Co-occurring psychosocial problems and consistent condom use among unmarried female migrant workers of two factories in Shanghai / 上海交通大学学报（医学版）

ABSTRACT

Objective: To investigate condom use among unmarried female migrant workers in Shanghai and explore its relation with some psychosocial problems. Methods: A questionnaire survey was conducted by cluster random sampling. A total of 903 unmarried female migrant workers who had sexual experience were enrolled to evaluate their condom use and psychosocial factors. Logistic regression was used to analyze the related factors of condom use. Results: Among the unmarried female migrant workers, the percentage of consistent condom use was only 13.8%. Univariate Logistic regression showed that low self-esteem (OR=0.47, 95% CI=0.25-0.90) and depression (OR=0.59, 95% CI=0.38-0.93) were related to inconsistent condom use after correcting demographic factors. Multivariate Logistic regression showed that depression (OR=0.58, 95% CI=0.37-0.90) was the main factor related to inconsistent condom use. The participants with at least two psychosocial problems were more difficult to use condoms consistently (OR=0.56, 95% CI=0.32-0.97). Conclusion: The unmarried female migrant workers with depression or co-occurring psychological problems in Shanghai are more likely to have unsafe sex behavior, which indicates the importance of psychological interventions.