Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Research article

Understanding condom use among unmarried female migrants: a psychological and personality factors modified information-motivation-behavioral skills model

Authors: Qiuming Shen, Yichen Wang, Zezhou Wang, Ying Wang, Mengyun Luo, Suping Wang, Xueqin Jiang, Yinghua Yang, Yong Cai, Meili Shang

Published in: BMC Public Health | Issue 1/2019

Login to get access

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.
Literature
1.
2.
Zeng J, Zou G, Song X, Ling L. Contraceptive practices and induced abortions status among internal migrant women in Guangzhou, China: a cross-sectional study. BMC Public Health. 2015;15:552.PubMedPubMedCentralCrossRef
3.
Nunn AJ, Wagner HU, Kamali A, Kengeya-Kayondo JF, Mulder DW. Migration and HIV-1 seroprevalence in a rural Ugandan population. AIDS (London, England). 1995;9(5):503–6.CrossRef
4.
Frati ER, Fasoli E, Martinelli M, Colzani D, Bianchi S, Carnelli L, et al. Sexually transmitted infections: a novel screening strategy for improving Women's health in vulnerable populations. Int J Mol Sci. 2017;18(6).
5.
6.
Zhao Y, Luo T, Tucker JD, Wong WC. Risk factors of HIV and other sexually transmitted infections in China: a systematic review of reviews. PLoS One. 2015;10(10):e0140426.PubMedPubMedCentralCrossRef
7.
Pinedo M, Burgos JL, Ojeda VD. A critical review of social and structural conditions that influence HIV risk among Mexican deportees. Microbes Infect. 2014;16(5):379–90.PubMedPubMedCentralCrossRef
8.
Yang X, Derlega VJ, Luo H. Migration, behaviour change and HIV/STD risks in China. AIDS Care. 2007;19(2):282–8.PubMedCrossRef
9.
Zhang L, Chow EP, Jahn HJ, Kraemer A, Wilson DP. High HIV prevalence and risk of infection among rural-to-urban migrants in various migration stages in China: a systematic review and meta-analysis. Sex Transm Dis. 2013;40(2):136.PubMedCrossRef
10.
Chan KW. The household registration system and migrant labor in China: notes on a debate. Popul Dev Rev. 2010;36(2):357–64.PubMedCrossRef
11.
Ying W, Wen Y, Shang M, Yong C, Rong S, Jin M, et al. Sexual and reproductive health among unmarried rural-urban female migrants in Shanghai China: a comparative analysis. Int J Environ Res Public Health. 2013;10(8):3578–89.CrossRef
12.
Cai Y, Wang Y, Zheng Z, Wang J, Yao W, Ma J. Predictors of reducing sexual and reproductive risk behaviors based on the information-motivation-behavioral skills (IMB) model among unmarried rural-to-urban female migrants in Shanghai, China. PloS one. 2013;8(4):e62787.PubMedPubMedCentralCrossRef
13.
Qian X, Tang S, Garner P. Unintended pregnancy and induced abortion among unmarried women in China: a systematic review. BMC Health Serv Res. 2004;1(1):4.
14.
Warner DL, Hatcher RA. A meta-analysis of condom effectiveness in reducing sexually transmitted HIV. Soc Sci Med. 1994;38(8):1169–70.PubMedCrossRef
15.
Sudhinaraset M, Astone N, Blum RW. Migration and unprotected sex in Shanghai, China: correlates of condom use and contraceptive consistency across migrant and nonmigrant youth. J Adolesc Health. 2012;50(3):S68–74.PubMedPubMedCentralCrossRef
16.
Zhao JZ, Song FJ, Ren SH, Wang Y, Wang L, Liu W, et al. Predictors of condom use behaviors based on the health belief model (HBM) among female sex workers: a cross-sectional study in Hubei Province. China. PloS one. 2012;7(11).
17.
Edem CU, Harvey SM. Use of health belief model to predict condom use among university students in Nigeria. International Quarterly of Community Health Education. 1995;15(1):3.CrossRef
18.
Snead MC, O'Leary AM, Mandel MG, Kourtis AP, Wiener J, Jamieson DJ, et al. Relationship between social cognitive theory constructs and self-reported condom use: assessment of behaviour in a subgroup of the safe in the City trial. BMJ Open. 2014;4(12).
