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Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

Sexual Knowledge, attitudes and behaviors among unmarried migrant female workers in China: a comparative analysis

Authors: Jie Tang, Xiaohui Gao, Yizhen Yu, Niman Isse Ahmed, Huiping Zhu, Jiaji Wang, Yukai Du

Published in: BMC Public Health | Issue 1/2011

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Abstract

Background

In recent years, many studies have focused on adolescent's sex-related issues in China. However, there have been few studies of unmarried migrant females' sexual knowledge, attitudes and behaviors, which is important for sexual health education and promotion.

Methods

A sample of 5156 unmarried migrant female workers was selected from three manufacturing factories, two located in Shenzhen and one in Guangzhou, China. Demographic data, sexual knowledge, attitudes and behaviors were assessed by self-administered questionnaires. Multivariate logistic regression analysis was conducted to examine the factors associated with premarital sexual intercourse.

Results

The average age of the unmarried female workers included in the sample was 20.2 years, and majority of them showed a low level of sex-related knowledge. Females from the west of China demonstrated a significant lower level of sex-related knowledge than those from the eastern or central provinces (p < 0.05). Approximately 13% of participants held a favorable attitude towards premarital sexual intercourse, and youths from the east/central were more likely to have favorable attitudes compared with those from the west (p < 0.05). About 17.0% of the unmarried female workers reported having engaged in premarital sexual intercourse, and females from the east/central were more likely to have experienced premarital sexual intercourse than those from the west (p < 0.05). Multivariate analysis revealed that age, education, current residential type, dating, sexual knowledge, attitudes, and pattern of communication were significantly associated with premarital sexual intercourse.

