Willingness to participate in HIV/STD prevention activities among Chinese rural-to-urban migrants.

Data from 4,208 migrants aged 18-30 years old in Beijing and Nanjing, China, were analyzed to examine the correlates of willingness to participate (WTP) in HIV/STD prevention intervention activities among Chinese rural-to-urban migrants. Overall, 83.3% of the respondents would be willing to participate. Increased WTP was associated with employment in the industrial sector (OR=1.59, 95% CI: 1.11-2.29), migrating to cities to learn more about the outside world (OR=1.31, 95% CI: 1.08-1.59), prior experience with health maintenance (OR=1.36, 95% CI: 1.11-1.66), higher level of HIV/AIDS awareness (OR=1.16, 95% CI: 1.02-1.31), and perceived severity of risk behaviors (OR=1.32, 95% CI: 1.04-1.68). Decreased WTP was associated with increased involvement in health risk behaviors (OR=0.50, 95% CI: 0.35-0.73), increased perceptions of peer risk involvement (OR=0.81, 95% CI: 0.68-0.98), perceived intrinsic rewards for risk behaviors (OR=0.81, 95% CI: 0.68-0.96) and perceptions of HIV-related stigma (OR=0.68, 95% CI: 0.53-0.89). The high level of WTP suggests that HIV/STD prevention activities are acceptable among rural-to-urban migrants. Their awareness of HIV/AIDS should be increased and HIV-related stigma should be reduced to increase the level of WTP. Recruitment and retention of individuals with high-risk behavior in prevention activities will be critical and challenging.