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Wang Y, Jia M, Yuan D, Liang A, Zhang Z, Jiang X, Chen Y, Zhu H, Luo M, Wang Z, Cai Y. Assessing consistent condom use among migrant men who have sex with men in Shanghai, China: validation of an information-motivation-behavioural skills model. BMC Infect Dis 2019; 19:462. [PMID: 31122201 PMCID: PMC6533705 DOI: 10.1186/s12879-019-4090-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Accepted: 05/14/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In China, high prevalence of risky sexual behaviours and inequity in health services lead to situations in which migrant men who have sex with men face higher risk of contracting the human immunodeficiency virus. Consistent condom use is a primary means of preventing HIV infection during anal sex among MSM. This study aimed to apply the information-motivation-behavioural skills model to examine the predictors of consistent condom use among migrant MSM in Shanghai, and tested the associations between model constructs. METHODS A cross-sectional study was conducted among 412 migrant MSM in Shanghai. Data on HIV-related information, motivation, behavioural skills, and behaviours were collected via structured questionnaires. A structural equation model was used to assess the IMB model. RESULTS Of the 412 participants, 4.4% reported HIV-positive status, and prevalence of consistent condom use in the previous 6 months was 44.9%. A restricted IMB model provided an acceptable fit to the data. Behavioural skills were found to directly predict consistent condom use (β = 0.629, P < 0.01). Neither information nor motivation could directly predict consistent condom use (P > 0.05), but motivation predicted it indirectly and was mediated by behavioural skills. CONCLUSION The prevalence of consistent condom use was found to be relatively low among migrant MSM in Shanghai. The restricted IMB model was found to be a good predictor of consistent condom use among them. The results of this study indicate that intervention strategies for safer sexual behaviour should not only include information dissemination, but also emphasize motivation and behavioural skills among this population.
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Affiliation(s)
- Ying Wang
- School of Public Health, affiliated with the School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, PR, China.
| | - Mengmeng Jia
- National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China
| | - Dong Yuan
- Shanghai Municipal Center for Disease Control and Prevention, Shanghai, 200336, China
| | - Ajuan Liang
- Renji Hospital, affiliated with the School of Medicine Shanghai Jiao Tong University, Shanghai, 200127, China
| | - Zhiruo Zhang
- School of Public Health, affiliated with the School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, PR, China
| | - Xueqin Jiang
- School of Public Health, affiliated with the School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, PR, China
| | - Yi Chen
- Shanghai Municipal Center for Disease Control and Prevention, Shanghai, 200336, China
| | - Huiyao Zhu
- Changning District Center for Disease Control and Prevention, Shanghai, 200051, China
| | - Mengyun Luo
- School of Public Health, affiliated with the School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, PR, China
| | - Zezhou Wang
- School of Public Health, affiliated with the School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, PR, China
| | - Yong Cai
- School of Public Health, affiliated with the School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, PR, China.
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Roy T, Anderson C, Evans C, Rahman MS, Rahman M. Cross-cultural adaptation of the short-form condom attitude scale: validity assessment in a sub-sample of rural-to-urban migrant workers in Bangladesh. BMC Public Health 2013; 13:240. [PMID: 23510383 PMCID: PMC3608159 DOI: 10.1186/1471-2458-13-240] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2011] [Accepted: 03/12/2013] [Indexed: 11/27/2022] Open
Abstract
Background The reliable and valid measurement of attitudes towards condom use are essential to assist efforts to design population specific interventions aimed at promoting positive attitude towards, and increased use of condoms. Although several studies, mostly in English speaking western world, have demonstrated the utility of condom attitude scales, very limited culturally relevant condom attitude measures have been developed till to date. We have developed a scale and evaluated its psychometric properties in a sub-sample of rural-to-urban migrant workers in Bangladesh. Methods This paper reports mostly on cross-sectional survey components of a mixed methods sexual health research in Bangladesh. The survey sample (n = 878) comprised rural-to-urban migrant taxi drivers (n = 437) and restaurant workers (n = 441) in Dhaka (aged 18–35 years). The study also involved focus group sessions with same populations to establish the content validity and cultural equivalency of the scale. The current scale was administered with a large sexual health survey questionnaire and consisted of 10 items. Quantitative and qualitative data were assessed with statistical and thematic analysis, respectively, and then presented. Results The participants found the scale simple and easy to understand and use. The internal consistency (α) of the scale was 0.89 with high construct validity (the first component accounted for about 52% of variance and second component about 20% of the total variance with an Eigen-value for both factors greater than one). The test-retest reliability (repeatability) was also found satisfactory with high inter-item correlations (the majority of the intra-class correlation coefficient values was above 2 and was significant for all items on the scale, p < 0.001). The 2-week repeatability assessed by the Pearson product–moment correlation coefficient was 0.75. Conclusion The results indicated that Bengali version of the scale have good metric properties for assessing attitudes toward condom use. Validated scale is a short, simple and reliable instrument for measuring attitudes towards condom use in vulnerable populations like current study sample. This culturally-customized scale can be used to monitor the progress of condom uptake and promotion activities in Bangladesh or similar settings.
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Affiliation(s)
- Tapash Roy
- Division of Social Research in Medicines and Health and School of Pharmacy, The University of Nottingham, Nottingham, UK.
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