The Relationship between Chinese Construction Workers' HIV/AIDS-Related Knowledge, Attitudes and Behaviour: A Structural Equation Model

Abstract

This study explored the relationship between human immunodeficiency virus/ acquired immune deficiency syndrome (HIV/AIDS)-related knowledge, attitudes and behaviour in migrant urban construction workers using structural equation modelling (SEM). A cross-sectional study was conducted among 428 male subjects on three building sites in Shenyang City. The SEM model of HIV/AIDS-related knowledge, attitudes and behaviour was built using LISREL version 8.5 and it fitted the data well, as shown by an adjusted goodness of fit index of 0.82 and a root mean square error of approximation of 0.094. Knowledge of HIV/AIDS was closely correlated with attitudes and behaviour. Age was an important factor affecting HIV/AIDS-related knowledge, attitudes and behaviour. These findings suggest that increasing HIV/AIDS-related knowledge could improve the attitude and behaviour of migrant urban construction workers, enabling them to avoid high-risk behaviour that increases the spread of HIV/AIDS. Any intervention used will need to take the important factor of age into consideration.

Gaining Acceptance by Informing the People? Public Knowledge, Attitudes, and Acceptance of Transportation Policies

“…In the fields of environmental protection and public health, however, the relationship between knowledge and attitude has been widely measured. Many studies have proven that a strong and positive relationship exists between knowledge and attitude (Arcury 1990;Bradley, Waliczek, and Zajicek 1999;Qu et al 2009;Tolvanen et al 2012). Bradley, Waliczek, and Zajicek (1999) showed that students with higher environmental knowledge scores had more favorable environmental attitudes than students with lower knowledge scores, both before and after exposure to a 10-day environmental science course.…”

“…We use structural equation modeling (SEM) as the key modeling technique to analyze the complex relationship between different types of knowledge, attitudes, and acceptance, and control for socioeconomic variables. We measure people's subjective and reasoned knowledge, attitude, and acceptance via 5-point Likert scale indicators, and SEM has advantages in analyzing this kind of survey data (Qu et al 2009;Tolvanen et al 2012). First, SEM can diminish the impact of inevitable measurement errors in a survey (Kline 2015).…”

“…Researchers have found that environmental education increases awareness and environmentally responsible behaviors among junior high and high school students (Ramsey and Rickson 1976;Jaus 1984;Bradley, Waliczek, and Zajicek 1999). In most public health research, the relationship between knowledge and attitude is found to be significant (Kubar, Rodrigue, and Hoffmann 1995;Qu et al 2009;Tolvanen et al 2012;Lou and Chen 2009). Public Attitude and Acceptance of Transportation Policy Jaensirisak, Wardman, and May (2005) and Steg and Schuitema (2007) provide comprehensive reviews of research on the public acceptability of transport pricing.…”

“…Well-informed stakeholders are the basis for effective communicative planning or participatory planning (Innes 1998;Forester 1999). In the field of environmental protection and public health, many studies have established the strong positive relationship between knowledge and attitude (Arcury 1990;Bradley et al 1999;Qu et al 2009;Tolvanen et al 2012); consequently, the "knowledge-attitude-behavior" model has been applied in many real-world health promotions (Bettinghaus 1986). In the transportation field, many studies examining the relationship between acceptance and attitudinal factors have implied that better communication could increase acceptance (Buckeye and Munnich 2004;Dieplinger and Fürst 2014;Munnich and Loveland 2005;Schuitema, Steg, and Rothengatter 2010).…”

Influences of Migrant Construction Workers’ Environmental Risk Perception on Their Physical and Mental Health: Evidence from China

“…The construction industry has the dominant characteristics of being highly labor-intensive and requiring learning by doing, while it does not impose high requirements of education and professional skills for job candidates [ 14 ]. In this setting, the construction industry has become a common destination industry for migrant labor workers with low non-agricultural technical attainment [ 15 ]. The general traits of migrant construction workers include their mainly low educational level and their engagement in heavy labor and short-term work [ 16 , 17 ].…”