Social, psychological, and environmental-structural factors determine consistent condom use among rural-to-urban migrant female sex workers in Shanghai China

BMC Public Health

Research Article

Meili Shang¹  Tian Shen²  Yong Cai²  Bei Pei²  Xueqin Jiang²  Xiuxia Ye³ 

[1] Sanlin Community Sanitary Service Center, Pudong New Area, No. 375, Sanlin Road, 200126, Shanghai, P.R. China;School of Public Health affiliated with Shanghai Jiaotong University School of Medicine, No.227, South Chongqing Road, 200025, Shanghai, P.R. China;Shanghai Children’s Medical Center affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Children’s Environmental Health, No.1678, Dongfang Road, 200127, Shanghai, P.R. China;

关键词: Human Immunodeficiency Virus;    Human Immunodeficiency Virus Infection;    Consistent Condom;    Establishment Owner;    Massage Parlor;   

DOI  :  10.1186/1471-2458-12-599

 received in 2012-04-22, accepted in 2012-07-14,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundTo determine potential social, psychological, and environmental-structural factors that may result in motivating female sex workers (FSWs), who are rural-to-urban migrants, and their paying partners in Shanghai, China to promote consistent condom use (CCU).MethodsA cross-sectional study was conducted in five districts of Shanghai, including three suburbs and two downtown locales. We adopted a cluster randomized sampling method to obtain 20 geographic sites, which consisted of 1 or more communities/villages proximal to a location where FSWs were accessible. Five hundred four FSWs from 132 Xitou Fang (shampoo wash rooms), massage parlors, and hair salons who explicitly provided sexual services were enrolled in the study. Each participant completed a questionnaire survey and interview aimed to collect information on the perceptions and behaviors of individuals associated with a risk for human immunodeficiency virus/acquired immunodeficiency syndrome(HIV/AIDS),self-efficacy at negotiating safe sex,and the physical, social, and policy environment of the establishments where they worked.ResultsThe percentage of FSWs who reported consistent condom use with their paying partners was 63.3%. Controlling for socio-demographic characteristics in multivariate analyses, environmental-structural support (OR, 3.96; CI, 2.52–6.22) for condom use was the most significant positive predictor of CCU among FSWs and their regular paying partners. A high perception of susceptibility and risk of HIV/AIDS (OR, 1.96; CI, 1.25–3.01), a high perception of benefits on condom use to protect themselves (OR, 2.06; CI, 1.32–3.22), and high safe sex self-efficacy (OR, 2.52; CI, 1.64–3.85) also play important roles on CCU based on multivariate analyses.ConclusionsEnvironmental-structural factor support for condom use, in addition to social, psychological, and individual cognitive factors are significant predictors of CCU among FSWs, which should be assessed and addressed in research and interventions related to HIV/AIDS prevention among FSWs in China.

【 授权许可】

Unknown   
© Ye et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.