AIDS and Behavior
2019

Barriers and Facilitators of Rapid HIV and Syphilis Testing Uptake Among Filipino Transnational Migrants in China (Article)

Hall B.J.* , Yang X. , Huang L. , Yi G. , Chan E.W.W. , Tucker J.D. , Latkin C.A.
  • a Global and Community Mental Health Research Group, Department of Psychology, Faculty of Social Sciences (E21), The University of Macau, Avenida da Universidade, Taipa, Macau, Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
  • b Global and Community Mental Health Research Group, Department of Psychology, Faculty of Social Sciences (E21), The University of Macau, Avenida da Universidade, Taipa, Macau
  • c Global and Community Mental Health Research Group, Department of Psychology, Faculty of Social Sciences (E21), The University of Macau, Avenida da Universidade, Taipa, Macau
  • d Global and Community Mental Health Research Group, Department of Psychology, Faculty of Social Sciences (E21), The University of Macau, Avenida da Universidade, Taipa, Macau, Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
  • e Global and Community Mental Health Research Group, Department of Psychology, Faculty of Social Sciences (E21), The University of Macau, Avenida da Universidade, Taipa, Macau
  • f Institute of Global Health and Infectious Disease, University of North Carolina, Chapel Hill, United States, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom
  • g Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States

Abstract

Transnational migrant workers are known to be at high risk for HIV/STIs. This study estimated the point prevalence of HIV/syphilis and examined correlates of HIV/syphilis testing uptake among female migrant domestic workers in Macao, China. Data was obtained from 1363 female Filipino domestic workers who were offered free rapid HIV and syphilis testing. A mixed methods analysis was undertaken to examine correlates of testing and themes about reasons for not testing. Among 1164 women tested, there were no cases of HIV/syphilis observed and 199 (14.6%) refused HIV/syphilis testing. Greater social integration (aOR 1.12; 95% CI 1.02–1.24), having more than one sexual partner (aOR 1.65; 95% CI 1.02–2.65), and longer working hours on the testing day (aOR 0.97; 95% CI 0.94–1.00), were associated with testing uptake. Among those who tested, the majority (> 70%) had never tested before, suggesting the need to improve testing outreach. Qualitative themes about reasons for not testing included low perceived need and insufficient time. Individual and structural testing barriers should be reduced to optimize HIV/STI testing in migrant populations. © 2019, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Testing uptake HIV transnational migrants Women’s health

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062792677&doi=10.1007%2fs10461-019-02449-0&partnerID=40&md5=cb387346087551993d420e5bf0ba0330
DOI: 10.1007/s10461-019-02449-0
ISSN: 10907165
Cited by: 1
Original Language: English