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目的探讨流动和固定煤矿工人性态度和性行为特征,为制定针对煤矿工人的科学、可行、注重实效的性病/艾滋病防治健康教育模式提供理论依据。方法应用自行设计的调查表对煤矿工人的性态度和高危性行为情况进行调查,共调查2 936名煤矿工人,其中固定工人1 636名,流动工人1 300名。结果固定工人与流动工人对“如果夫妻感情好,发生婚外性行为也是可以接受的”、“无论在什么情况下,在结婚后与除配偶以外的人发生性行为是可以接受的”态度不同;高危性行为发生率流动工人明显高于固定工人,分别为16.1%和12.8%;发生高危性行为的地点主要是在外出打工的地方,每次发生高危性行为时均使用避孕套的比例非常低,不足30%。结论煤矿工人人群中有相当数量的人对婚前、婚外性行为及多性伙伴性行为和卖淫、嫖娼等商业性性行为比较宽容和开放,发生婚前、婚外及多性伙伴行为时使用避孕套的使用率低,加强对煤矿工人宣传教育工作非常必要。
Objective To explore the characteristics of mobile and fixed coal miners’ attitudes toward sexuality and sexual behaviors and to provide a theoretical basis for formulating a scientific, feasible and pragmatic STD / AIDS prevention and control health education model for coal miners. Methods A self-designed questionnaire was used to investigate the attitude and risk behavior of coal miners. A total of 2,936 coal miners were surveyed, including 1 636 fixed workers and 1 300 migrant workers. As a result, both fixed workers and migrant workers were “acceptable if they had a good relationship with their spouse”, "Under any circumstances, it is acceptable to have sex with someone other than a spouse after marriage The incidence of high-risk sexual behaviors was significantly higher than that of regular workers (16.1% and 12.8%, respectively). The places where high-risk sexual behaviors occurred were mainly those who went out to work and used contraceptives for each high-risk sexual act The percentage of sets is very low, less than 30%. Conclusion A considerable number of people in the coal miners’ population are more forgiving and open to premarital, extramarital sex and multi-sexual partners and commercial sexual acts such as prostitution and prostitution. The use of contraception in premarital, extramarital and multi-sexual partnerships Set of low utilization rate, strengthen coal mine workers propaganda and education work is necessary.