Journal of Postgraduate Medicine
Volume 60, Issue 3, 2014, Pages 276-281

Influence of alcohol on condom use pattern during non-spousal sexual encounter in male migrant workers in north India (Article) (Open Access)

Rizwan S. , Kant S. , Goswami K. , Rai S. , Misra P.
  • a Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
  • b Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
  • c Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
  • d Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
  • e Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India

Abstract

Context: Migrant workers constitute an important risk group for Human Immunodeficiency Virus/Acquired Immuno-Deficiency Syndrome transmission in India. Alcohol consumption before sexual intercourse has been postulated to influence condom use practices. This study aimed to assess this association with regard to non-spousal sexual encounters among male migrant workers in northern India. Materials and Methods: A cross-sectional facility-based survey was conducted in 2011. Male migrant workers aged ≥18 years, who were born outside Haryana, who had moved to the current location after 15 years of age,had worked in the current factory for at least 1 year, who were willing to participate and were able to give written, informed consent were included in the study. A consecutive sampling was performed. Descriptive, bivariate and multiple logistic regression analyses were carried out. Results: A total of 162 participants reported having experienced non-spousal sexual encounters in the last 1 year. The proportion of men who reported not having used a condom at their last non-spousal sexual encounter was 59.3%, and 78.4% of the men reported having consumed alcohol in the last 1 year. About 48.1% of men reported having consumed alcohol before their last non-spousal sexual encounter. Men who consumed alcohol were three times more likely to not use a condom at their last non-spousal sexual encounter (OR = 3.1, 95% CI: 1.5-6.4). This association persisted even after adjusting for relevant confounders. Conclusion: Alcohol consumption had a negative influence on condom use during non-spousal sexual encounter among male migrant workers. An integrated approach to promote condom use and reduce alcohol consumption among migrant men needs to be undertaken through targeted intervention strategies.

Author Keywords

India Condom use Alcohol male migrants non-spousal sex HIV/AIDS risk behavior

Index Keywords

personal experience urban population urban area Alcohol Drinking sexual behavior drinking behavior India alcohol consumption human epidemiology middle aged statistics and numerical data condom Condoms alcohol Logistic Models ethnology Cross-Sectional Studies interview condom use informed consent migrant worker cross-sectional study Humans Interviews as Topic male Health Knowledge, Attitudes, Practice Article adult migration utilization normal human statistical model Transients and Migrants attitude to health non spousal sexual encounter

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84907028482&doi=10.4103%2f0022-3859.138752&partnerID=40&md5=9cda9faaa536065866507d1ab008241a

DOI: 10.4103/0022-3859.138752
ISSN: 00223859
Cited by: 4
Original Language: English