Condom use among married women at risk for sexually transmitted infections and HIV in rural China

Hong, Hang; Qin, Qirong; Li, Lianhong; Ji, Guoping; Ye, Dong-Qing

doi:10.1016/j.ijgo.2009.03.015

Cited by 17 publications

(12 citation statements)

References 20 publications

(17 reference statements)

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“…Nepalese women have limited access to education, employment, health, decision making and thus they were dependent on husband even for sexual direction. Economic dependency is the major factor which prevents wives to discuss on sexuality, HIV related diseases and HIV prevention 26 which is largely true among migrants' wives in our study. The role of 'power' in sexual relationship was demonstrated in a study on South Asian migrant women in Canada where women with high power in relationship had a high level of knowledge on HIV and they could ask their partner to use a condom.…”

mentioning

confidence: 82%

Knowing is Not Enough: Migrant Workers’ Spouses Vulnerability to HIV

Aryal

Regmi

Teijlingen

et al. 2017

SAARC J. Tuber. Lung Dis. HIV/AIDS

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Introduction: Male migrants and their sexual partners at home are at increased risk of STIs (Sexually Transmitted Infections) including HIV (Human Immunodeficiency Virus). We aimed to assess the knowledge and attitudes of migrants’ wives regarding HIV and STIs, and to understand risk perception of HIV due to their husbands’ sexual behaviour. Methodology: A cross-sectional survey among 182 migrants’ wives was conducted in two rural villages of Chitwan district in Nepal. The participants were selected through multistage cluster sampling method and data were collected through a questionnaire administered through a face-to-face interview. Results: Nearly all (94%) of migrants’ wives had a good knowledge of HIV, however with some misconceptions. More than two-thirds of the participating migrants’ wives were aware about the risk of HIV infection in migrant husbands and subsequent risk of transmitting themselves through sexual intercourse. Nearly half of the participants reported inability to ask their husbands about HIV and STIs even if they had their doubts. Knowledge of HIV and HIV risk associated with migration were statistically significantly higher in younger women, those who were literate and the longer the period of their husbands’ migration. Conclusion: Despite having generally a good knowledge and awareness of HIV and migration induced HIV risk; migrants’ wives could not discuss sexual health issues with their husbands, thus increasing their vulnerability to HIV and STIs.SAARC J TUBER LUNG DIS HIV/AIDS, 2016; XIII(1), page: 9-15

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mentioning

confidence: 82%

Knowing is Not Enough: Migrant Workers’ Spouses Vulnerability to HIV

Aryal

Regmi

Teijlingen

et al. 2017

SAARC J. Tuber. Lung Dis. HIV/AIDS

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“…This is a cross-sectional study conducted in two Percentage effect on the probability of occurrence of the event = (OR-1) x 100 (10) . Therefore, the analysis of the results of the steady partner variable = (0.45-1) x 100= -55%, indicating that the fact that the participant has a steady partner reduced by 55% the likelihood of using a condoms, compared with those without a steady partner, considering that the other independent variables of the model are constant.…”

Section: Methodsmentioning

confidence: 99%

“…Given the above, it is necessary to carry out differentiated work in places that are frequented by heterosexual and homosexual couples, with the aim of developing health education programs. The majority of studies involving the theme of prevention of HIV and other STDs have been developed with convenience samples of specific populations, such as homosexuals (7)(8) , Latin American immigrants living in the USA (9) and Chinese married women (10) .…”

