"Surplus" men in China may become significant new HIV risk group
Biotech Law Week, Atlanta
1 Jul 2005
According to a published report from China, "While 70% of HIV positive
individuals live in sub-Saharan Africa, it is widely believed that the
future of the epidemic depends on the magnitude of HIV spread in India
and China, the world's most populous countries.
"China's 1.3 billion people are in the midst of significant social
transformation, which will impact future sexual disease transmission.
Soon approximately 8.5 million 'surplus men', unmarried and
disproportionately poor and migrant, will come of age in China's cities
and rural areas."
"Meanwhile," wrote J.D. Tucker and colleagues at the National Center for
AIDS STD Control & Prevention in Beijing, "many millions of Chinese sex
workers appear to represent a broad range of prices, places, and related
HIV risk behaviors.
"Using demographic and behavioral data, this paper describes the
combined effect of sexual practices, sex work, and a true male surplus
on HIV transmission."
"Alongside a rapid increase in sexually transmitted disease incidence
across developed parts of urban China," the authors said, "surplus men
could become a significant new HIV risk group.
"The anticipated high sexual risk among many surplus men and injecting
drug use among a subgroup of surplus men may create bridging populations
from high to low risk individuals."
Tucker continued, "Prevention strategies that emphasize traditional
measures - condom promotion, sex education, medical training - must be
reinforced by strategies which acknowledge surplus men and sex workers.
"Reform within female sex worker mandatory reeducation centers and site
specific interventions at construction sites, military areas, or
unemployment centers may hold promise in curbing HIV/ sexually
"From a sociological perspective," researchers concluded, "we believe
that surplus men and sex workers will have a profound effect on the
future of HIV spread in China and on the success or failure of future
Tucker and colleagues published the results of their research in AIDS
(Surplus men, sex work, and the spread of HIV in China. AIDS,
For additional information, contact J.D. Tucker, National Center AIDS
STD Control & Prevention, China CDC, Room 510, 4 Nanwei Rd., Beijing
100050, People's Republic of China.
The publisher of the journal AIDS can be contacted at: Lippincott
Williams & Wilkins, 530 Walnut St., Philadelphia, PA 19106-3621, USA.
This article was prepared by Biotech Law Weekly editors from staff and
other reports. Copyright 2005, Biotech Law Weekly via LawRx.com.
Source: Biotech Law Week. Atlanta: Jul 1, 2005. pg. 184