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Wang J.,Shanghai Pudong Population and Family Planning Management Center | Yan S.,Pudong Health Bureau of Shanghai | Wang Y.,Shanghai JiaoTong University | Ma J.,Shanghai JiaoTong University | Cai Y.,Shanghai JiaoTong University
Journal of Shanghai Jiaotong University (Medical Science) | Year: 2013

Objective: To evaluate the effect of reproductive health intervention based on the Information-Motivation-Behavioral Skills model (IMB) among female migrants in Shanghai. Methods: A total of 200 female migrants from Pudong New Area were randomly recruited and divided into intervention group and control group, with 100 female migrants in each group, and questionnaire survey was conducted in two groups before intervention and 2 weeks after intervention. Reproductive health intervention based on IMB model was carried out in intervention group, which included reproductive health and acquired immune deficiency syndrome (AIDS) related information, motivation and behavior skills. Results: Ninety-six female migrants in intervention group and 92 female migrants in control group completed the questionnaire survey. After intervention, the score of reproductive health information increased from 9.12±1.91 to 12.22±1.51 in intervention group (P<0.05), the scores of knowledge of AIDS non-transmission, sexual transmitted infection and disease prevention by using condom significantly improved, more female migrants held the attitude against premarital sex and extramarital affair, and more agreed with condom use and discussion about condom use with sexual partner (P<0.05). The condom use rate increased from 35.0% to 53.1% in the recent sexual intercourse, and the consistent condom use rate in two weeks also improved from 8.0% to 27.1% in intervention group (P<0.05). Conclusion: The reproductive health intervention based on IMB model is effective, which may improve the reproductive health information, reduce high risk behavior motivation and improve the preventive behavior techniques among female migrants in Shanghai.


Zhang Z.,Shanghai JiaoTong University | Wang Y.,Shanghai JiaoTong University | Li R.,Shanghai JiaoTong University | Jia M.-M.,Shanghai JiaoTong University | And 3 more authors.
Journal of Shanghai Jiaotong University (Medical Science) | Year: 2015

Objective: To survey the condom usage of migrant construction workers when involved in commercial sex in Pudong New Area, Shanghai and analyze the influencing factors based on social cognitive theory. Methods: The cluster random sampling method was adopted and questionnaire surveys were carried out among 1 850 migrant construction workers from 3 randomly chosen construction sites. Univariate and multivariate Logistic regression analyses were used to explore social cognitive factors influencing the condom usage during commercial sex, including the knowledge of AIDS, self-efficacy, skills, and strategies of condom usage, psychosocial problems, and condom availability. Results: Among 1 850 migrant construction workers who finished the survey, 459 (24.8%) of them admitted having involved in commercial sex, which was relevant to residential location, income, and sexual orientation. Among those who had involved in commercial sex, only 51 (11.1%) of them used condoms each time. The univariate analysis showed that social cognitive factors such as cognition related to AIDS prevention, self-efficiency, skills, and strategies of condom usage, and condom availability were relevant to persistent condom usage (P<0.05). Cognition related to AIDS prevention (ORm=1.51, 95%CI=1.29-1.76), self-efficiency of condom usage (ORm=1.29, 95%CI=1.07-1.55), and condom availability (ORm=1.79, 95%CI=1.19-2.70) that determined the condom usage during commercial sex were screened by the multivariate Logistic stepwise regression analysis. Conclusion: There is a high prevalence of commercial sex involvement and relatively low proportion of condom usage among migrant construction workers in Pudong New Area, Shanghai. Education on cognition related to AIDS prevention, self-efficiency of condom usage, and condom availability should be enhanced for this population in order to decrease the risk of sexual transmitted diseases and AIDS infections. ©, 2015, Editorial Department of Journal of Shanghai Second Medical University. All right reserved.


Cai Y.,Shanghai JiaoTong University | Wang Y.,Shanghai JiaoTong University | Zheng Z.,Shanghai JiaoTong University | Wang J.,Shanghai Pudong Population and Family Planning Management Center | And 2 more authors.
PLoS ONE | Year: 2013

Background:Due to the increase of premarital sex and the lack of reproductive health services, unmarried rural-to-urban female migrants experience more risks of sex and reproductive health (SRH). This study was designed to describe SRH related knowledge, attitude and risk behaviors among unmarried rural-to-urban female migrants and examine the predictors of reducing sexual and reproductive risk behaviors based on information-motivation-behavioral skills (IMB) model and to describe the relationships between the constructs.Methods:We conducted a cross-sectional study to assess SRH related information, motivation, behavioral skills and preventive behaviors among unmarried rural-to-urban female migrants in Shanghai, one of the largest importers of migrant laborers in China. Structural equation modeling (SEM) was used to assess the IMB model.Results:A total of 944 subjects completed their questionnaires. The mean age was 21.2 years old (SD = 2.3; range 16 to 28). Over one-fourth of participants reported having had premarital sex (N = 261, 27.6%) and among whom 15.3% reported having had the experience of unintended pregnancy, 14.6% with the experience of abortion. The final IMB model provided acceptable fit to the data (CFI = 0.99, RMSEA = 0.034). Reducing sexual and reproductive risk behaviors was significantly predicted by SRH related information (β = 0.681, P<0.001) and behavioral skills(β = 0.239, P<0.001). Motivation (β = 0.479, P<0.001) was the significant indirect predictor of reducing sexual and reproductive risk behaviors mediated through behavioral skills.Conclusions:The results highlight the importance and necessity of conducting reproductive health promotion among unmarried rural-to-urban female migrants in China. The IMB model could be used to predict reducing sexual and reproductive risk behaviors and it suggests future interventions should focus on improving SRH related information and behavioral skills. © 2013 Cai et al.

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