Information-Motivation-Behavioral Skills model of consistent condom use among transgender women in Shenyang, China

Wang, Huwen; Chang, Ruijie; Shen, Qishun; Tsamlag, Lhakpa; Zhang, Shuxian; Shi, Yue; Tooley, Mark; Wang, Zixin; She, Rui; Lau, Joseph T. F.; Wang, Ying; Cai, Yong

doi:10.1186/s12889-020-08494-y

Cited by 21 publications

(14 citation statements)

References 40 publications

(51 reference statements)

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“…With regards to consistent condom use (CCU) among unmarried female migrants in China, behavioural skills had a positive effect (β = 0.344, p < 0.001), motivation had no direct influence, but indirectly, through behavioural skills (β = 0.800, p < 0.001), while information had no influence at all on CCU [ 34 ]. Similar findings were reported with CCU among transgender women in Shenyang, China, were HIV-preventive motivation (β = 0.823, p < 0.001) and behavioural skills (β = 0.979, p = 0.004) were related to more frequent condom use, whereas HIV knowledge was unrelated to condom use (β = 0.052, p = 0.540) [ 35 ].…”

Section: Introductionsupporting

confidence: 77%

Improving malaria preventive practices and pregnancy outcomes through a health education intervention: A randomized controlled trial

Balami

Said

Zulkefli

et al. 2021

Malar J

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Background The prevalence of malaria in pregnancy and its complications, remain very high in Nigeria. This study aimed to determine the effects of a malaria health educational intervention based on the information-motivation-behavioural skills (IMB) model on malaria preventive practices and pregnancy outcomes. Methods The study was a randomized controlled parallel-group study, where 372 randomly selected antenatal care attendees were randomly assigned to one of either two groups after collecting baseline data. The intervention group then received a four-hour health education intervention in Hausa language, which was developed based on the IMB model, while the control group received a similarly designed health education on breastfeeding. Follow up data were then collected from the participants at a first (2 months post-intervention) and second (4 months post-intervention) follow up, and at the end of their pregnancies. Results For both groups, reported ITN use had increased from baseline (Intervention: Often–14.0%, Almost always–9.1; Control: Often–12.4%; Almost always 16.1%) to the time of second follow up (Intervention: Often –28.10%, Almost always–24.5; Control: Often–17.2%; Almost always 19.5%). Reported IPTp uptake at second follow up was also higher for the intervention group (Intervention: Two doses–59.0%, Three doses 22.3%; Control group: Two doses–48.4%, Three doses–7.0%). The drop in the haematocrit levels was greater for the control group (32.42% to 30.63%) compared to the intervention group (33.09% to 31.93%). The Generalized Linear Mixed Models (GLMM) analysis revealed that the intervention had significantly improved reported ITN use, reported IPTp uptake, and haematocrit levels, but had no significant effect on the incidence of reported malaria diagnosis or babies’ birth weights. Conclusions The intervention was effective in improving ITN use, IPTp uptake, and haematocrit levels. It is, therefore, recommended for the modules to be adopted and incorporated into the routine antenatal care programmes in health centres with predominantly Hausa speaking clients. Trial registration: Pan African Clinical Trial Registry, PACTR201610001823405. Registered 26 October 2016, www.pactr.org.

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Section: Introductionsupporting

confidence: 77%

Improving malaria preventive practices and pregnancy outcomes through a health education intervention: A randomized controlled trial

Balami

Said

Zulkefli

et al. 2021

Malar J

View full text Add to dashboard Cite

show abstract

“…With regards to consistent condom use (CCU) among unmarried female migrants in China, behavioural skills had a positive effect (β = 0.344, p < 0.001), motivation had no direct in uence, but indirectly, through behavioural skills (β = 0.800, p < 0.001), while information had no in uence at all on CCU [34]. Similar ndings were reported with CCU among transgender women in Shenyang, China, were HIV-preventive motivation (β = 0.823, p < 0.001) and behavioural skills (β = 0.979, p = 0.004) were related to more frequent condom use, whereas HIV knowledge was unrelated to condom use (β = 0.052, p = 0.540) [35].…”

Section: Introductionsupporting

confidence: 71%

Improving malaria preventive practices and pregnancy outcomes through a health education intervention: a randomized controlled trial

