BMC Public Health
Volume 19, Issue 1, 2019

Understanding condom use among unmarried female migrants: A psychological and personality factors modified information-motivation-behavioral skills model (Article) (Open Access)

Shen Q. , Wang Y. , Wang Z. , Luo M. , Wang S. , Jiang X. , Yang Y. , Cai Y.* , Shang M.
  • a School of Public Health, School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, China
  • b Department of Hospital Infection Control, Ruijin Hospital, Affiliated with the School of Medicine Shanghai, Jiao Tong University, Shanghai, 200025, China; School of Public Health, School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, China
  • c School of Public Health, School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, China
  • d School of Public Health, School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, 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 School of Public Health, School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, China
  • i Sanlin Community Health Service Center, No.375, Sanlin Road, Shanghai, 200126, China

Abstract

Background: In China, unmarried female migrants are vulnerable to sexual and reproductive health risks. One effective protection strategy is promoting consistent condom use (CCU). Methods: We conducted a cross-sectional study to apply the information-motivation-behavioral skills (IMB) model and modified it by addition of psychological and personal factors to examine the related factors of CCU and provide suggestions for intervention among unmarried female migrants. Results: Of all 903 eligible participants, only 13.8% of participants reported CCU in the past six months. Both the IMB model and the modified IMB model provided acceptable fit to the data. In both models, information had no direct or indirect influence on CCU (p > 0.05). However, behavioral skills had a positive effect on CCU (β = 0.344, p < 0.001 and β = 0.330, p < 0.001). Moreover, motivation contributed to CCU indirectly by affecting behavioral skills (β = 0.800, p < 0.001) and had no direct influence (p > 0.05). In the modified model, psychological and personality factors influenced CCU directly (β = - 0.100, p = 0.005). Conclusions: Our results highlight the importance of conducting CCU promotion among unmarried female migrants. Future intervention strategies should focus on both the traditional IMB model constructs and the added psychological and personality factors. © 2019 The Author(s).

Author Keywords

migrant Woman health IMB model Condom use

Index Keywords

China social competence Models, Psychological psychological model sexual behavior Single Person single (marital status) Safe Sex motivation human condom Condoms Marital Status Cross-Sectional Studies condom use marriage Young Adult cross-sectional study migrant psychology Humans Adolescent female sexual health Health Knowledge, Attitudes, Practice women's health Article major clinical study adult migration human experiment Reproductive Health Personality skill Transients and Migrants Social Skills attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85061965349&doi=10.1186%2fs12889-019-6541-7&partnerID=40&md5=21ca599d913334b0a61a56e264a599ee
DOI: 10.1186/s12889-019-6541-7
ISSN: 14712458
Original Language: English