Goldenberg S, Shoveller J, Ostry A, Koehoorn M
University of British Columbia, Department of Health Care & Epidemiology, 5804 Fairview Avenue, Vancouver, British Columbia, Canada.
Sex Transm Infect. 2008 Jun;84(3):220-3. doi: 10.1136/sti.2007.027219. Epub 2007 Dec 20.
Northeastern British Columbia, Canada, is undergoing rapid in-migration of young, primarily male, workers in response to the "boom" in the oil/gas industries. Chlamydia rates in the region exceed the provincial average by 32% (294.6 cases per 100 000 persons compared with 213.3). Evidence indicates that sociocultural and structural determinants of young people's sexual health are key to consider in the design of interventions.
To investigate how sociocultural and structural features related to the oil/gas boom are perceived to affect the sexual behaviour of youth in a Northeastern "boomtown".
The study included ethnographic fieldwork (8 weeks) and in-depth interviews with 25 youth (ages 15-25 years) and 14 health/social service providers.
Participants identified four main ways in which the sociocultural and structural conditions created by the boom affect sexual behaviours, fuelling the spread of sexually transmitted infections (STIs): mobility of oil/gas workers; binge partying; high levels of disposable income and gendered power dynamics.
The sociocultural and structural conditions that are fostered by a resource-extraction boom appear to exacerbate sexual health inequalities among youths who live and work in these rapidly urbanising, remote locales. To meet the needs of this population, we recommend STI prevention and testing service delivery models that incorporate STI testing outreach to oil/gas workers and condom distribution. Global, national and local STI control efforts should consider the realities and needs of similar subpopulations of young people.
加拿大不列颠哥伦比亚省东北部正经历着年轻人的快速迁入，主要是男性工人，这是对石油/天然气行业“繁荣”的回应。该地区衣原体感染率比省级平均水平高出32%（每10万人中有294.6例，而省级平均水平为每10万人中有213.3例）。有证据表明，年轻人性健康的社会文化和结构决定因素是设计干预措施时需要考虑的关键因素。
调查与石油/天然气繁荣相关的社会文化和结构特征如何被认为影响东北部“繁荣城镇”青年的性行为。
该研究包括人种志田野调查（8周）以及对25名青年（年龄在15 - 25岁之间）和14名健康/社会服务提供者的深入访谈。
参与者确定了繁荣带来的社会文化和结构条件影响性行为的四种主要方式，这助长了性传播感染（STIs）的传播：石油/天然气工人的流动性；狂欢派对；高可支配收入水平和性别权力动态。
资源开采繁荣所营造的社会文化和结构条件似乎加剧了在这些快速城市化的偏远地区生活和工作的年轻人之间的性健康不平等。为满足这一人群的需求，我们建议采用性传播感染预防和检测服务提供模式，包括将性传播感染检测推广到石油/天然气工人以及分发避孕套。全球、国家和地方的性传播感染控制努力应考虑类似年轻亚人群体的现实情况和需求。