19.
Bosompra K. Determinants of condom use intentions of university students in Ghana: an application of the theory of reasoned action. Soc Sci Med. 2001;52(7):1057–69.PubMedCrossRef
20.
Munoz-Silva A, Sanchez-Garcia M, Nunes C, Martins A. Gender differences in condom use prediction with theory of reasoned action and planned behaviour: the role of self-efficacy and control. Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv. 2007;19(9):1177–81.
21.
Fisher JD, Fisher WA, Williams SS, Malloy TE. Empirical tests of an information-motivation-behavioral skills model of AIDS-preventive behavior with gay men and heterosexual university students. Health Psychol. 1994;13(3):238–50.PubMedCrossRef
22.
23.
Fisher JD, Fisher WA, Misovich SJ, Kimble DL, Malloy TE. Changing AIDS risk behavior: effects of an intervention emphasizing AIDS risk reduction information, motivation, and behavioral skills in a college student population. Health Psychol. 1996;15(2):114–23.PubMedCrossRef
24.
Van Huy N, M PD, Debattista J. Predictors of condom use behaviour among male street labourers in urban Vietnam using a modified information-motivation-behavioral skills (IMB) model. Culture, health & sexuality. 2016;18(3):321–36.CrossRef
25.
Liu Z, Wei P, Huang M, Liu Y, Li L, Gong X, et al. Determinants of consistent condom use among college students in China: application of the information-motivation-behavior skills (IMB) model. PLoS One. 2014;9(9):e108976.PubMedPubMedCentralCrossRef
26.
Cai Y, Ye X, Shi R, Xu G, Shen L, Ren J, et al. Predictors of consistent condom use based on the information-motivation-behavior skill (IMB) model among senior high school students in three coastal cities in China. BMC Infect Dis. 2013;13:262.PubMedPubMedCentralCrossRef
27.
Zhang H, Liao M, Nie X, Pan R, Wang C, Ruan S, et al. Predictors of consistent condom use based on the information-motivation-behavioral skills (IMB) model among female sex workers in Jinan, China. BMC Public Health. 2011;11:113.PubMedPubMedCentralCrossRef
28.
Zhong B, Xu Y, Jin D, Zou X, Liu T. Prevalence and correlates of loneliness among Chinese service industry migrant workers: a cross-sectional survey. Medicine. 2016;95(24):e3903.PubMedPubMedCentralCrossRef
29.
Munoz-Laboy M, Hirsch JS, Quispe-Lazaro A. Loneliness as a sexual risk factor for male Mexican migrant workers. Am J Public Health. 2009;99(5):802–10.PubMedPubMedCentralCrossRef
30.
Rommel A, Sass AC, Born S, Ellert U. Health status of people with a migrant background and impact of socio-economic factors: first results of the German health interview and examination survey for adults (DEGS1). Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz. 2015;58(6):543–52.PubMedCrossRef
31.
Kerkenaar MM, Maier M, Kutalek R, Lagro-Janssen AL, Ristl R, Pichlhofer O. Depression and anxiety among migrants in Austria: a population based study of prevalence and utilization of health care services. J Affect Disord. 2013;151(1):220–8.PubMedCrossRef
32.
Sieberer M, Maksimovic S, Ersoz B, Machleidt W, Ziegenbein M, Calliess IT. Depressive symptoms in first-and second-generation migrants: a cross-sectional study of a multi-ethnic working population. The International journal of social psychiatry. 2012;58(6):605–13.PubMedCrossRef
33.
Nakash O, Nagar M, Shoshani A, Zubida H, Harper RA. The effect of acculturation and discrimination on mental health symptoms and risk behaviors among adolescent migrants in Israel. Cultural diversity & ethnic minority psychology. 2012;18(3):228–38.CrossRef
34.
Altinyelken HK. Migration and self-esteem: a qualitative study among internal migrant girls in Turkey. Adolescence. 2009;44(173):149–63.PubMed
35.
