Although much has been documented on factors affecting HIV risk behavior among rural-to-urban migrants in China, data are lacking on the impact of leisure activities. In this study, we examined the association between leisure activities and HIV risk behavior among a sample of rural-to-urban migrants from two large cities (Beijing and Nanjing) in China. Cross-sectional data were analyzed for a sample of 4,085 participants aged 18 to 30 years (40.5% females). Findings from the analysis indicated that although the migrants worked long hours, they engaged in a number of activities when they did not work, including watching television (60.2%), reading (59.1%), sleeping (55.6%), and chatting with friends and co-workers (45.0%). Multiple regression analysis indicated that reading, doing chores (females only), listening to radio programs/audio CDs (male only) were associated with reduced likelihood of HIV risk behavior while playing cards in groups, visiting entertaining installments, watching videos (including Xrated, males only), and wondering around (females only) were associated with increased likelihood of HIV risk behavior. Findings of this study suggest that constructive and individualized activities (e.g., reading, listening to radios, and doing chores) may prevent migrants from engage in HIV risk behaviors while group and entertaining activities related to drugs and sex may increase the odds for migrants to engage in HIV risk behaviors. Prevention research should consider leisure activities as both an influential factor (including time trends and gender differences) for program development and an important venue for program delivery.
Suubi4Her: a study protocol to examine the impact and cost associated with a combination intervention to prevent HIV risk behavior and improve mental health functioning among adolescent girls in Uganda