Section: Introductionmentioning

confidence: 99%

Risk behavior for the Human Immunodeficiency Virus among motel clients

Guedes

Cabral

Costa

et al. 2012

Rev. Latino-Am. Enfermagem

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This study aimed to verify risk behavior for infection with the Human Immunodeficiency Virus in people who attended motels. This is a cross-sectional study conducted in two motels in two municipalities in the state of Minas Gerais, Brazil, with a sample of 308 randomly selected individuals, aged between 18 and 60 years. Bivariate (chi-square and t test for independent samples) and multivariate (logistic regression) statistical tests were performed. A total of 45.8% of the participants reported not having used a condom during the last vaginal sexual intercourse, 48.4% did not use a condom during the last oral sex, while 26.3% reported not having used a condom in the last anal intercourse. Having a steady partner was the strongest predictor of not using condoms. Probable beliefs regarding loyalty involved in a stable relationship may be contributing to the failure to use condoms during intercourse, increasing the risk of HIV infection. Las conductas de riesgo al virus de inmunodeficiencia humana entre usuarios de motelesEste estudio tuvo como objetivo determinar las conductas de riesgo al virus de inmunodeficiencia humana en personas que asistieron moteles. Estudio transversal realizado en dos moteles en dos municipios de Minas Gerais con una muestra de 308 personas. Bivariado se realizaron pruebas estadísticas (Jue-cuadrado y t para muestras independientes) y multivariado (regresión logística). La mayoría (42,5%) tenían entre 18 y 25 años y el 45,8% no había utilizado preservativo en sus últimas relaciones sexuales vaginales, 48,4% no usó condón para sexo oral, mientras que 26,3 % reportó no haber utilizado el su última relación anal. Tener una pareja estable fue el mejor predictor para no usarse condones. Llegamos a la conclusión de que la lealtad tiende a estar involucrada en una relación estable puede estar contribuyendo a la no utilización de preservativos en las relaciones, aumentando la vulnerabilidad.

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“…Chang and her colleagues also found that the rate of having had a sexual experience among youth who had left school was 42.6% (62.3% in males, and 37.7% in females) [22]. Other researchers [23][24][25] have reported higher rates of unsafe sexual behaviors among youth migrants. Most youth migrants work away from their hometown, and they may behave differently that they would in their hometown.…”

Section: Discussionmentioning

confidence: 99%

Lack of health risk awareness in low-income Chinese youth migrants: assessment and associated factors

Shi

Sun

et al. 2012

Environ Health Prev Med

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Objective To analyze and assess health risk awareness of youth migrants in China and the factors that influence it, and to provide evidence for making health promotion interventions and decreasing health risks among Chinese youth migrants. Method This was a cross-sectional survey conducted in 2009 among rural-to-urban migrants aged 15-24 years in Tianjin and Xi'an, China. A total of 1,838 youth migrants were enrolled by the stratified cluster sampling method. An anonymous questionnaire was self-administered to investigate health risk awareness. The t test and v 2 test were used to analyze differences between different groups. Logistic regression analysis was used to test the influence of various sociodemographic, living condition, and occupational factors. Results The smoking rate of men (66.8%) was higher than that of women (6.8%; P \ 0.05), the rate of sexual intercourse in men was higher than in women (56.8 vs 27.7%; P \ 0.05), and 75.7% of participants had written into medical care systems with 40.4% of them having undergone a physical examination during the last year. Only 438 of the participants (26% of 1,647) were considered to have a satisfactory level of health risk awareness [273 (32.4% of 958) from Tianjin and 165 (28.8% of 689) from Xi'an]. No significant difference was found between the youth migrant populations of the two cities. The percentage of youth migrants with a satisfactory level of health risk awareness who thought they had a good health status was higher than that with an unsatisfactory health risk awareness who thought they had a good health status (P \ 0.05). Logistic regression analysis showed that gender, age, education, reading the newspaper, and occupation significantly influenced on health risk awareness. Conclusion Youth migrants in China have a low health risk awareness. Combined and targeted health education interventions should be promoted to increase their health risk awareness.

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Condom use among married women at risk for sexually transmitted infections and HIV in rural China

Abstract: More educational interventions are needed to increase condom knowledge and promotion, especially among less educated women and married women left behind by migrant husbands.

Cited by 17 publications

References 20 publications

Knowing is Not Enough: Migrant Workers’ Spouses Vulnerability to HIV

Knowing is Not Enough: Migrant Workers’ Spouses Vulnerability to HIV

Risk behavior for the Human Immunodeficiency Virus among motel clients

Lack of health risk awareness in low-income Chinese youth migrants: assessment and associated factors

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