Conclusion

The unmarried migrant female workers lack sexual knowledge and a substantial proportion of them are engaged in premarital sexual behaviors. Interventions aimed at improving their sexual knowledge and related skills are needed.
Literature
1.
go back to reference Nancy DB, John OGB, William RG: Reported health risk behaviors among adolescent: evidence from the scientific literature. J Adolescent Health. 2003, 33: 436-457. 10.1016/S1054-139X(03)00052-1.CrossRef Nancy DB, John OGB, William RG: Reported health risk behaviors among adolescent: evidence from the scientific literature. J Adolescent Health. 2003, 33: 436-457. 10.1016/S1054-139X(03)00052-1.CrossRef
2.
go back to reference Joint United Nations Program on HIV/AIDS; World Health Organization: AIDS Epidemic Update. Geneva, Switzerland. Joint United Nations Program on HIV/AIDS; 2007. 2006 Joint United Nations Program on HIV/AIDS; World Health Organization: AIDS Epidemic Update. Geneva, Switzerland. Joint United Nations Program on HIV/AIDS; 2007. 2006
3.
go back to reference Ma Q, Ono-Kihara M, Cong L, Xu G, Zamani S, Shahrzad MR, Masahiro K: Sexual behavior and awareness of Chinese university students in transition with implied risk of sexually transmitted diseases and HIV infection: a cross-sectional study. BMC Public Health. 2006, 6: 232-10.1186/1471-2458-6-232.CrossRefPubMedPubMedCentral Ma Q, Ono-Kihara M, Cong L, Xu G, Zamani S, Shahrzad MR, Masahiro K: Sexual behavior and awareness of Chinese university students in transition with implied risk of sexually transmitted diseases and HIV infection: a cross-sectional study. BMC Public Health. 2006, 6: 232-10.1186/1471-2458-6-232.CrossRefPubMedPubMedCentral
4.
go back to reference Qian X, Tang SL, Garner P: Unintended pregnancy and induced abortion among unmarried women in China: a systematic review. BMC Health Services Research. 2004, 4: 1-10.1186/1472-6963-4-1.CrossRefPubMedPubMedCentral Qian X, Tang SL, Garner P: Unintended pregnancy and induced abortion among unmarried women in China: a systematic review. BMC Health Services Research. 2004, 4: 1-10.1186/1472-6963-4-1.CrossRefPubMedPubMedCentral
5.
go back to reference Zheng Z, Zhou Y, Zheng L, Yang Y, Zhao D, Lou C, Zhao S: Sexual behaviour and contraceptive use among unmarried, young women migrant workers in five cities in China. Reproductive Health Matters. 2001, 9: 118-127. 10.1016/S0968-8080(01)90015-1.CrossRefPubMed Zheng Z, Zhou Y, Zheng L, Yang Y, Zhao D, Lou C, Zhao S: Sexual behaviour and contraceptive use among unmarried, young women migrant workers in five cities in China. Reproductive Health Matters. 2001, 9: 118-127. 10.1016/S0968-8080(01)90015-1.CrossRefPubMed
6.
7.
go back to reference Zhang L, Gao X, Dong Z, Tan Y, Wu Z: Premarital sexual activities among students in a university in Beijing, China. Sex Transm Dis. 2002, 29: 212-215. 10.1097/00007435-200204000-00005.CrossRefPubMed Zhang L, Gao X, Dong Z, Tan Y, Wu Z: Premarital sexual activities among students in a university in Beijing, China. Sex Transm Dis. 2002, 29: 212-215. 10.1097/00007435-200204000-00005.CrossRefPubMed
10.
go back to reference Agha S: Sexual behaviour among truck drivers in Pakistan. Cult Health Sex. 2002, 4: 191-206. 10.1080/13691050110095568.CrossRef Agha S: Sexual behaviour among truck drivers in Pakistan. Cult Health Sex. 2002, 4: 191-206. 10.1080/13691050110095568.CrossRef
11.
go back to reference Puri MC, Busza J: In forests and factories: sexual behavior among young migrant workers in Nepal. Cult Health Sex. 2004, 6: 145-158. 10.1080/13691050310001619653.CrossRef Puri MC, Busza J: In forests and factories: sexual behavior among young migrant workers in Nepal. Cult Health Sex. 2004, 6: 145-158. 10.1080/13691050310001619653.CrossRef
12.
go back to reference Hu X, Cook S, Salazar MA: Internal migration and health in China. Lancet. 2008, 372: 1717-1719. 10.1016/S0140-6736(08)61360-4.CrossRefPubMed Hu X, Cook S, Salazar MA: Internal migration and health in China. Lancet. 2008, 372: 1717-1719. 10.1016/S0140-6736(08)61360-4.CrossRefPubMed
13.
