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