HIV risk behaviours among contracted and non-contracted male migrant workers in India: potential role of labour contractors and contractual systems in HIV prevention
HIV risk behaviours among contracted and non-contracted male migrant workers in India: potential role of labour contractors and contractual systems in HIV prevention
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DOI：
10.1097/01.aids.0000343771.75023.cc
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发表时间：
2008-12-01
期刊：
影响因子：
3.8
通讯作者：
Bharat, Shalini
中科院分区：
文献类型：
--
作者：
Saggurti, Niranjan;Verma, Ravi K.;Bharat, Shalini
目的：为了评估男性移民合同和非合同劳动者在印度的艾滋病毒风险行为，并了解合同劳动系统的作用，用于在艾滋病毒prevention efforts.Methods：横断面调查（N = 11 219）进行了男性移民工人，年龄18-49岁，从21个区在四个高艾滋病毒流行率的印度国家。分析涉及的数据从子样本的合同劳动力（n = 3880;总样本的35%），以评估艾滋病毒的危险行为和性传播感染（STI）的症状和进一步的比较与非合同laborers.Results：合同男工主要是年轻的，70%的年龄在18和29岁之间。一半以上（55%）已婚，三分之一（34%）因外出打工而与妻子分居。超过六分之一的合同工（17%）报告与性工作者发生性关系，其中五分之二报告不一致使用避孕套。十分之一的人报告说，在过去一年里，他们在移民地与性工作者和非配偶的无报酬女性伴侣发生性关系，31%的人报告说，在过去两年里，他们在原籍地与性工作者或非配偶的无报酬女性伴侣发生性关系。调整后的社会人口特征，合同工更有可能报告饮酒和艾滋病毒的危险行为比non-contracted laborers.Conclusion：存在一个广泛的网络的劳动承包商和结构化的基础设施的合同制度提供了机会，有效和持续的工作场所艾滋病毒预防方案之间的合同男性移徙工人在印度。(C)2008年威科健康|利平科特威廉姆斯&威尔金斯
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 = 11 219) 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. (C) 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins