Low Behavioral Intention to Use Any Type of HIV Testing and HIV Self-Testing among Migrant Male Factory Workers Who Are at High Risk of HIV Infection in China: A Secondary Data Analysis

Kechun Zhang, Paul Shing-fong Chan, Xinyue Li, Yuan Fang, Yong Cai, Huachun Zou, Bolin Cao, He Cao, Tian Hu, Yaqi Chen and Zixin Wang ()
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Kechun Zhang: Longhua District Center for Disease Control and Prevention, Shenzhen 518110, China
Paul Shing-fong Chan: Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
Xinyue Li: Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
Yuan Fang: Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong, China
Yong Cai: School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
Huachun Zou: School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China
Bolin Cao: School of Media and Communication, Shenzhen University, Shenzhen 518060, China
He Cao: Longhua District Center for Disease Control and Prevention, Shenzhen 518110, China
Tian Hu: Longhua District Center for Disease Control and Prevention, Shenzhen 518110, China
Yaqi Chen: Longhua District Center for Disease Control and Prevention, Shenzhen 518110, China
Zixin Wang: Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China

IJERPH, 2023, vol. 20, issue 6, 1-16

Abstract: This study investigated the prevalence of and factors associated with behavioral intention to take up any type of HIV testing and HIV self-testing (HIVST) in the next six months among male migrant workers, who were at high risk of HIV infection, in Shenzhen, China. This was a secondary data analysis. A total of 363 subjects who had sexual intercourse with non-regular female sex partners and/or female sex workers in the past six months were selected. Logistic regression models were fitted for data analysis. About 16.5% of participants reported having used HIV testing in their lifetime and 12.7% for HIVST. Among the participants, 25.6% and 23.7% intended to take up any type of HIV testing and HIVST in the next six months, respectively. Significant factors associated with the behavioral intention to take up HIV testing and HIVST included individual-level factors based of the Health Belief Model (e.g., perceived benefit, perceived cue to action, perceived self-efficacy) and interpersonal-level factors (e.g., frequency of exposure to health-related content or HIV and STI-related content on short video apps). This study provided practical implications for designing interventions to increase the uptake of HIV testing and HIVST among migrant workers.

Keywords: HIV testing; HIV self-testing; migrant workers; rural-to-urban migrants; high-risk sexual behavior; behavioral intention; Health Belief Model (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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