go back to reference Zhang J, Lian W, Jia G, Shi S, Duan J, Huang J, Guo Y: Investigation of the sexual health situation of unmarried non-resident young women in Guangzhou city. Maternal and Child Health Care of China. 2007, 32: 85-87. Zhang J, Lian W, Jia G, Shi S, Duan J, Huang J, Guo Y: Investigation of the sexual health situation of unmarried non-resident young women in Guangzhou city. Maternal and Child Health Care of China. 2007, 32: 85-87.
14.
go back to reference Liu Z, Zhu M, Hassan Dib, Li Z, Shi S, Wang Z: RH knowledge and service utilization among unmarried rural-to-urban migrants in three major cities, China. BMC Public Health. 2011, 11: 74-10.1186/1471-2458-11-74.CrossRefPubMedPubMedCentral Liu Z, Zhu M, Hassan Dib, Li Z, Shi S, Wang Z: RH knowledge and service utilization among unmarried rural-to-urban migrants in three major cities, China. BMC Public Health. 2011, 11: 74-10.1186/1471-2458-11-74.CrossRefPubMedPubMedCentral
15.
go back to reference Tu X, Cui N, Lou C, Gao E: Do family-planning workers in China support provision of sexual and reproductive health services to unmarried young people?. Bulletin of World Health Organization. 2004, 82: 274-280. Tu X, Cui N, Lou C, Gao E: Do family-planning workers in China support provision of sexual and reproductive health services to unmarried young people?. Bulletin of World Health Organization. 2004, 82: 274-280.
16.
go back to reference Cui N, Tang G, Li M, Tian A, Xie L, Luo S, Chen X, Luo D, Tian Y: Survey of needs for reproductive health of unmarried adolescents in Chengdu. Chin J of Fam Plan. 2000, 8: 208-212. Cui N, Tang G, Li M, Tian A, Xie L, Luo S, Chen X, Luo D, Tian Y: Survey of needs for reproductive health of unmarried adolescents in Chengdu. Chin J of Fam Plan. 2000, 8: 208-212.
17.
go back to reference Wellings K, Collumbien M, Slaymaker E, Susheela S, Dhaval P, Hodges M, Nathalie B: Sexual behavior in context: a global perspective. Lancet. 2006, 368: 1706-1728. 10.1016/S0140-6736(06)69479-8.CrossRefPubMed Wellings K, Collumbien M, Slaymaker E, Susheela S, Dhaval P, Hodges M, Nathalie B: Sexual behavior in context: a global perspective. Lancet. 2006, 368: 1706-1728. 10.1016/S0140-6736(06)69479-8.CrossRefPubMed
18.
go back to reference Zhao Y, Wan J, Zhang C, Wei H, Sun Y, Chen S, Cheng Y: Knowledge and requirement on reproductive health of unmarried female youngsters floating population. Maternal & Child Health Care of China. 2008, 23 (16): 2248-2250. Zhao Y, Wan J, Zhang C, Wei H, Sun Y, Chen S, Cheng Y: Knowledge and requirement on reproductive health of unmarried female youngsters floating population. Maternal & Child Health Care of China. 2008, 23 (16): 2248-2250.
19.
go back to reference Meng P, Ma L, Duan Y: Survey on reproduction health status of unmarried female. Chinese Journal of Social Medicine. 2007, 24 (4): 266-267. Meng P, Ma L, Duan Y: Survey on reproduction health status of unmarried female. Chinese Journal of Social Medicine. 2007, 24 (4): 266-267.
20.
go back to reference Lin W, Huang M, Zhu R, Li J, Wu X, Lin Z, You A: Survey on the status and requirement of the reproductive health of floating population in Taizhou city. Chin J of Fam Plan. 2008, 6: 347-350. Lin W, Huang M, Zhu R, Li J, Wu X, Lin Z, You A: Survey on the status and requirement of the reproductive health of floating population in Taizhou city. Chin J of Fam Plan. 2008, 6: 347-350.
21.
go back to reference Wang B, Li X, Bonita S, Vafa K, Sylvie N, Iqbal S, Ronald T: Sexual attitudes, pattern of communication, and sexual behavior among unmarried out-of-school youth in China. BMC Public Health. 2007, 7: 189-10.1186/1471-2458-7-189.CrossRefPubMedPubMedCentral Wang B, Li X, Bonita S, Vafa K, Sylvie N, Iqbal S, Ronald T: Sexual attitudes, pattern of communication, and sexual behavior among unmarried out-of-school youth in China. BMC Public Health. 2007, 7: 189-10.1186/1471-2458-7-189.CrossRefPubMedPubMedCentral
22.
go back to reference Yan H, Chen W, Wu H, Bi Y, Zhang M, Li S, Kathryn LB: Multiple sex partner behavior in female undergraduate students in China: A multi-campus survey. BMC Public Health. 2009, 9: 305-10.1186/1471-2458-9-305.CrossRefPubMedPubMedCentral Yan H, Chen W, Wu H, Bi Y, Zhang M, Li S, Kathryn LB: Multiple sex partner behavior in female undergraduate students in China: A multi-campus survey. BMC Public Health. 2009, 9: 305-10.1186/1471-2458-9-305.CrossRefPubMedPubMedCentral
23.
