Dai Wei, Gao Jian, Gong Jian, Xia Xiuping, Yang Hua, Shen Yao, Gu Jie, Wang Tianhao, Liu Yao, Zhou Jing, Shen Zhiping, Zhu Shanzhu, Pan Zhigang
Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.
Nutrition Department, Zhongshan Hospital of Fudan University, Shanghai, China.
BMC Public Health. 2015 Oct 17;15:1067. doi: 10.1186/s12889-015-2385-y.
Rapid urbanization of China has resulted in significant domestic migration. The purpose of the present study was to survey the sexual behavior of migrant workers in Shanghai and determine the risk factors for unprotected sex.
A cross-sectional study of the sexual behavior of 5996 migrant workers was conducted in 7 administrative regions of Shanghai in 2012 from August to October. A self-administered questionnaire was used to collect data.
Five thousand seven hundred seventy two out of the 5996 migrants enrolled into the present study were primarily young adults aged 34.3 ± 10.6 years. Of them, 73.5 % were married, 51.1 % graduated from junior high school, 46.0 % earned 1500-2500 yuan (RMB) monthly. The majority (82.3 %) of the migrants engaged in sexual behavior, and 58.0 % did not use condoms in sexual intercourse. Some of the participants (15.2 %) had casual extramarital partners within the previous 12 months; among them, 76.2 % never or only occasionally used condoms. The results of the multivariate logistic regression analysis suggested that condom use was associated with age, occupation, monthly income, education, and housing conditions. Having temporary sexual partners was significantly associated with several factors such as unmarried (OR: 0.47, 95 % CI: 0.38-0.57), working at domestic (OR: 1.65,95 % CI: 1.17-2.34), working at wholesale/retail(OR: 1.65, 95 % CI: 1.13-2.13), and male migrants (OR: 2.37, 95 % CI: 1.96-2.85), but not with other factors such as age, monthly income, or education. Having casual extramarital partners was significantly associated with female migrants working at domestic (OR: 1.89, 95 % CI: 1.09-3.28), unmarried male migrants (OR: 0.51, 95 % CI: 0.36-0.74).
Closer attention should be paid to sexual health education among migrant workers, especially women and those working in domestic and wholesale/retail occupations. The use of condoms should be promoted for older (>35 y), low-income, and less-educated individuals.
中国快速的城市化进程导致了大规模的国内人口迁移。本研究的目的是调查上海农民工的性行为，并确定无保护性行为的风险因素。
2012年8月至10月，在上海的7个行政区对5996名农民工的性行为进行了横断面研究。采用自填式问卷收集数据。
本研究纳入的5996名农民工中，有5772名主要是34.3±10.6岁的年轻人。其中，73.5%已婚，51.1%初中毕业，46.0%月收入1500-2500元（人民币）。大多数（82.3%）农民工有性行为，58.0%在性交时不使用避孕套。一些参与者（15.2%）在过去12个月内有临时婚外性伴侣；其中，76.2%从不或仅偶尔使用避孕套。多因素逻辑回归分析结果表明，避孕套使用与年龄、职业、月收入、教育程度和住房条件有关。有临时性伴侣与几个因素显著相关，如未婚（比值比：0.47，95%可信区间：0.38-至0.57）、从事家政工作（比值比：1.65，95%可信区间：1.17-2.34）、从事批发/零售工作（比值比：1.65，95%可信区间：1.13-2.13）以及男性农民工（比值比：2.37，95%可信区间：1.96-2.85），但与年龄、月收入或教育程度等其他因素无关。有临时婚外性伴侣与从事家政工作的女性农民工（比值比：1.89，95%可信区间：1.09-3.28）、未婚男性农民工（比值比：0.51，95%可信区间：0.36-0.74）显著相关。
应更加关注农民工的性健康教育，尤其是女性以及从事家政和批发/零售职业的人群。应鼓励年龄较大（>35岁）、低收入和受教育程度较低的人使用避孕套。
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