Abstract
BackgroundRapid 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.MethodsA 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.ResultsFive 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).ConclusionCloser 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.
Highlights
Rapid urbanization of China has resulted in significant domestic migration
Nearly half (46.0 %) of the participants earned 1500–2500 yuan (RMB,100 RMB ≈ 16USD), 30.8 % earned 2500–3500 yuan (RMB), 14.1 % earned above 3500 yuan (RMB), and 9.0 % earned below 1500 yuan (RMB)
We found that the migrants who engaged in entertainment had higher possibility of condom use (OR: 2.03, 95 % Confidence interval (CI): 1.62–2.54, for manufacture)
Summary
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. The recent, rapid urbanization of China has resulted in significant domestic migration. Many young adults have migrated from rural to urban areas, especially to large cities, to seek employment opportunities with higher salaries. The economic and social developments of the country are a direct result of their contributions, especially with regard to the construction and maintenance of the cities. The large number of migrant workers in urban areas has had a great effect on various aspects of society. Most of the migrants are young adults, and sexual behavior that is normal to their place of origin often changes upon
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