Hubach RD, Dodge B, Li MJ, Schick V, Herbenick D, Ramos WD, et al. Loneliness, HIV-related stigma, and condom use among a predominantly rural sample of HIV-positive men who have sex with men (MSM). AIDS education and prevention : official publication of the International Society for AIDS Education. 2015;27(1):72–83.CrossRef
36.
Golub SA, Tomassilli JC, Pantalone DW, Brennan M, Karpiak SE, Parsons JT. Prevalence and correlates of sexual behavior and risk management among HIV-positive adults over 50. Sex Transm Dis. 2010;37(10):615–20.PubMed
37.
Coleman CL. Correlates of condom use among substance using older seropositive MSM: implications for mental health practice. Issues in mental health nursing. 2016;37(10):727–33.PubMedCrossRef
38.
Harper GW, Wade RM, Onyango DP, Abuor PA, Bauermeister JA, Odero WW et al. Resilience among gay/bisexual young men in Western Kenya: psychosocial and sexual health outcomes. AIDS (London, England) 2015, 29 Suppl 3:S261–269.
39.
Deuba K, Ekström AM, Shrestha R, Ionita G, Bhatta L, Karki DK. Psychosocial health problems associated with increased HIV risk behavior among men who have sex with men in Nepal: a cross-sectional survey. PLoS One. 2013;8(3):e58099.PubMedPubMedCentralCrossRef
40.
Nehl EJ, Klein H, Sterk CE, Elifson KW. Prediction of HIV sexual risk behaviors among disadvantaged African American adults using a Syndemic conceptual framework. AIDS Behav. 2016;20(2):449–60.PubMedPubMedCentralCrossRef
41.
Sterk CE, Klein H, Elifson KW. Self-esteem and "at risk" women:determinants and relevance to sexual and HIV-related risk behaviors. Women & health. 2004;40(4):75–92.CrossRef
42.
43.
Sterk CE, Klein H, Elifson KW. Perceived condom use self-efficacy among at-risk women. AIDS Behav. 2003;7(2):175–82.PubMedCrossRef
44.
De Santis JP, Colin JM, Provencio Vasquez E, McCain GC. The relationship of depressive symptoms, self-esteem, and sexual behaviors in a predominantly Hispanic sample of men who have sex with men. Am J Mens Health. 2008;2(4):314–21.PubMedCrossRef
45.
Yang H, Li X, Stanton B, Fang X, Lin D, Mao R, et al. Workplace and HIV-related sexual behaviours and perceptions among female migrant workers. AIDS Care. 2005;17(7):819–33.PubMedPubMedCentralCrossRef
46.
Carey MP, Schroder KE. Development and psychometric evaluation of the brief HIV knowledge questionnaire. AIDS education and prevention : official publication of the International Society for AIDS Education. 2002;14(2):172–82.CrossRef
47.
Noar SM, Morokoff PJ, Harlow LL. Condom negotiation in heterosexually active men and women: development and validation of a condom influence strategy questionnaire. Psychol Health. 2002;17(6):711–35.CrossRef
48.
Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRef
49.
Rosenberg M. Society and the adolescent self-image (rev. ed.): Princeton University Press; 2015.
50.
Rosenberg M. Society and the adolescent self-image: Princeton University Press; 1965.
51.
52.
Tabachnick B, Fidell L. Using Multivariate Statistics: Pearson new international edition CourseSmart eTextbook. In: Pearson Schweiz Ag; 2013.
53.
Kline RB. Principles and Practice of structural equation modeling. 3rd ed: Guilford Press; 2015.
54.
McDonald RP, Ho MH. Principles and practice in reporting structural equation analyses. Psychol Methods. 2002;7(1):64–82.PubMedCrossRef
55.
Hayes AF. Beyond baron and Kenny: statistical mediation analysis in the new millennium. Commun Monogr. 2009;76(4):408–20.CrossRef
56.
He D, Zhou Y, Ji N, Wu S, Wang Z, Decat P, et al. Study on sexual and reproductive health behaviors of unmarried female migrants in China. J Obstet Gynaecol Res. 2012;38(4):632–8.PubMedCrossRef
57.
Espada JP, Morales A, Guillen-Riquelme A, Ballester R, Orgiles M. Predicting condom use in adolescents: a test of three socio-cognitive models using a structural equation modeling approach. BMC Public Health. 2016;16:35.PubMedPubMedCentralCrossRef
