Bhrolchain, M. N. 2001. Flexibility in the Marriage Market. Population: An English Selection 13(2):9–47.Google Scholar
  4. Chen, X.-S., Y-P Yin, et al. 2008, Detection of acute HIV infections among sexually transmitted disease clinic patients: a practice in Guangxi Zhuang Autonomous Region, China. Sexually Transmittted Infections 84:350–351.CrossRefGoogle Scholar
  5. Chicago Health and Social Life Survey. 1997. Downloaded from the Data Archive at the Social Science Research Computing Center at the University of Chicago.Google Scholar
  6. China. 1982. One per thousand sample of the 1982 China Population Census. IPUMS-International, Minnesota Population Center. https://international.ipums.org/ international/Google Scholar
  7. China. 1990. One per cent sample of the 1990 China Population Census. Texas A&M University Data Archive. http://chinaarchive.tamu.edu/Google Scholar
  8. China. 2000. One per thousand sample of the 2000 China Population Census.Google Scholar
  9. China Health and Family Life Survey. 2000. Downloaded from the Data Archive at the Social Science Research Computing Center at the University of Chicago.Google Scholar
  10. China Ministry of Health. “2005 Update on the HIV/AIDS Epidemic and Response in China.” Joint United Nations Programme on HIV/AIDS, World Health Organization.Google Scholar
  11. Coale, A. and J. Banister. 1994. Five Decades of Missing Females in China. Demography 31(3):459–479.PubMedCrossRefGoogle Scholar
  12. Ebenstein, A. 2007. “The Missing Girls of China and the Unintended Consequences of the One Child Policy.” Draft.Google Scholar
  13. Fan, M. 2007. Oldest Profession Flourishes in China. Washington Post Foreign Service August 5, 2007.Google Scholar
  14. Feng, W. 2005. “Can China Afford to Continue Its One-Child Policy?” Asia Pacific Issues, East-West Center #77.Google Scholar
  15. Garfinkel, R. et al, 2005. HIV/AIDS TRaC study examining condom use among construction workers in Mengzi. First round. Washington, D.C., Population Services International, Research Division.Google Scholar
  16. Gill, B. and S. Okie. 2007. China and HIV — A Window of Opportunity. New England Journal of Medicine 356:1801–1805 May 3, 2007 Number 18.PubMedCrossRefGoogle Scholar
  17. Hodge, D. and C. Lietz. 2007. The International Sexual Trafficking of Women and Children: A Review of the Literature. Affilia: Journal of Women and Social Work 22(2):163–174.CrossRefGoogle Scholar
  18. Ji, G., R. Detels, Z. Wu, and Y. Yin. 2006. Correlates of HIV infection among former blood/plasma donors in rural China. Aids 20(4):585–591.PubMedCrossRefGoogle Scholar
  19. Johansson, S. and O. Nygren. 1991. The Missing Girls of China: A New Demographic Account. Population and Development Review 17(1):35–51.CrossRefGoogle Scholar
  20. Kaufman, J. and J. Jing. 2002. China and AIDS – The Time to Act is Now. Science 296(5577): 2339–2340.PubMedCrossRefGoogle Scholar
  21. Li, S. 2007. “Imbalanced Sex Ratio at Birth and Comprehensive Intervention in China.” Prepared for 4th Asia Pacific Conference on Reproductive and Sexual Health and Rights.Google Scholar
  22. Li, X., B. Stanton, and Y. Zhou. 2000. Injection drug use and unprotected sex among institutionalized drug users in China. Journal of Drug Issues 663–674.Google Scholar
  23. Merli, M. G., S. Hertog, B. Wang, and J. Li. 2006. Modeling the spread of HIV/AIDS in China. Population Studies 60(1)1–22.CrossRefGoogle Scholar
  24. Qian, Z. H., S. H. Vermund, and N. Wang. 2005. Risk of HIV/AIDS in China: subpopulations of special importance. Sexually Transmitted Infections 81(6):442–447.PubMedCrossRefGoogle Scholar
  25. Retherford, R., M. K. Choe, et al. 2005. How Far Has Fertility in China Really Declined? Population and Development Review 31(1):57–84.CrossRefGoogle Scholar
  26. Ruan, Y., K. Chen, K. Hong, Y. He, S. Liu, F. Zhou, G. Qin, J. Chen, H. Xing, and Y. Shao. 2004. Community-based survey of HIV transmission modes among intravenous drug users in Sichuan, China. Sexually Transmitted Diseases 31(10):623–627.PubMedCrossRefGoogle Scholar
  27. Schafer, S. 2003. Not just another pretty face. Newsweek Magazine. October 13th, 2003.Google Scholar
  28. Settle, E. 2003. “AIDS in China: An Annotated Chronology 1985–2003”. California: China AIDS Survey.Google Scholar
  29. Tucker, J. and G. Henderson, et al. 2005. Surplus men, sex work, and the spread of HIV in China. AIDS 19(6):539–547.PubMedCrossRefGoogle Scholar
  30. United States. 2000. US 2000 Census. Available at http://www.census.gov/population/www/cen2000/briefs.html.Google Scholar
  31. United States. National Health and Social Life Survey. 1992. Downloaded from the Data Archive at the Social Science Research Computing Center at the University of Chicago.Google Scholar
  32. Wang, Q. and G. Lin. 2003. Sex exchange and HIV-related risk behaviors among female heroin users in China. Journal of Drug Issues 33(1):119–132.Google Scholar
  33. World Health Organization. 2006. “2005 Update on the HIV/AIDS Epidemic and Response in China.”Google Scholar
  34. Wu, Z., K. Rou, and R. Detels. 2001. Prevalence of HIV infection among former commercial plasma donors in rural eastern China. Health Policy Plan 16:41–46.PubMedCrossRefGoogle Scholar
  35. Xinhua News Service. 2007. “‘Golden Crescent’ drug spell plagues China’s northwest”. http://news.xinhuanet.com/english/.September 1, 2007; retrieved 2/29/08.Google Scholar
  36. Xinhua News Service. 2005. “Health experts say condom use China’s final defense against HIV” http://english.peopledaily.com.cn/.August 17, 2005; retrieved 2/29/08.Google Scholar
  37. Yang, et al. 2005a. Heterosexual Transmission of HIV in China: A Systematic Review of Behavioral Studies in the Past Two Decades. Sexually Transmitted Diseases 32(5):270–280.CrossRefGoogle Scholar
  38. Yang, et al. 2005. HIV-Related Risk Factors Associated with Commerical Sex Among Female Migrants in China. Health Care for Women International 26(2):134–148 (February, 2005).PubMedCrossRefGoogle Scholar
  39. Zhao, G. M. 2003. Trafficking of women for marriage in China: Policy and practice. Criminal Justice 3(1):83–102.Google Scholar

Copyright information

© Springer Science+Business Media B.V. 2009

Authors and Affiliations

  1. 1.Robert Wood Johnson Health Scholar Program at Harvard UniversityBostonUSA

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