Factors impacting HIV testing among young sexually active women migrant workers in Vietnamese industrial zones.

Factors impacting HIV testing among young sexually active women migrant workers in Vietnamese industrial zones.
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DOI:
10.1186/s12889-023-16841-y
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发表时间:
2023-10-06
期刊:
影响因子:
4.5
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
作者:

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生活在低收入和中等收入国家的年轻移徙工人往往遇到障碍,无法充分获得艾滋病毒预防和治疗服务。本研究探讨艾滋病毒检测的流行率,相关因素,并获得和不获得艾滋病毒检测年轻的性活跃的女性移民工人在河内,越南的工业区的原因。对在越南河内升龙工业区工作的512名性活跃的年轻女性移民工人(18至29岁)进行了一项横断面研究。数据乃于二零二零年一月至二零二一年六月透过面对面访谈收集。采用多变量logistic回归分析探讨性活跃参与者中HIV检测相关因素。研究发现,艾滋病毒检测水平低,无保护性行为率高。在报告性活跃的人中,只有23.7%的参与者(n = 126)报告曾接受过艾滋病毒检测。在报告从未进行过艾滋病毒检测的人中,38.2%的人报告在最近的性行为中没有使用避孕套。参与艾滋病毒检测的相关因素包括年龄较大(25-29岁)、对艾滋病毒有更多的了解、过去使用过性健康和生殖健康及艾滋病毒服务以及熟悉艾滋病毒检测地点。总体而言,低水平的艾滋病毒检测,高比率的无保护性行为,以及低感知风险的研究参与者之间的艾滋病毒点,需要实施有针对性的艾滋病毒干预措施,可以改善安全的性行为和认知和知识有关的危险性行为。这些干预措施应利用本研究的深刻见解,解决便利工业区移徙女工进行艾滋病毒检测的因素。在线版本包含补充材料,可在10.1186/s12889-023-16841-y获得。
Young migrant workers living in low- and middle-income countries often experience barriers and inadequate access to HIV prevention and treatment services. This study examines the prevalence of HIV testing, associated factors, and reasons for obtaining and not obtaining HIV testing among young sexually active women migrant workers in an industrial zone in Hanoi, Vietnam. A cross-sectional study was conducted among 512 sexually active young women migrant workers (aged 18 to 29) working in the Thang Long industrial zone in Hanoi, Vietnam. Data was collected via a face-to-face interview from January 2020 to June 2021. Multivariable logistic regression analysis was used to explore factors associated with ever-testing for HIV among sexually active participants. The study found a low level of HIV testing and high rates of unprotected sex. Among those who reported being sexually active, only 23.7% of participants (n = 126) reported having ever been tested for HIV. Among those who reported never having tested for HIV, 38.2% reported not using condoms during their most recent sexual encounter. Factors associated with engaging in HIV testing included being older (25–29 years), having greater knowledge about HIV, past use of sexual and reproductive health and HIV services, and familiarity with HIV testing locations. Overall, a low level of HIV testing, high rates of unprotected sex, and low perceived risks regarding HIV among the study participants point to a need to implement targeted HIV interventions that can improve both safe sex practices and perceptions of and knowledge about risky sexual behaviors. Such interventions should use insights from this study to address factors facilitating HIV testing among industrial zones’ women migrant workers. The online version contains supplementary material available at 10.1186/s12889-023-16841-y.
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