Predictors of Condom Use Behaviour among Male Street Labourers in Urban Vietnam Using a Modified Information-Motivation-Behavioral Skills (IMB) Model

HIV risk in vulnerable groups such as itinerant male street labourers is often examined via a focus on individual determinants. This study provides a test of a modified Information-Motivation-Behavioral Skills (IMB) model to predict condom use behaviour among male street workers in urban Vietnam. 

In a cross-sectional survey using a social mapping technique, 450 male street labourers from 13 districts of Hanoi, Vietnam were recruited and interviewed. Collected data were first examined for completeness; structural equation modelling was then employed to test the model fit. Condoms were used inconsistently by many of these men, and usage varied in relation to a number of factors. A modified IMB model had a better fit than the original IMB model in predicting condom use behaviour. This modified model accounted for 49% of the variance, versus 10% by the original version. 

In the modified model, the influence of psychosocial factors was moderately high, whilst the influence of HIV prevention information, motivation and perceived behavioural skills was moderately low, explaining in part the limited level of condom use behaviour. 

This study provides insights into social factors that should be taken into account in public health planning to promote safer sexual behaviour among Asian male street labourers.

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By: Van Huy N1, P Dunne M2,3, Debattista J4.

• 1 Department of Health Management, Institute for Preventive Medicine and Public Health , Hanoi Medical University , Hanoi , Vietnam.
• 2 School of Public Health and Social Work, Faculty of Health , Queensland University of Technology , Brisbane , Australia.
• 3 Institute for Community Health Research , Hue University of Medicine and Pharmacy , Hue , Vietnam.
• 4 Metro North Public Health Unit , Metro North Hospital and Health Service , Brisbane , Australia 
• Cult Health Sex. 2016 Mar;18(3):321-36. doi: 10.1080/13691058.2015.1084375. Epub 2015 Sep 28. 

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“They See Us As Machines:” The Experience of Recent Immigrant Women in the Low Wage Informal Labor Sector

This study explores the organization of work and occupational health risk as elicited from recently immigrated women (n = 8) who have been in the US for less than three years and employed in informal work sectors such as cleaning and factory work in the greater Boston area in Massachusetts. Additional interviews (n = 8) with Community Key Informants with knowledge of this sector and representatives of temporary employment agencies in the area provides further context to the interviews conducted with recent immigrant women. 

These results were also compared with our immigrant occupational health survey, a large project that spawned this study. Responses from the study participants suggest health outcomes consistent with being a day-laborer scholarship, new immigrant women are especially at higher risk within these low wage informal work sectors. A difference in health experiences based on ethnicity and occupation was also observed. 

Low skilled temporary jobs are fashioned around meeting the job performance expectations of the employer; the worker’s needs are hardly addressed, resulting in low work standards, little worker protection and poor health outcomes. The rising prevalence of non-standard employment or informal labor sector requires that policies or labor market legislation be revised to meet the needs presented by these marginalized workers.

Below:  Framework of coding structures, which reflect the work-related experiences and health of immigrant women in informal work sectors

Full article at:  http://goo.gl/PLiZ9m

By:   

Bindu Panikkar

Rubenstein School of Environment and Natural Resources, University of Vermont, Burlington, VT, United States of America

Doug Brugge, Raymond R. Hyatt

Department of Public Health and Community Medicine, Tufts University, Boston, MA, United States of America

David M. Gute

Department of Civil and Environmental Engineering, Tufts University, Medford, MA, United States of America

 

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