Multifaceted Determinants of Sexual Intercourse with Non-Regular Female Sex Partners and Female Sex Workers among Male Factory Workers in China—A Cross-Sectional Survey

Kechun Zhang, Siyu Chen, Shiben Zhu, Yuan Fang, Huachun Zou, Yong Cai, Bolin Cao, He Cao, Yaqi Chen, Tian Hu and Zixin Wang ()
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Kechun Zhang: Longhua District Center for Disease Control and Prevention, Shenzhen 518110, China
Siyu Chen: Centre for Health Behaviors Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
Shiben Zhu: Centre for Health Behaviors Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
Yuan Fang: Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong, China
Huachun Zou: School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
Yong Cai: School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
Bolin Cao: School of Media and Communication, Shenzhen University, Shenzhen 518060, China
He Cao: Longhua District Center for Disease Control and Prevention, Shenzhen 518110, China
Yaqi Chen: Longhua District Center for Disease Control and Prevention, Shenzhen 518110, China
Tian Hu: Longhua District Center for Disease Control and Prevention, Shenzhen 518110, China
Zixin Wang: Centre for Health Behaviors Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China

IJERPH, 2022, vol. 19, issue 23, 1-16

Abstract: With a stratified multi-stage sampling approach, 1361 male factory workers in the Longhua district of the Shenzhen Municipality of China were selected to investigate the multifaceted determinants of sexual intercourse with non-regular female sex partners (NRP) and female sex workers (FSW) among them. The results showed that 24.5% and 21.2% of participants had sexual intercourse with NRP and FSW in the past 6 months, respectively. More specifically, at the individual level, perceived higher job stress and maladaptive coping styles were linked with a higher likelihood of having sexual intercourse with NRP and FSW (adjusted odds ratios [AOR] ranged from 1.06 to 1.17). At the interpersonal level, those who had higher exposure to information related to sexual intercourse with NRP or FSW were more likely to have sex with these female sex partners (AOR: 1.08 & 1.11). At the social structural level, perceived social norms supporting multiple sex partnerships were linked with a higher likelihood of having sexual intercourse with NRP and FSW (AOR: 1.10 & 1.11). No interaction effects were found between the variables at different levels. Providing pre-employment training to clarify roles and job duties, introducing adaptive coping strategies, and addressing misconceptions of social norms are useful strategies to reduce sexual intercourse with NRP or FSW.

Keywords: non-regular female sex partners; female sex workers; male factory workers; determinants; socioecological model; cross-sectional study; China (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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