Analysis on condom use in high-risk sexual behavior among male floating population in Nanning City from 2017 to 2021

Abstract

Abstract: Objective To understand the high-risk sexual behavior,condom use and influencing factors of male floating population in Nanning City,and to provide reference for AIDS prevention and control among floating population. Methods Using a combination of epidemiological and serological methods,a questionnaire survey was conducted on male migrants aged 15-65 years old who were not registered in Nanning City at eight construction sites in Yongning District of Nanning City from April to July 2017-2021,and the high-risk sexual behavior,condom use and influencing factors were analyzed. Results A total of 1 739 male floating population were investigated.The total awareness rate of AIDS knowledge and the total incidence of commercial sexual behavior and temporary sexual behavior in the last year were 97.18%（1 690/1 739）,10.75%（1 87/1 739） and 7.42%（129/1 739）,respectively.From 2017 to 2021,the awareness rate of male floating population in Nanning who answered ≥6 questions correctly（the lowest in 2018[92.72%（280/302）]）,commercial sexual behavior（the highest in 2021[27.75%（111/400）],the lowest in 2020[2.62%（9/343）] and temporary sexual behavior（the highest in 2021[16.00%（64/400）],the lowest in 2020[1.17%（4/343）]） fluctuated,and the differences were statistically significant（χ²=39.37,179.96,65.16,all P<0.01）.The total condom adherence rates of each commercial sex act and each temporary sex act in the last year were 87.17%（163/187） and 57.36%（74/129）,respectively.From 2017 to 2021,the condom adherence rates of each commercial sex（lowest in 2019[53.85%（7/13）] and each temporary sex（lowest in 2018[17.65%（3/17）]） also fluctuated,and the differences were also statistically significant（χ²=12.04, 15.18,both P<0.01）.Knowledge of AIDS（OR=0.087,95%CI：0.014-0.551） was a risk factor for male migrant population to adhere to condom use every time of commercial sex.Household registration in other provinces（OR=3.028,95%CI：1.444-6.352） was the protective factor for male migrant population to adhere to condom use every time of temporary sexual behavior. Conclusions The awareness rate of AIDS knowledge among male migrant workers in Nanning City was at a high level from 2017 to 2021,but the incidence of high-risk sexual behavior was still high,and the condom use rate was low.It is still necessary to strengthen the targeted development of AIDS and STD related knowledge,and strengthen prevention and intervention from the perspective of behavior.

Key words: Male, Floating population, High risk sexual behavior, Condom use, Influence factor

CLC Number:

R181.3

HE Bo, QIN Meiping, NONG Liping, TANG Hongyang, LIU Junhui, HUANG Zhiyong. Analysis on condom use in high-risk sexual behavior among male floating population in Nanning City from 2017 to 2021. [J]OCCUPATION AND HEALTH, 2024, 40(4): 484-489.

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