Sexual Risk Behaviors, HIV Prevalence and Access to Reproductive Health Services Among Young Women Migrant Workers in the Industrial Zones in Vietnam.
Sexual Risk Behaviors, HIV Prevalence and Access to Reproductive Health Services Among Young Women Migrant Workers in the Industrial Zones in Vietnam.
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DOI：
10.3389/frph.2021.775375
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发表时间：
2021
影响因子：
--
通讯作者：
Nguyen, Nam
中科院分区：
文献类型：
--
作者：
Ha, Toan;Schensul, Stephen L.;Schensul, Jean J.;Nguyen, Trang;Nguyen, Nam
背景：在低收入和中等收入国家的工业区工作的年轻移徙工人面临感染艾滋病毒和其他性传播疾病的风险。这项研究调查了越南外来务工女工的性相关风险。材料和方法：这项横断面调查对1061名在越南河内IZ园区工作的年轻流动妇女进行了调查。多因素Logistic回归分析确定与HIV检测和最后一次性行为使用避孕套相关的因素。结果：共有1061名年轻外来务工女工完成了调查，其中652名参与者同意接受艾滋病病毒快速检测。除一名参与者外，所有参与者的检测均为阴性，表明在该人群中，艾滋病毒感染率为每10万人150人(95%可信区间：27-860)。在性行为、性健康和生殖健康服务的使用率、艾滋病毒知识、感知艾滋病毒风险或饮酒方面，接受艾滋病毒检测和未检测的人之间没有差异。单身参与者报告说，在住在IZ期间，第一次性行为的比率很高，在第一次性行为中安全套的使用率很高，然而，他们在最后一次性行为中使用安全套的水平很低。虽然大多数已婚参与者使用SRH/HIV服务，但报告发生性行为的单身参与者中，近80%自住在IZ以来从未使用过SRH/HIV服务。然而，单身参与者在最后一次性行为中使用避孕套的可能性是已婚参与者的4倍以上(OR=4.67；95%CI=2.96-7.85)。职业学校及以上学历的人群使用避孕套的概率较大(OR=2.19；95%CI=1.05~4.57)。HIV知识和酒精使用与避孕套的使用无关。结论：尽管越南青年女工的HIV感染率很低，但她们中的相当一部分人从事危险的性行为，在最后一次性行为中安全套使用率低，以及使用SRH/HIV服务的水平低，这表明需要制定干预措施，为未婚外来女工提供量身定制的和文化上合适的SRH教育，以预防危险的性行为、性传播疾病和意外怀孕。
Background: Young migrant workers working in the industrial zones (IZ) in low and middle-income countries are at risk for HIV and other sexually transmitted diseases. This study examines the sex-related risks of young women migrant workers in the IZ in Vietnam. Materials and Methods: This cross-sectional survey was conducted among 1,061 young migrant women working in the IZ park in Hanoi, Vietnam. Multivariate logistic regression analysis was used to identify factors associated with HIV testing and condom use at last sex. Results: A total of 1,061 young women migrant workers completed the survey in which 652 participants consented to take the initial rapid HIV test. All but one participant tested negative indicating a HIV prevalence of 150 (95% CI: 27–860) per 100,000 population among this population. There were no differences in sexual behavior, use of sexual and reproductive health services, HIV knowledge, perceived HIV risk or alcohol use between those who were HIV tested and those not tested. Single participants reported high rates of first sex while living in the IZ and high rates of condom use during the first-time sex, however, they had low levels of condom use at last sex. While the majority of married participants used the SRH/HIV services, nearly 80% of the single participants who reported having sex never used SRH/HIV services since living in the IZ. However, single participants were over 4 times more likely to use condoms at last sex compared to married participants (OR = 4.67; 95%CI = 2.96–7.85). Participants with vocational school or higher education was more likely to use condom (OR = 2.19; 95%CI = 1.05–4.57). Neither HIV knowledge or alcohol use were associated with condom use. Conclusions: Although HIV prevalence is very low among young women workers in the IZ in Vietnam, a significant number of them engaged in risky sexual behavior and low levels of condom use at last sex as well as low level of using SRH/HIV services highlights a need to develop interventions that provide tailored-made and cultural appropriate SRH education for unmarried female migrant workers to prevent risky sexual behaviors, sexually transmitted diseases and unwanted pregnancy.
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影响因子：
4.4
作者：
Ford, Kathleen;Chamrathrithirong, Aphichat
通讯作者：
Chamrathrithirong, Aphichat
影响因子：
1.8
作者：
Li, XM;Fang, XY;Stanton, B
通讯作者：
Stanton, B
DOI：
10.1097/qad.0000000000001150
发表时间：
2016-08-24
期刊：
AIDS (London, England)
影响因子：
--
作者：
Anglewicz P;VanLandingham M;Manda-Taylor L;Kohler HP
通讯作者：
Kohler HP
影响因子：
3.4
作者：
Kim le AT;Pham LT;Vu LH;Schelling E
通讯作者：
Schelling E
影响因子：
2.2
作者：
Lundberg, Pranee C.
通讯作者：
Lundberg, Pranee C.