58.
Ybarra ML, Korchmaros J, Kiwanuka J, Bangsberg DR, Bull S. Examining the applicability of the IMB model in predicting condom use among sexually active secondary school students in Mbarara, Uganda. AIDS Behav. 2013;17(3):1116–28.PubMedPubMedCentralCrossRef
59.
Anderson ES, Wagstaff DA, Heckman TG, Winett RA, Roffman RA, Solomon LJ, et al. Information-motivation-behavioral skills (IMB) model: testing direct and mediated treatment effects on condom use among women in low-income housing. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine. 2006;31(1):70–9.CrossRef
60.
Fisher JD, Misovich SJ. Evolution of college students' AIDS-related behavioral responses, attitudes, knowledge, and fear. AIDS education and prevention : official publication of the International Society for AIDS Education. 1990;2(4):322–37.
61.
Jill JG, Montgomery SB, Emmons C-A, Kessler RC, Ostrow DG, Wortman CB, et al. Magnitude and determinants of behavioral risk reduction: longitudinal analysis of a cohort at risk for AIDS. Psychol Health. 1987;1(1):73–95.CrossRef
62.
Harman JJ, Amico KR. The relationship-oriented information-motivation-behavioral skills model: a multilevel structural equation model among dyads. AIDS Behav. 2009;13(2):173–84.PubMedCrossRef
63.
Elmerstig E, Wijma B, Swahnberg K. Prioritizing the partner's enjoyment: a population-based study on young Swedish women with experience of pain during vaginal intercourse. J Psychosom Obstet Gynaecol. 2013;34(2):82–9.PubMedCrossRef
64.
Blanc AK. The effect of power in sexual relationships on sexual and reproductive health: an examination of the evidence. Stud Fam Plan. 2001;32(3):189–213.CrossRef
65.
Gutiérrez L, Oh HJ, Gillmore MR. Toward an understanding of (Em)power(Ment) for HIV/AIDS prevention with adolescent women. Sex Roles. 2000;42(7–8):581–611.CrossRef
66.
Coleman CL. Correlates of condom use among substance using older seropositive MSM: implications for mental health practice. Issues in mental health nursing. 2016;1.
67.
De Santis JP, Colin JM, Provencio VE, Mccain GC. The relationship of depressive symptoms, self-esteem, and sexual behaviors in a predominantly Hispanic sample of men who have sex with men. Am J Mens Health. 2008;2(4):314.PubMedCrossRef
Metadata
Title
Understanding condom use among unmarried female migrants: a psychological and personality factors modified information-motivation-behavioral skills model
Authors
Qiuming Shen
Yichen Wang
Zezhou Wang
Ying Wang
Mengyun Luo
Suping Wang
Xueqin Jiang
Yinghua Yang
Yong Cai
Meili Shang
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-6541-7

Other articles of this Issue 1/2019

BMC Public Health 1/2019 Go to the issue

Study protocol

Improving office workers’ mental health and cognition: a 3-arm cluster randomized controlled trial targeting physical activity and sedentary behavior in multi-component interventions

Research article

Association between the food and physical activity environment, obesity, and cardiovascular health across Maine counties

Research article

Reliability of a new measure to assess modern screen time in adults

Research article

Hospital discharges-based search of acute flaccid paralysis cases 2007–2016 in Italy and comparison with the National Surveillance System for monitoring the risk of polio reintroduction

Research article

The association between anthropometric measures and glycated haemoglobin (HbA1c) is different in Russian, Somali and Kurdish origin migrants compared with the general population in Finland: a cross-sectional population-based study

Research article

Students and brides: a qualitative analysis of the relationship between girls’ education and early marriage in Ethiopia and India