流动产业工人电子健康素养对安全套协商效能的影响

The effect of migrant workers’ electronic-health literacy on their condom negotiation efficacy

目的了解流动产业工人电子健康素养水平及其安全性行为情况,并分析电子健康素养对安全套协商效能的影响,为进一步干预促进流动产业工人的性健康提供依据。方法采用横断面调查设计,问卷调查流动产业工人的人口学特征、电子健康素养、安全套协商效能等,并利用多重线性回归分析模型分析影响安全套协商效能的因素。结果流动产业工人的电子健康素养得分为(3.01±0.92)分,整体处于中等水平,在性别、学历及收入等维度上呈现出群体差异(均有P<0.05)。男性(β=-0.136,P<0.05)、教育水平更高(β=0.210,P<0.001)、收入更高(β=0.155,P<0.001)的流动产业工人具有更高的电子健康素养。另外,流动产业工人在安全套协商效能的三个层面,即使用、拒绝和劝服效能上,都存在个体差异。而电子健康素养与安全套使用(β=0.035,P<0.001)、拒绝(β=0.278,P<0.001)与劝服效能(β=0.402,P<0.001)皆呈正相关关系。电子素养越高的流动产业工人,安全套协商效能感越强。结论流动工人群体电子健康素养的提升,对于提高流动产业工人的安全套协商效能存在正面效应。在以后性健康行为促进项目中,可以考虑从提高流动工人群体的电子健康素养着手,从而实现更广泛的AIDS防治意义。

Objective To understand the level of electronic-health(e-health)literacy and safe sexual behaviors among migrant workers,and to analyze the impact of e-health literacy on condom negotiation efficacy,so as to provide a basis for further interventions to promote the sexual health of migrant workers.Methods A cross-sectional survey was conducted.The migrant workers’ demographic characteristics,e-health literacy and condom negotiation efficacy were measured.In addition,Linear regression models were used to analyze the related factors that affect condom negotiation efficacy.Results The e-health literacy among migrant industrial workers was at the middle level(score=3.01±0.92),but there were significant differences by their gender,age,education,and income(all P<0.05).Higher-educated(β=0.210,P<0.001),higher-income(β=0.155,P<0.001) and male(β=-0.136,P<0.05) migrant workers had higher e-health literacy.In addition,migrant workers differed in their efficacy of using comdoms(β=0.035,P<0.001),communicating(β=0.402,P<0.001),and refusing sex(β=0.278,P<0.001),which correlated positively with their e-health literacy.The higher the e-health literacy,the stronger the condom negotiation efficacy.Conclusion The improved e-health literacy of migrant workers has a positive effect on migrant workers’ ability to negotiate condoms effectively.Improving e-health literacy of migrant workers should be considered for future sexual behavior promotion projects,in order to achieve a broader meaning of AIDS prevention and treatment.