Dataset Information

Hukou Locality and Intermarriages in Two Chinese Cities: Shanghai and Shenzhen.

ABSTRACT: China's household registration system (hukou) has created an institutional boundary for the social integration of migrants, but few studies have explored if hukou barriers vary by city. We investigate the value of hukou locality in Shanghai and Shenzhen by comparing their patterns of intermarriage between locals and migrants. We hypothesize that levels of intermarriage reflect the rigidity of the hukou barrier- the likelihood of intermarriage is lower and tradeoffs for local hukou are higher if one city has more stringent hukou policies than the other. Using data from the 2005 mini-census, we find support for our hypothesis. Shanghai, in which internal migrants in China find it most difficult to secure local hukou, exhibits lower levels of intermarriage and lower levels of hukou locality-education exchange between locals and migrants compared to Shenzhen. The findings suggest that the decentralization of China's hukou system and subsequent varying hukou policies have made hukou locality an increasingly salient factor in shaping migrants' integration and social inequality.

SUBMITTER: Tian FF

PROVIDER: S-EPMC8290908 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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Publications

Hukou Locality and Intermarriages in Two Chinese Cities: Shanghai and Shenzhen.

Tian Felicia F FF Qian Yue Y Qian Zhenchao Z

Research in social stratification and mobility 20180615

China's household registration system (hukou) has created an institutional boundary for the social integration of migrants, but few studies have explored if hukou barriers vary by city. We investigate the value of hukou locality in Shanghai and Shenzhen by comparing their patterns of intermarriage between locals and migrants. We hypothesize that levels of intermarriage reflect the rigidity of the hukou barrier- the likelihood of intermarriage is lower and tradeoffs fo ...[more]

PMID: 34290467

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Project description:BackgroundIn an era when HIV transmission has been on the rise among men who have sex with men (MSM), transgender women may play a considerable role in China's current HIV epidemic as a potential "bridge" of HIV transmission between homosexual and heterosexual populations. We sought to understand the risk behaviours and factors associated with HIV infection among transgender women in two cities in China.MethodsFrom January to December 2016, we recruited transgender women with the help of community-based organizations (CBOs) through a wide range of methods, including snowball sampling. After recruitment, we asked participants to fill out a structured questionnaire including questions about socio-demographics, sexual behaviours, condom use, substance use and uptake of health care services. HIV infection status was determined by using two different rapid testing reagents.ResultsAmong 498 subjects enrolled in this study, 233 were from Shanghai and 265 were from Tianjin. The median age was 30 years (range: 18-68; IQR: 24-33). Of them, 337 (67.7%) preferred feminine dress, 13 (2.6%) had undergone transsexual operation and 68 (13.7%) had used hormones for transition purposes. Nearly half (45.6%) reported having regular partners, and 351 (70.5%) had casual partners. Regarding condom use, 81.5% reported not always using condoms with stable partners, and 70.9% reported not using condoms with casual partners. Twenty-five (5.0%) had a history of buying sex and fifty-one (10.2%) had a history of selling sex in the past three months. A total of 200 (40.2%) participants had used at least one kind of controlled substance in the past six months. The most commonly used substances were amyl nitrates (rush popper) (99.5%) and 5-MeO-DiPT (20.0%). Among rush popper users, 170 (85.4%) reported always having sex while on the drug, and 177 (88.9%) reported increased sexual pleasure after using the drug. The HIV infection risk factors identified in our study were being located in Shanghai (aOR = 9.35, 95% CI = 3.89-22.49), selling sex in the past three months (aOR = 3.44, 95% CI = 1.31-9.01), and substance use in the past six months (aOR = 5.71, 95% CI = 2.63-12.41).ConclusionsTransgender women bear a high HIV burden in the two Chinese cities. Those involved in commercial sex tended to have inconsistent condom use, leading to high risk of HIV infection. Substance use was an independent risk factor of HIV infection by increasing sexual activities and unprotected sex, which indicated an aggravated and complex situation with possible interacting syndemic factors that could cumulatively facilitate sexual risk behaviours and HIV infection in transgender women. There is an urgent need for innovative and appropriate HIV prevention programmes targeting this unique population. Efforts should be made to provide them with tailored services including persuasive communication on consistent condom use, substance use counselling and related referral services, all with the goal of reducing HIV epidemic among transgender women.

Dataset Information

Hukou Locality and Intermarriages in Two Chinese Cities: Shanghai and Shenzhen.

Publications

<i>Hukou</i> Locality and Intermarriages in Two Chinese Cities: Shanghai and Shenzhen.

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