Predictors of consistent condom use based on the Information-Motivation-Behavioral Skills (IMB) model among female sex workers in Jinan, China

Abstract

BackgroundFemale commercial sex workers (FSWs) are at high risk of human immunodeficiency virus (HIV) transmission in China. This study was designed to examine the predictors of condom use with clients during vaginal intercourse among FSWs based on the Information-Motivation-Behavioral Skills (IMB) model and to describe the relationships between IMB model constructs.MethodsA cross-sectional study was conducted in Jinan of Shandong Province, from May to October, 2009. Participants (N = 432) were recruited using Respondent-Driven Sampling (RDS). A self-administered questionnaire was used to collect data. Structural equation modeling was used to assess the IMB model.ResultsA total of 427 (98.8%) participants completed their questionnaires. Condom use was significantly predicted by social referents support, experiences with and attitudes toward condoms, self-efficacy, and health behaviors and condom use skills. Significant indirect predictors of condom use mediated through behavioral skills included HIV knowledge, social referents support, and substance use.ConclusionsThese results suggest that the IMB model could be used to predict condom use among Chinese FSWs. Further research is warranted to develop preventive interventions on the basis of the IMB model to promote condom use among FSWs in China.

Social Psychology and the Fight Against AIDS

“…Women completed a comprehensive survey that assessed the constructs of the IMB model, with HIV/AIDS prevention motivation measured through subcomponents including experiences with and attitudes toward condoms, social referents' support for condom use, motivation to comply with referent wishes (i.e., to peers', employers', and clients' wishes), and perceived risk of HIV and STIs; and behavioral skills being identified in terms of two separate subcomponents, condom use skills and self-efficacy for condom negotiation. Zhang et al's (2011) structural equation model results demonstrated that female sex workers' HIV/AIDS prevention information and HIV/AIDS prevention motivation (perceived social referent wishes, motivation to comply with referent wishes, and perceived risk of infection) were associated with the HIV/AIDS prevention behavioral skills subcomponents, which were in turn associated with safer sexual behavior (i.e., current use of condoms). Two motivational subcomponents, social referents' support and experiences with and attitudes toward condoms, also demonstrated significant direct associations with behavior.…”

“…supported by data collected from highly diverse populations that are of considerable relevance to the HIV epidemic, including, for example, men who have sex with men (MSM) (Fisher et al, 1994), adolescents (Fisher et al, 1999;Kalichman, Stein, et al, 2002;Robertson et al, 2006;Ybarra et al, 2013), university students (Bazargan et al, 2000(Bazargan et al, , 2010Fisher et al, 1994;Reis et al, 2013), low-income urban women , IDUs (Bryan et al, 2000), patients attending sexually transmitted infection (STI) clinics (Crosby et al, 2008;Kalichman et al, 2006;Mittal et al, 2012;Scott-Sheldon et al, 2010;Walsh et al, 2011), individuals with mental illness (Kalichman, Malow, et al, 2005), female commercial sex workers (Zhang et al, 2011), truck drivers (Bryan et al, 2001), and people living with HIV/AIDS (PLWH) . The propositions of the IMB model have received consistent empirical support in culturally and geographically diverse locations including Angola, Portugal, Malawi, and India, and multiple culturally and ethnically distinct settings in South Africa and the United States.…”

“…More recently, a test of the IMB model as it relates to sexual risk behavior was conducted with a sample of 432 female commercial sex workers in Jinan, China, who were recruited through respondent-driven sampling (Zhang et al, 2011). Women completed a comprehensive survey that assessed the constructs of the IMB model, with HIV/AIDS prevention motivation measured through subcomponents including experiences with and attitudes toward condoms, social referents' support for condom use, motivation to comply with referent wishes (i.e., to peers', employers', and clients' wishes), and perceived risk of HIV and STIs; and behavioral skills being identified in terms of two separate subcomponents, condom use skills and self-efficacy for condom negotiation.…”

Efficacy of multicomponent culturally tailored HIV/ STI prevention interventions targeting foreign female entertainment workers: a quasi-experimental trial

“…We applied GREEN’s PRECEDE-PROCEED framework17 to develop the intervention programme consisting of behavioural, biomedical and structural components with integration of the following: (i) providing HIV/STI knowledge and applying social cognitive theory to equip the FEWs with condom negotiation skills—the mediating factors in consistent condom use18 (ii) adaptation from previous successful educational interventions for brothel-based FSWs in Singapore19 and (iii) needs assessment studies described earlier.…”

Korelasi Pengetahuan, Kepuasan, Motivasi Dengan Konsistensi Pemakaian Kondom Pada Pelanggan WPS Di Sunan Kuning

“…Penelitian Ghys et al (2002) menunujukan Peningkatan penggunaan kondom dan penurunan prevalensi HIV infeksi dan penyakit menular seksual lainnya mungkin telah dihasilkan dari kampanye dan motivasi terhadap pekerja seks dan pelanggannya. Penelitian (Zhang et al, 2011) bahwa pelanggan selalu menolak jika memakai kondom ketika berhubungan seks oleh karena kondom mengurangi kenikmatan. Menurut hasil penelitian yang dilakukan oleh Ghimire et al (2011) bahwa hampir semua WPS mengungkapka bahwa klien menolak untuk menggunakan kondom untuk alasan mengurangi kenikmatan.…”