Balami

Said

Zulkefli

et al. 2021

Preprint

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BackgroundThe prevalence of malaria in pregnancy and its complications, remain very high in Nigeria. This study aimed to determine the effects of a malaria health educational intervention based on the information-motivation-behavioural skills (IMB) model on malaria preventive practices and pregnancy outcomes. MethodsThe study was a randomized controlled parallel-group study, where 372 randomly selected antenatal care attendees were randomly assigned to one of either two groups after collecting baseline data. The intervention group then received a four-hour health education intervention in Hausa language, which was developed based on the IMB model, while the control group received a similarly designed health education on breastfeeding. Follow up data were then collected from the participants at a first (two months post-intervention) and second (four months post-intervention) follow up, and at the end of their pregnancies. ResultsFor both groups, reported ITN use had increased from baseline (Intervention: Often – 14.0%, Almost always – 9.1; Control: Often – 12.4%; Almost always 16.1%) to the time of second follow up (Intervention: Often – 28.10%, Almost always – 24.5; Control: Often – 17.2%; Almost always 19.5%). Reported IPTp uptake at second follow up was also higher for the intervention group (Intervention: Two doses – 59.0%, Three doses 22.3%; Control group: Two doses – 48.4%, Three doses – 7.0%). The drop in the haematocrit levels was greater for the control group (32.42% to 30.63%) compared to the intervention group (33.09% to 31.93%). The Generalized Linear Mixed Models (GLMM) analysis revealed that the intervention had significantly improved reported ITN use, reported IPTp uptake, and haematocrit levels, but had no significant effect on the incidence of reported malaria diagnosis or babies’ birth weights. ConclusionsThe intervention was effective in improving ITN use, IPTp uptake, and haematocrit levels. It is, therefore, recommended for the modules to be adopted and incorporated into the routine antenatal care programmes in health centres with predominantly Hausa speaking clients.

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“…Although TGW have been shown to have higher odds of reporting condomless receptive anal sex with male partners compared to MSM, few studies have characterized the factors that drive this association in TGW specifically [ 32 ]. A study among TGW in China found that subjective norms, condom use attitude, condom use skills, and self-efficacy were associated with frequent condom use and knowledge of HIV was not related to condom use [ 6 , 45 ]. Other factors that have been shown to be associated with condomless sex among TGW include feminizing medical intervention, factors related to sex-work [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Individual and partnership characteristics associated with consistent condom use in a cohort of cisgender men who have sex with men and transgender women in Nigeria

et al. 2021

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Background This study reports on the individual and partnership characteristics that influence consistent condom use in cisgender men who have sex with men (MSM) and transgender women (TGW) attending trusted community centers that provide HIV prevention and treatment services in Nigeria. Methods Adults assigned male at birth who reported anal sex with male partners who enrolled between March 2013–2019 and had information about at least one male sexual partner were included in these analyses. At enrollment and follow-up visits every 3 months for up to 18 months, participants were administered detailed questionnaires that collected information about demographics, sexual practices, HIV risk behaviors, and characteristics and behaviors of their partners in the previous year (at enrollment) or the preceding 3 to 6-months (at follow-up visits). Logistic regression models with generalized estimating equations were used to assess the odds ratio (OR) and 95% confidence intervals (CI) of individual, partner, and partnership characteristics associated with consistent condom use (CCU). A participant was defined as consistently using condom if they reported always using condoms all the time they had insertive, receptive or both types of anal sex with a male partner. Results At the individual level, CCU was positively associated with higher education, disclosure of key population status to a healthcare worker and negatively associated with poor access to condoms. At the partner and partnership level, CCU was associated with partners with higher education (aOR: 1.36; 95% CI: 1.07–1.72), casual relationships (aOR: 1.22; 95% CI: 1.11–1.34) and relationships in which partners encouraged the participant to use condoms with other partners (aOR: 1.14; 95% CI: 1.02–1.28). Relationships in which the partner was married to a woman and/or the partner’s HIV status positive or unknown were negatively associated with CCU. Conclusions These findings suggest that individuals in relationships where partners were more open and encouraged safer sex were more likely to consistently use condoms. HIV prevention programs should consider leveraging communication to sexual partners to encourage condom use as this may support condom use with other sexual partners. Given sustained and growing HIV and STI epidemics among MSM and TGW, even with pre-exposure prophylaxis scale-up, it is crucial to continue to study optimal implementation strategies to increase condom use.

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Information-Motivation-Behavioral Skills model of consistent condom use among transgender women in Shenyang, China

Cited by 21 publications

References 40 publications

Improving malaria preventive practices and pregnancy outcomes through a health education intervention: A randomized controlled trial

Improving malaria preventive practices and pregnancy outcomes through a health education intervention: A randomized controlled trial

Improving malaria preventive practices and pregnancy outcomes through a health education intervention: a randomized controlled trial

Individual and partnership characteristics associated with consistent condom use in a cohort of cisgender men who have sex with men and transgender women in Nigeria

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