BMC Infectious Diseases
Volume 19, Issue 1, 2019

Assessing consistent condom use among migrant men who have sex with men in Shanghai, China: Validation of an information-motivation-behavioural skills model (Article) (Open Access)

Wang Y.* , Jia M. , Yuan D. , Liang A. , Zhang Z. , Jiang X. , Chen Y. , Zhu H. , Luo M. , Wang Z. , Cai Y.
  • a School of Public Health, School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, China
  • b National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100021, China
  • c Shanghai Municipal Center for Disease Control and Prevention, Shanghai, 200336, China
  • d Renji Hospital, School of Medicine Shanghai Jiao Tong University, Shanghai, 200127, China
  • e School of Public Health, School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, China
  • f School of Public Health, School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, China
  • g Shanghai Municipal Center for Disease Control and Prevention, Shanghai, 200336, China
  • h Changning District Center for Disease Control and Prevention, Shanghai, 200051, China
  • i School of Public Health, School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, China
  • j School of Public Health, School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, China
  • k School of Public Health, School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, China

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. © 2019 The Author(s).

Author Keywords

Consistent condom use migrant Information-motivation-behavioural skills model Men who have sex with men

Index Keywords

China information dissemination HIV Infections sexual behavior Human immunodeficiency virus infection predictive value motivation Safe Sex human epidemiology validation study middle aged statistics and numerical data condom Condoms social support sexual transmission men who have sex with men Homosexuality, Male male homosexuality Cross-Sectional Studies Surveys and Questionnaires Young Adult condom use cross-sectional study migrant psychology Humans male risk factor questionnaire high risk population medical information theoretical model prevalence Health Knowledge, Attitudes, Practice Models, Theoretical Article infection prevention adult health education migration correlational study Transients and Migrants disease association structured questionnaire attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85066406013&doi=10.1186%2fs12879-019-4090-4&partnerID=40&md5=2810aa7006751b164640a4b49efb872f
DOI: 10.1186/s12879-019-4090-4
ISSN: 14712334
Original Language: English