Sunday, October 18, 2015

Sexual Behavior of Migrant Workers in Shanghai, China

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. 
  • 82.3 % of the migrants engaged in sexual behavior, and 
  • 58.0 % did not use condoms in sexual intercourse. 
  • 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, working at domestic, working at wholesale/retail, and male migrants, 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, unmarried male migrants.

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.

Below:  Distribution of the survey sites in Shanghai. The blue points are our survey sites. Three curves represent 3 rings of Shanghai city, from the inside out: the inner, the central, and the outer ring, represent the central, surrounding, and suburban joint areas,



Table 2

Sexual behavior (Condom use and casual extramarital partner) in migrant workers
VariableTotalCondom useCasual extramarital partner
(n)n%χ21n%χ22
Gender
 Male2472104042.16.600.0149820.165.46<0.01
 Female227895541.92259.9
Age, y
 18–342276116451.129.92<0.0137016.32.730.10
 35–65247479932.235314.3
Marital status
 Married4007152838.12.800.1050512.618.34<0.01
 Unmarried74346762.921829.3
Education
 Primary school or below96925426.254.59<0.0111612.09.660.01
 Junior high school2454103142.039316.0
 Senior high school or above132771053.521416.1
Monthly income (RMB: yuan)
  < 2500255295837.510.45<0.0132412.71.840.18
  ≥ 25002198103747.239918.2
Housing
 Dormitory121851442.215.57<0.0121717.814.570.01
 Renting with friends48827656.611824.2
 Renting with family218379936.623210.6
 Renting alone62630949.412920.6
 Self-buying2359741.32711.5
Children (yes/no)
 Yes, but not in Shanghai197074838.07.270.0327213.80.700.71
 Yes, in Shanghai185365535.321611.7
 No children92756060.423525.4
Occupation
 Manufacture216695043.956.06<0.0134015.755.63<0.01
 Construction70426637.811716.6
 Accommodation/catering29813746.03812.8
 Domestic service53814827.5417.6
 Wholesale/retail58517830.4518.7
 Entertainment45931668.813629.6
Dai et al.
Dai et al. BMC Public Health 2015 15:1067   doi:10.1186/s12889-015-2385-y

Full article at: http://goo.gl/NJtSIf

By: Wei Dai1, Jian Gao2, Jian Gong1, Xiuping Xia3, Hua Yang1, Yao Shen1, Jie Gu1, Tianhao Wang1, Yao Liu1, Jing Zhou1, Zhiping Shen3, Zhushan Zhu1* and Zhigang Pan1*
1Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China
2Nutrition Department, Zhongshan Hospital of Fudan University, Shanghai, China
3Huangdu Community Health Service Center, Jiading, Shanghai, China
  





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