Journal of Shanghai Jiaotong University (Medical Science)
Volume 35, Issue 7, 2015, Pages 1044-1050

Analysis of condom usage of migrant construction workers in Pudong New District, Shanghai and its influencing factors (Article)

Zhang Z. , Wang Y. , Li R. , Jia M.-M. , Cai Y. , Tang Z.-Q. , Wang J.*
  • a School of Public Health, Shanghai Jiao Tong University, Shanghai, 200025, China
  • b School of Public Health, Shanghai Jiao Tong University, Shanghai, 200025, China
  • c School of Public Health, Shanghai Jiao Tong University, Shanghai, 200025, China
  • d School of Public Health, Shanghai Jiao Tong University, Shanghai, 200025, China
  • e School of Public Health, Shanghai Jiao Tong University, Shanghai, 200025, China
  • f Shanghai Pudong Population and Family Planning Management Center, Shanghai, 200136, China
  • g Shanghai Pudong Population and Family Planning Management Center, Shanghai, 200136, China

Abstract

Objective: To survey the condom usage of migrant construction workers when involved in commercial sex in Pudong New Area, Shanghai and analyze the influencing factors based on social cognitive theory. Methods: The cluster random sampling method was adopted and questionnaire surveys were carried out among 1 850 migrant construction workers from 3 randomly chosen construction sites. Univariate and multivariate Logistic regression analyses were used to explore social cognitive factors influencing the condom usage during commercial sex, including the knowledge of AIDS, self-efficacy, skills, and strategies of condom usage, psychosocial problems, and condom availability. Results: Among 1 850 migrant construction workers who finished the survey, 459 (24.8%) of them admitted having involved in commercial sex, which was relevant to residential location, income, and sexual orientation. Among those who had involved in commercial sex, only 51 (11.1%) of them used condoms each time. The univariate analysis showed that social cognitive factors such as cognition related to AIDS prevention, self-efficiency, skills, and strategies of condom usage, and condom availability were relevant to persistent condom usage (P<0.05). Cognition related to AIDS prevention (ORm=1.51, 95%CI=1.29-1.76), self-efficiency of condom usage (ORm=1.29, 95%CI=1.07-1.55), and condom availability (ORm=1.79, 95%CI=1.19-2.70) that determined the condom usage during commercial sex were screened by the multivariate Logistic stepwise regression analysis. Conclusion: There is a high prevalence of commercial sex involvement and relatively low proportion of condom usage among migrant construction workers in Pudong New Area, Shanghai. Education on cognition related to AIDS prevention, self-efficiency of condom usage, and condom availability should be enhanced for this population in order to decrease the risk of sexual transmitted diseases and AIDS infections. ©, 2015, Editorial Department of Journal of Shanghai Second Medical University. All right reserved.

Author Keywords

Commercial sex Migrant construction workers Condom use Social cognitive theory

Index Keywords

Social Cognitive Theory sexual orientation controlled study condom cognition psychosocial disorder skill self concept Article acquired immune deficiency syndrome condom use income human migrant construction worker
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84943592241&partnerID=40&md5=61569421a77f7ca89705eb5e570e5157
ISSN: 16748115
Original Language: Chinese