上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2019, Vol. 39 ›› Issue (1): 89-.doi: 10.3969/j.issn.1674-8115.2019.01.017

• 论著·公共卫生 • 上一篇    下一篇

上海 2家工厂外来未婚女工安全套使用的相关社会心理问题共患效应分析

沈秋明 1，施悦 1，王泽洲 1，张舒娴 1，拉巴仓拉 1，蔡波 2，蔡泳 1   

  1. 1. 上海交通大学公共卫生学院，上海 200025；2. 上海市嘉定区中心医院，上海 201800
  • 出版日期:2019-01-28 发布日期:2019-02-27
  • 通讯作者: 蔡波，电子信箱：xycb083@163.com。蔡泳，电子信箱：caiyong202028@hotmail.com。为共同通信作者。
  • 作者简介:沈秋明（1992—），女，硕士生；电子信箱：kallysqm@163.com。
  • 基金资助:
    国家自然科学基金 (71273174)

Co-occurring psychosocial problems and consistent condom among unmarried female miworkers of two factories in Shanghai

SHEN Qiu-ming1, SHI Yue1, WANG Ze-zhou1, ZHANG Shu-xian1, Lhakpa Tsamlag1, CAI Bo2, CAI Yong1   

  1. 1. Shanghai Jiao Tong University School of Public Health, Shanghai 200025, China; 2. Central Hospital of Jiading District, Shanghai 201800, China
  • Online:2019-01-28 Published:2019-02-27
  • Supported by:
    National Natural Science Foundation of China, 71273174

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摘要： 目的 ·评估上海外来未婚女工安全套的使用情况，探索常见社会心理问题与坚持安全套使用的关联。方法 ·采用整群随机抽样的方法对外来未婚女工进行问卷调查，了解 903名有未婚性行为者的安全套使用情况和相关社会心理因素，采用 Logistic回归对安全套使用相关因素进行分析。结果 ·受访的外来未婚女工中能坚持每次性行为都使用安全套的比例仅 13.8%。单因素分析显示，校正了人口学因素后，低自尊（ OR0.47，95% CI0.25～ 0.90）和抑郁（ OR0.59，95% CI0.38～ 0.93）与不能坚持使用安全套有关；多因素分析显示抑郁（ OR0.58，95% CI0.37～ 0.90）为主要相关因素。至少有 2个社会心理问题共患的外来未婚女工更难做到坚持使用安全套（ OR0.56，95% CI0.32～ 0.97）。结论 ·上海外来未婚女工中有抑郁问题者以及存在多个社会心理问题者更容易发生不安全性行为，提示对该人群安全性行为的认知行为干预应充分考虑社会心理方面。

关键词: 外来未婚女工, 安全套, 抑郁, 共患, 社会心理问题

Abstract:

Objective · To investigate condom among unmarried female miworkers in Shanghai and explore its relation with some psychosocial problems. Methods · A questionnaire survey was conductedcluster random sampling. A total of 903 unmarried female miworkers who had sexual experience were enrolled to evaluate their condom and psychosocial factors. Logistic regression was used to analyze the related factors of condom use. Results · Among the unmarried female miworkers, the percentage of consistent condom was only 13.8%. Univariate Logistic regression showed that low self-esteem (OR0.47, 95% CI0.25-0.90) and depression (OR0.59, 95% CI0.38-0.93) were related to inconsistent condom after correcting demographic factors. Multivariate Logistic regression showed that depression (OR0.58, 95% CI0.37-0.90) was the main factor related to inconsistent condom use. The participants with at least two psychosocial problems were more difficult to condoms consistently (OR0.56, 95% CI0.32-0.97). Conclusion · The unmarried female miworkers with depression or co-occurring psychological problems in Shanghai are more likely to have unsafe sex behavior, which indicates the importance of psychological interventions.

Key words: unmarried female miworkers, condom, depression, co-occurring, psychosocial problem

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