Abstract:

Objective  To investigate the condom usage of unmarried female migrant workers in Shanghai during sexual intercourse and relevant influencing factors according to social cognition theory. Methods  A total of 1 154 unmarried female migrant workers from 3 factories in 3 districts of Shanghai were selected and the questionnaire survey was conduct by using the cluster sampling method. After demographic information was corrected, social cognition factors was analyze by Logistic regression, including correlations between condom usage and prevention knowledge of HIV/AIDS, self-efficacy and skill and strategy of condom usage, and psychosocial problems. Results  Among 1 154 unmarried female migrant workers who completed questionnaires, 482 (41.8%) of them  had sexual intercourses during past 6 months. Only 61 (12.7%) of them used condom consistently. After demographic information was corrected, univariate Logistic regression analysis showed that factors relevant to condom usage were self-efficacy of condom usage (AOR=1.86; 95%CI=1.15-3.01), skill and strategy of condom usage (AOR=10.86; 95%CI=6.21-19.00), and self-esteem (AOR=2.11; 95%CI=1.34-3.31) Multivariate stepwise Logistic regression analysis showed that self-esteem (ORm=1.96, 95%CI=1.18-3.24) and skill and strategy of condom usage (ORm=10.16, 95%CI=5.78-17.87) determined the condom usage. Conclusion  The rate of condom usage of unmarried female migrant workers in Shanghai is low. Self-esteem and skill and strategy of condom usage should be improved to promote safe sexual intercourse and decrease reproductive and health risks such as AIDS.

Key words: social cognition theory, acquired immuno deficiency syndrome, condom use, self-efficacy