上海市男性建筑工人性行为及影响因素分析

Situation and influencing factors of sexual behaviors among male construction workers in Shanghai,China

目的了解上海市男性建筑工人高危性行为情况及其影响因素,为有效开展艾滋病/性病预防干预工作提供依据。方法选择上海市3个区18个工地的1 757名工人进行面对面问卷调查,并对其中的6个工地进行为期半年的随访,观察工人高危性行为变化情况。结果建筑工人以中青年居多,平均年龄(39±10.6)岁,文化层次较低,21.6%的人曾有≥2个性伴,7.3%的人有过商业性行为;在已婚者中,31.2%的人有过婚前性行为,有10.1%的人曾有过婚外性行为;高危性行为与年龄、首次性行为年龄、婚姻状况及收入等有关,其中单身、分居/离婚/丧偶的工人发生高危性行为的风险比已婚/再婚者高2倍多。结论建筑工人已经成艾滋病/性病预防和控制工作中的重要人群。

Objective To understand the situation and influencing factors of sexual behaviors among male construction workers in Shanghai and to supply the evidence for implementing AIDS/sexually transmitted disease（STD） prevention and intervention effectively.Methods A face-to-face questionnaire survey was conducted among 1 757 construction workers randomly selected from 18 sites in three districts of Shanghai.The information collected included demography,age at first sexual behavior,premarital and extramarital sexual activity,commercial sex,and sex violence.Meanwhile,the construction workers from six sites were followed up for a half of year in order to observe the change of their high risk sexual behaviors.Results Most of construction workers were young/middle-aged with an average age of 39±10.6 years and with low education.Among them,21.6% had at least 2 sexual partners and 7.3% ever had commercial sexual behavior.Among the married workers,the proportions of premarital and extramarital sexual behavior were 31.2% and 10.1%,respectively.The influencing factors of high risk sexual behaviors included age,gender,age at first sexual behavior,marital situation,and income.The risk of high risk sexual behaviors in the single or separated/divorced widowed workers was twice more higher than those of recently married or remarried.Conclusion Construction workers are the key population for the AIDS/STD prevention and control.