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Anxiety, Stress, & Coping
An International Journal
Volume 32, 2019 - Issue 4
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ARTICLES

Social capital, migration stress, depression and sexual risk behaviors among rural-to-urban migrants in China: a moderated mediation modeling analysis

, , , , &
Pages 362-375 | Received 13 Nov 2018, Accepted 14 Mar 2019, Published online: 20 Mar 2019
 

ABSTRACT

Background: Few studies have examined the complex relationship of migration stress and depression with sexual risk behaviors among migrants. The relationship between migration stress and sexual risk behaviors may be mediated by depression, and the mediation process may be modified by social capital. The study aims to investigate this moderated mediation mechanism among rural-to-urban migrants.

Methods: Data were collected from rural-to-urban migrants in China. Migration stress, depression, and social capital were measured with validated scales and used as predictor, mediator and moderator, respectively, to predict the likelihood of having sex with risk partners. Mediation and moderated mediation models were used to analyze the data.

Results: Depression significantly mediated the migration stress–sex with risk partner relationship for males (the indirect effect [95%CI] = 0.36 [0.08, 0.66]); the mediation effect was not significant for females (0.31 [−0.82, 0.16]). Among males, social capital significantly moderated the depression-sex with risk partner relation with moderation effect −0.12 [−0.21, −0.04], −0.21 [−0.41, −0.01] and −0.17 [−0.30, −0.05] for total, bonding and bridging capital respectively.

Conclusion: Social capital may weaken the association between migration stress and sexual risk behavior by buffering the depression-sexual risk behaviors association for males. Additional research is needed to examine this issue among females.

Acknowledgements

We thank other researchers and community health workers who participated in the data collection and processing. The work would not be possible without their efforts.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work was supported by National Institute of Mental Health at National Institute of Health under [grant number R01 MH08632, PI: XC].

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