AIDS
Volume 22, Issue SUPPL. 5, 2008, Pages S127-S136

HIV risk behaviours among contracted and non-contracted male migrant workers in India: Potential role of labour contractors and contractual systems in HIV prevention (Article)

Saggurti N.* , Verma R.K. , Jain A. , Ramarao S. , Anil Kumar K. , Subbiah A. , Modugu H.R. , Halli S. , Bharat S.
  • a HIV and AIDS Programme, Population Council, New Delhi, India, Population Council, 142 Golf Links, New Delhi 110 003, India
  • b International Center for Research on Women, New Delhi, India
  • c Population Council, New York, United States
  • d Population Council, New York, United States
  • e School of Health Systems, Tata Institute of Social Sciences, Mumbai, India
  • f Department of Population Studies, Annamalai University, Tamil Nadu, India
  • g TNS India Private Limited, New Delhi, India
  • h Karnataka Health Promotion Trust, Bangalore, India
  • i International Center for Research on Women, New Delhi, India

Abstract

Objective(s): To assess the HIV risk behaviours of male migrant contracted and non-contracted labourers in India and to understand the role of contract labour systems for use in HIV prevention efforts. Methods: Cross-sectional surveys (N =11219) were conducted with male migrant workers, aged 18-49 years from 21 districts in four high HIV prevalence states of India. Analyses involved data from the subsample of contracted labour (n = 3880; 35% of total sample) to assess the prevalence of HIV risk behaviours and sexually transmitted infection (STI) symptoms and further comparisons with non-contracted labourers. Results: Contracted male labourers are largely young; 70% were between the ages of 18 and 29 years. Over half (55%) were married, and a third (34%) resided away from their wives because of migrant work. More than one in six contract labourers (17%) reported having sex with a sex worker, and two-fifths of these reported an inconsistent use of condoms. One in 10 reported sex with both sex workers and non-spousal unpaid female partners in the past year in the places they had migrated to, and 31 % reported sex with either a sex worker or non-spousal unpaid female partner in their places of origin over the past 2 years. After adjustment for sociodemographic characteristics, the contracted labourers were significantly more likely to report alcohol use and HIV risk behaviours than non-contracted labourers. Conclusion: The existence of a wide network of labour contractors and a structured infrastructure of the contract system provides opportunities for effective and sustained worksite HIV prevention programmes among contracted male migrant workers in India. © 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins.

Author Keywords

Contract system Risk behaviours Migration India mobility HIV prevention

Index Keywords

HIV Infections Alcohol Drinking sexual behavior Human immunodeficiency virus infection India alcohol consumption demography human middle aged condom Condoms controlled study priority journal geographic distribution Epidemiologic Methods manual labor Human immunodeficiency virus prevalence Unsafe Sex sexually transmitted disease Contract Services Young Adult migrant worker Humans Adolescent male Socioeconomic Factors socioeconomics prostitution Article high risk behavior infection control Risk-Taking infection prevention major clinical study adult infection risk age distribution Transients and Migrants health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-58849145207&doi=10.1097%2f01.aids.0000343771.75023.cc&partnerID=40&md5=377265f6c8f35c80335941a6b05cf660
DOI: 10.1097/01.aids.0000343771.75023.cc
ISSN: 02699370
Cited by: 55
Original Language: English