go back to reference Zhang K, Li D, Li H, Beck EJ: Changing sexual attitudes and behaviors in China: implications for the spread of HIV and other sexually transmitted diseases. AIDS Care. 1999, 11 (5): 581-589. 10.1080/09540129947730.CrossRefPubMed Zhang K, Li D, Li H, Beck EJ: Changing sexual attitudes and behaviors in China: implications for the spread of HIV and other sexually transmitted diseases. AIDS Care. 1999, 11 (5): 581-589. 10.1080/09540129947730.CrossRefPubMed
24.
go back to reference Zhao Q, Li B, Tian F, Yuan D, Chen C, Pan W, Liu M, Wen X: study on the current status and relative factors on reproductive health of unmarried floating population in Huizhou city. Chin J Epidemiol. 2006, 27 (12): 1038-1042. Zhao Q, Li B, Tian F, Yuan D, Chen C, Pan W, Liu M, Wen X: study on the current status and relative factors on reproductive health of unmarried floating population in Huizhou city. Chin J Epidemiol. 2006, 27 (12): 1038-1042.
25.
go back to reference Chen L, Zhang H, Wang J: Factors of premarital sex and sexual risk behavior among female migrant adolescents in Hefei. Chin J Disease Control & Prevention. 2010, 11: 10-13. Chen L, Zhang H, Wang J: Factors of premarital sex and sexual risk behavior among female migrant adolescents in Hefei. Chin J Disease Control & Prevention. 2010, 11: 10-13.
26.
go back to reference Zheng L, Zhu J, Tian P, Chen Y, Song Y, Chen Y: The high risk factors of the reproductive health of the unmarried young female migratory workers among Guangzhou floating population. South China Population. 2000, 15 (2): 33-38. Zheng L, Zhu J, Tian P, Chen Y, Song Y, Chen Y: The high risk factors of the reproductive health of the unmarried young female migratory workers among Guangzhou floating population. South China Population. 2000, 15 (2): 33-38.
27.
go back to reference Ma Q, Masako OK, Cong L, Xu G, Pan X, Saman Z, Shahrzad MR, Zhang D, Takayuki H, Masahiro K: Early initiation of sexual activity: a risk factor for sexually transmitted diseases, HIV infection, and unwanted pregnancy among university students in China. BMC Public Health. 2009, 9: 111-10.1186/1471-2458-9-111.CrossRefPubMedPubMedCentral Ma Q, Masako OK, Cong L, Xu G, Pan X, Saman Z, Shahrzad MR, Zhang D, Takayuki H, Masahiro K: Early initiation of sexual activity: a risk factor for sexually transmitted diseases, HIV infection, and unwanted pregnancy among university students in China. BMC Public Health. 2009, 9: 111-10.1186/1471-2458-9-111.CrossRefPubMedPubMedCentral
28.
go back to reference Kirby D: The impact of schools and school programs upon adolescent sexual behavior. J of Sex Res. 2002, 39: 27-33. 10.1080/00224490209552116.CrossRef Kirby D: The impact of schools and school programs upon adolescent sexual behavior. J of Sex Res. 2002, 39: 27-33. 10.1080/00224490209552116.CrossRef
29.
go back to reference Chen B, Lu Y, Wang H, Ma Q, Zhao X, Guo J, Hu K, Wang Y, Huang Y, Chen P: Sexual and reproductive health service needs of university/college students: updates from a survey in Shanghai, China. Asian J Androl. 2008, 10 (4): 607-615. 10.1111/j.1745-7262.2008.00413.x.CrossRefPubMed Chen B, Lu Y, Wang H, Ma Q, Zhao X, Guo J, Hu K, Wang Y, Huang Y, Chen P: Sexual and reproductive health service needs of university/college students: updates from a survey in Shanghai, China. Asian J Androl. 2008, 10 (4): 607-615. 10.1111/j.1745-7262.2008.00413.x.CrossRefPubMed
30.
go back to reference Chao Jiankang, Lin Yenchin, Ma Michia, Ku Yanchiou, Chinghong Tsai, Mingder Shi: Sexual knowledge, attitudes and activity of men conscripted into the military. BMC Public Health. 2010, 10: 577-10.1186/1471-2458-10-577.CrossRefPubMedPubMedCentral Chao Jiankang, Lin Yenchin, Ma Michia, Ku Yanchiou, Chinghong Tsai, Mingder Shi: Sexual knowledge, attitudes and activity of men conscripted into the military. BMC Public Health. 2010, 10: 577-10.1186/1471-2458-10-577.CrossRefPubMedPubMedCentral
31.
go back to reference Hutchinson MK, Jemmott JB, Jemmott LS, Braverman P, Fong GT: The role of mother-daughter sexual risk communication in reducing sexual risk behaviors among urban adolescent females: a prospective study. J Adoles Heal. 2003, 33: 98-107. 10.1016/S1054-139X(03)00183-6.CrossRef Hutchinson MK, Jemmott JB, Jemmott LS, Braverman P, Fong GT: The role of mother-daughter sexual risk communication in reducing sexual risk behaviors among urban adolescent females: a prospective study. J Adoles Heal. 2003, 33: 98-107. 10.1016/S1054-139X(03)00183-6.CrossRef
