不同特征未婚流动人口性相关行为的发生状况

Sexual Behaviors of Unmarried Migrants with Different Characteristics

目的:了解流动人口中不同性别、年龄和职业的未婚青年性相关行为及其不良后果的发 生比例及其影响因素。方法:采用结构式匿名问卷对上海市某区1 092名15-24周岁未婚流动人 口的性与生殖健康知识、态度、行为和需求状况进行调查。结果:有22．6％的对象自我报告有性 经历(男:34．8％,女:12．7％)。分别有18．4％(男:26．3％,女:12．0％)和7．6％(男:11．8％,女:4．2％) 的对象已订婚和同居。有5．1％的对象报告有过商业性行为经历(男:7．9％,女:2．8％)。有2．8％ 的对象在过去的一年内有2个及以上的性伴(男:4．5％,女:1．5％)。9．4％的对象曾经怀孕或使其性 伴怀孕(男:13．7％,女:6．0％)。过去一年内有过生殖道感染／性病的人数比例为11．5％(男:14．9％, 女:8．7％)。分性别的多因素分析结果表明,年龄大、看过色情录像及受同伴的影响和压力较大的 男女对象发生婚前性行为的可能性较大。此外,问过父母性相关问题的男性及从事服务行业工作、 外出打工时间较长和对婚前性行为持开放态度的女性发生婚前性行为的可能性较大。结论:未婚 流动人口中婚前性行为较为普遍,尤其男性和服务行业女性的性相关行为的发生比例较高,他们 面临着未婚妊娠、人工流产、生殖道感染／性病等生殖健康问题的危险。

Objective： To understand the proportions of having sex-related behaviors and adverse consequences among unmarried migrant youth with different gender, age and occupation, and to explore the possible influencing factors on sexual intercourse. Method： A total of 1092 15-24-aged unmarried migrant youth in one district of Shanghai, were recruited in a cross-sectional, anonymous and questionnaire-based survey, where information on subjects＇sexual and reproductive health knowledge, attitutde toward sex-related issues, sexual behavirs and needs were collected. Results：A percent of 22.6 respondents （male：34.8% ,female：12.7%） reported sexually active, 26.3% and 11.8% of males, and 12.0% and 4.2% of females were engaged and cohabited respectively, A total of 5.1% of respondents （male： 7.9%, female, 2.8% ）reported commercial sexual experience, 2.8% of respondents （male： 4.5%, female： 1.5%）had two or more sexual purtners in last year, There were 9.4% of respondents （male： 13.7%, female： 6.0%） whose female partners or who had been pregnant, There were 11.5% of respondents （male：14.9%, female： 8.7% ）reported suffering from RTI/STDs in last year. Results of multiple logistic regression analysis indicated that the males and females who were older, had ever seen pornographic videos, or had higher pressure from peers were more likely to have premarital sexual behavior. Besides, the males who had ever asked theri parents about sex related questions, and the females who wer engaged in service work, left home longer, or hold an open attitude to premarital sex were more likely to have premarital sexual behavior. Conclusion： Premarital sex was common among migrant youth, especially among the male and the females who were engaged in servie work, which made them faced high risk of reproductive health problems, such as premarital pregnancy ,induced aborting, RTI/STD, etc.