Condom use at last sex and associated factors among male migrant workers in a coastal area of Thanbyuzayat Township, Mon State, Myanmar

Main Article Content

Kyi Tun Lwin
Seo Ah Hong
Bang-on Thepthein

Abstract

Migrants have been considered at risk of acquiring and spreading HIV infection as bridging populations.
Condom use is considered an effective strategy in protecting against transmission of sexually transmitted
infections (STI), including HIV. Therefore, this study aimed to explore the prevalence and factors associated
with condom use at last sex among male migrant workers in a coastal area of Thanbyuzayat Township, Mon
State, Myanmar.


A community-based cross-sectional study was conducted from April to May 2018. A total of 420 male migrant workers of sexually active age (18-49 years) who had sex within the last 12 months were selected by cluster random sampling. The data were collected by a face-to-face interview with structured questionnaires. The questionnaires were developed according to social cognitive theory (SCT) consisting of three major components: socio-environmental factors, psycho-social factors and condom use behavior at last sex.


Prevalence of condom use at last sex was 21.2%. Younger age group (Adj OR=2.88, 95% CI =1.38-6.01), migrants from other regions (Adj OR=2.40, 95% CI=1.15-5.01), length of stay less than 1 year (Adj OR=2.40, 95% CI=1.31-4.40), not currently married or living with a partner (Adj OR=5.13, 95% CI =2.85-9.24), condom accessibility [Fair (Adj OR=2.42, 95%CI =1.08-5.40) and Easy (Adj OR=2.96, 95% CI=1.49-5.89)], poor knowledge about condom use (Adj OR=3.74, 95% CI =1.95-7.15) and positive partner expected outcomes (Adj OR=2.09, 95% CI =1.19-3.68) were associated with condom use at last sex. The key finding of this study suggests that provision of HIV service packages to migrant clusters, including condom distribution is needed.

Article Details

How to Cite
1.
Tun Lwin K, Hong SA, Thepthein B- on. Condom use at last sex and associated factors among male migrant workers in a coastal area of Thanbyuzayat Township, Mon State, Myanmar. J Public Hlth Dev [Internet]. 2019 Jun. 15 [cited 2024 Oct. 15];16(3):15-28. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/144040
Section
Original Articles
Author Biographies

Kyi Tun Lwin, ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom, Thailand

M.P.H.M., ASEAN Institute for Health Development, Mahidol University, Thailand
M.B.,B.S, No.249, Theinbyu Road, Mingalartaungnyunt, Yangon, Myanmar

Seo Ah Hong, ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom, Thailand

Ph.D., ASEAN Institute for Health Development, Mahidol University, Thailand

Bang-on Thepthein, ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom, Thailand

Ph.D., ASEAN Institute for Health Development, Mahidol University, Thailand

References

1. Ministry of Health and Sport. National Strategic Plan on HIV & AIDS, Myanmar. 2016-2020. Nay Pyi Taw, Myanmar: MOHS; 2016 [Cited 2017 Nov 11]. Available from https://www.aidsdatahub.org
2. NACO. Policy, strategy and operational plan – HIV interventions for migrants. New Delhi: Ministry of Health and Family Welfare, Government of India, 2010. Available from https://naco.gov.in/sites/default/files/MIGRANT_Operational_Guidelines.pdf
3. Bhattacharya G. Sociocultural and behavioral contexts of condom use in heterosexual married couples in India: challenges to the HIV prevention program. Health Education & Behavior. 2004;31(1):101-17.
4. NACO. Annual report 2013–2014. New Delhi: National AIDS Control Organization, Ministry of Health and Family Welfare, Government of India. Available from https://naco.gov.in/sites/default/files/NACO_English%202013-14.pdf
5. Bandura A. Health promotion from the perspective of social cognitive theory. Psychology and health. 1998 Jul 1;13(4): 623-49.
6. Wulfert E, Wan CK. Condom use: A self-efficacy model. Health Psychology. 1993;12(5):346-53.
7. Booth RE, Kwiatkowski CF, Chitwood DD. Sex related HIV risk behaviors: differential risks among injection drug users, crack smokers, and injection drug users who smoke crack. Drug and Alcohol Dependence. 2000;58(3):219-26.
8. Strathdee SA, Stockman JK. Epidemiology of HIV among injecting and non-injecting drug users: current trends and implications for interventions. Current HIV/AIDS Reports. 2010;7(2):99-106.
9. Kyaw.S.S. The relationship of substance used to behavior of HIV/AIDS among youth in Yangon, Myanmar. 2010. Thesis (M.P.H.M.), Salaya, Faculty of Graduate Studies, Mahidol University, 2010.
10. Census Atlas Myanmar Myanmar population and housing census. Nay Pyi Taw, Myanmar: Department of Population; 2014.
11. Aung HKK, Thepthein B-o, Chompikul J. Predictors of HIV preventive behaviors among migrants living in the transportation crossroads of Myawaddy Township, Myanmar. J Pub Health Dev.16(1):45-61.
12. Hu Y, Lu H, Raymond HF, Sun Y, Sun J, Jia Y, et al. Measures of condom and safer sex social norms and stigma towards HIV/AIDS among Beijing MSM. AIDS and Behavior. 2014;18(6):1068-74.
13. Bandura A. Health promotion from the perspective of social cognitive theory. Psychology and Health. 1998;13(4):623-49.
14. Adih WK, Alexander CS. Determinants of condom use to prevent HIV infection among youth in Ghana. Journal of Adolescent Health. 1999;24(1):63-72.
15. Harvey SM, Bird ST, Galavotti C, Duncan EA, Greenberg D. Relationship power, sexual decision making and condom use among women at risk for HIV/STDs. Women & Health. 2002;36(4):69-84.
16. Li H, Xue L, Tucker JD, Wei C, Durvasula M, Hu W, et al. Condom use peer norms and self-efficacy as mediators between community engagement and condom use among Chinese men who have sex with men. BMC Public Health. 2017;17(1):641-9
17. Ismael AS, Zangana JMS. Knowledge, attitudes and practice of condom use among males aged (15-49) years in Erbil Governorate. Global Journal of Health Science. 2012;4(4):27.
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: e006093. doi:10.1136/bmjopen-2014006093.
19. Frank D, DeBenedetti AF, Volk RJ, Williams EC, Kivlahan DR, Bradley KA. Effectiveness of the AUDIT-C as a screening test for alcohol misuse in three race/ethnic groups. Journal of General Internal Medicine. 2008;23(6):781-7.
20. Sharma B, Nam EW. Condom Use at Last Sexual Intercourse and Its Correlates among Males and Females Aged 15–49 Years in Nepal. International Journal of Environmental Research and Public Health. 2018;15(3):535-52
21. Ministry of Health and Sports, Myanmar. Myanmar National Demographic and Health Survey 2015-16. Nay Pyi Taw, Myanmar and Rockville, Maryland USA; March 2017.
22. Agha S. Factors associated with HIV testing and condom use in Mozambique: implications for programs. Reproductive Health. 2012;9(1):20-9
23. Kingbo MHKA. Association of Socio Demographic Characteristics with Condom Use at Last Sexual Intercourse Among Adults 15 To 49 Years Between Côte D’Ivoire And Senegal An Examination of Measure Demographic Health Survey Data 2005; 2013.