32.
go back to reference Wu Y: Incidence of sexual behaviors and the influencing factors among undergraduates in Guangzhou. Modern Preventive Medicine. 2009, 36 (2): 282-284. Wu Y: Incidence of sexual behaviors and the influencing factors among undergraduates in Guangzhou. Modern Preventive Medicine. 2009, 36 (2): 282-284.
33.
go back to reference Liu ZH, Wei PM, Wang XS, Huang MH, Li XN, Yang GP: Investigation on influencing factors of sexual behaviors among college students in Nanjing. Chin J Public Health. 2008, 24 (10): 1243-1245. Liu ZH, Wei PM, Wang XS, Huang MH, Li XN, Yang GP: Investigation on influencing factors of sexual behaviors among college students in Nanjing. Chin J Public Health. 2008, 24 (10): 1243-1245.
34.
go back to reference Corcoran J: Ecological factors associated with adolescent pregnancy: a review of the literature. Adolescence. 1999, 34 (135): 603-619.PubMed Corcoran J: Ecological factors associated with adolescent pregnancy: a review of the literature. Adolescence. 1999, 34 (135): 603-619.PubMed
35.
go back to reference Robinson KL, Telljohann Sk, Price JH: Predictors of sixth graders engaging in sexual intercourse. J of School health. 1999, 69 (9): 369-375. 10.1111/j.1746-1561.1999.tb06431.x.CrossRef Robinson KL, Telljohann Sk, Price JH: Predictors of sixth graders engaging in sexual intercourse. J of School health. 1999, 69 (9): 369-375. 10.1111/j.1746-1561.1999.tb06431.x.CrossRef
36.
go back to reference Wang SM, Wang ZK: Study on the relevant problems of AIDS health education among 2974 college students in Shanghai. Chin J of School Doctor. 2000, 14 (1): 20-21. Wang SM, Wang ZK: Study on the relevant problems of AIDS health education among 2974 college students in Shanghai. Chin J of School Doctor. 2000, 14 (1): 20-21.
37.
go back to reference Cui N, Li M, Tian A, Xie L, Lou S, Chen X: Survey of sex-related knowledge and behavior of unmarried adolescents in Chengdu. Reproduction and Contraception. 2003, 13: 63-69. Cui N, Li M, Tian A, Xie L, Lou S, Chen X: Survey of sex-related knowledge and behavior of unmarried adolescents in Chengdu. Reproduction and Contraception. 2003, 13: 63-69.
38.
go back to reference Alexander Mallika, Garda Laila, Kanade Savita, Jejeebhoy Shireen, Ganatra Bela: Correlates of Premarital Relationships Among Unmarried Youth in Pune District, Maharashtra, India. International Family Planning Perspectives. 2007, 33 (4): 150-159. 10.1363/3315007.CrossRefPubMed Alexander Mallika, Garda Laila, Kanade Savita, Jejeebhoy Shireen, Ganatra Bela: Correlates of Premarital Relationships Among Unmarried Youth in Pune District, Maharashtra, India. International Family Planning Perspectives. 2007, 33 (4): 150-159. 10.1363/3315007.CrossRefPubMed
39.
go back to reference Mee-Lian W, Roy KWC, David K, Tan Hiok-Hee, Lim Fong-Seng, Emmanuel Shanta, Bishop George: Premarital Sexual Intercourse Among Adolescents in an Asian Country: Multilevel Ecological Factors. Pediatric. 2009, 124: e44-10.1542/peds.2008-2954.CrossRef Mee-Lian W, Roy KWC, David K, Tan Hiok-Hee, Lim Fong-Seng, Emmanuel Shanta, Bishop George: Premarital Sexual Intercourse Among Adolescents in an Asian Country: Multilevel Ecological Factors. Pediatric. 2009, 124: e44-10.1542/peds.2008-2954.CrossRef
40.
go back to reference Lawrence Finer: Trends in Premarital Sex in the United States, 1954-2003. Public Health Reports. 2007, 122: 73-78. Lawrence Finer: Trends in Premarital Sex in the United States, 1954-2003. Public Health Reports. 2007, 122: 73-78.
41.
go back to reference Gao E, Lou C, Liu Y: Assessment on accuracy of the data concerning first sexual behavior in Shanghai, China. Reproduction and Contraception. 2003, 10: 421-435. Gao E, Lou C, Liu Y: Assessment on accuracy of the data concerning first sexual behavior in Shanghai, China. Reproduction and Contraception. 2003, 10: 421-435.
Metadata
Title
Sexual Knowledge, attitudes and behaviors among unmarried migrant female workers in China: a comparative analysis
Authors
Jie Tang
Xiaohui Gao
Yizhen Yu
Niman Isse Ahmed
Huiping Zhu
Jiaji Wang
Yukai Du
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-917

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