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Year : 2019  |  Volume : 3  |  Issue : 2  |  Page : 102-109

Characteristics of and risk factors associated with self-reported sexual repression among internal migrants in China: A large-scale cross-sectional study

1 Department of Reproductive Epidemiology and Social Science, NHC Key Lab of Reproduction Regulation, Shanghai Institute of Planned Parenthood Research, Medial School, Fudan University, Shanghai 200032, China
2 Division of Epidemiology and Biostatistics, University of Illinois, Chicago, IL, USA
3 Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China

Correspondence Address:
Dr. Jun-Qing Wu
NHC Key Lab of Reproduction Regulation, Shanghai Institute of Planned Parenthood Research (Shanghai Institute of Planned Parenthood Research), 779 Laohumin Road, Shanghai 200032
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2096-2924.262395

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Objective: This large-scale cross-sectional study aims to identify the characteristics of and risk factors associated with sexual repression among internal migrants in China. Methods: Between August 2013 and August 2015, a total of 8,669 internal migrants from four major cities in China (Beijing, Shanghai, Chengdu, and Chongqing) voluntarily participated in our study. They were interviewed, and the data on their demographic information, occupation, and sexual activities were collected. The Chi-square test and multiple logistic regressions were conducted to identify significant associations. A stepwise method was adopted for the selection of variables. Results: There were 3,597 (41.49%) males and 5,072 (58.51%) females in total. A higher percentage of males reported that they felt sexual repression compared to females (14.43% vs. 9.21%). After adjusting for other covariates, the consequence was showed that male migrants working for more than 5 days were more likely to report sexual repression (odds ratio [OR] = 1.40, P < 0.05). Living in a collective dormitory with others was also a risk factor for male migrants. The longer males spent with their partners, the less sexual repression occurred (OR= 0.94, P < 0.05). Similarly, agricultural household registration status and working for more than 5 days increased the risk for sexual repression among female migrants (OR= 1.41 and OR = 1.46, respectively, P < 0.05). Frequent and constructive communication also protected females against sexual repression (P < 0.05). Well-educated females experienced relatively less sexual repression when compared to their counterparts with less education (P < 0.05). Conclusions: Sexual repression was significantly associated with a few demographic, occupational, and sexual risk factors. Meaningful differences have been identified between male and female migrants. More effective intervention programs such as safeguard measures and welfare policies should be designed and implemented for a majority of female migrants and for those with agricultural household registration status.

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