Social Influence and Individual Risk Factors of HIV Unsafe Sex Among Female Entertainment Workers in China

Overview

Journal AIDS Educ Prev

Specialties Infectious Diseases
Medical Education

Date 2010 Feb 20

PMID 20166789

Citations 32

Authors

Xiushi Yang

Guomei Xia

Xiaoming Li

Carl Latkin

David Celentano

Affiliations

Soon will be listed here.

Abstract

Female entertainment workers in China are at increased sexual risk of HIV, but causes of their unprotected sex remain poorly understood. We develop a model that integrates information-motivation-behavioral skills (IMB) with social influences and test the model in a venue-based sample of 732 female entertainment workers in Shanghai. Most IMB and social influence measures are statistically significant in bivariate relationships to condom use; only HIV prevention motivation and behavioral self-efficacy remain significant in the multiple regressions. Self-efficacy in condom use is the most proximate correlate, mediating the relationship between information and motivation and condom use. Both peer and venue supports are important, but their influences over condom use are indirect and mediated through prevention motivation and/or self-efficacy. Behavioral intervention is urgently needed and should take a multilevel approach, emphasizing behavioral skills training and promoting a supportive social/working environment.

Citing Articles

Evidence and gap map report: Social and Behavior Change Communication (SBCC) interventions for strengthening HIV prevention and research among adolescent girls and young women (AGYW) in low- and middle-income countries (LMICs).

Bose D, Hundal A, Singh S, Singh S, Seth K, Ul Hadi S Campbell Syst Rev. 2023; 19(1):e1297.

PMID: 36911864 PMC: 9831290. DOI: 10.1002/cl2.1297.

The importance of information, motivation, and behavioral skills (IMB): Healthcare provider perspectives on improving adherence to cervical cancer screening among at-risk women.

Wells A, Allen-Brown V, Alam N, Skulski C, Jackson A, Herzog T Public Health Pract (Oxf). 2022; 2:100079.

PMID: 36101626 PMC: 9461580. DOI: 10.1016/j.puhip.2021.100079.

Characteristics of low-tier female sex workers who engage in commercial sex with old male clients in Zhejiang province, China: a cross-sectional study.

Jiang T, Pan X, Ma Q, Jiang J, Chen L, Wang H BMJ Open. 2021; 11(11):e049410.

PMID: 34785548 PMC: 8596047. DOI: 10.1136/bmjopen-2021-049410.

Cultural and religious determinants of HIV transmission: A qualitative study with people living with HIV in Belu and Yogyakarta, Indonesia.

Fauk N, Ward P, Hawke K, Mwanri L PLoS One. 2021; 16(11):e0257906.

PMID: 34780506 PMC: 8592403. DOI: 10.1371/journal.pone.0257906.

Social Support Associated with Condom Use Behavior Among Female Sex Workers in Iran.

Shushtari Z, Mirzazadeh A, SeyedAlinaghi S, Hosseini S, Sajjadi H, Salimi Y Int J Behav Med. 2021; 29(3):321-333.

PMID: 34476736 PMC: 8412856. DOI: 10.1007/s12529-021-10017-x.

References

Lau J, Tsui H, Siah P, Zhang K . A study on female sex workers in southern China (Shenzhen): HIV-related knowledge, condom use and STD history. AIDS Care. 2002; 14(2):219-33. DOI: 10.1080/09540120220104721. View

Lin K, McElmurry B, Christiansen C . Women and HIV/AIDS in China: gender and vulnerability. Health Care Women Int. 2007; 28(8):680-99. DOI: 10.1080/07399330701465010. View

Turmen T . Gender and HIV/AIDS. Int J Gynaecol Obstet. 2003; 82(3):411-8. DOI: 10.1016/s0020-7292(03)00202-9. View

Kerrigan D, Ellen J, Moreno L, Rosario S, Katz J, Celentano D . Environmental-structural factors significantly associated with consistent condom use among female sex workers in the Dominican Republic. AIDS. 2003; 17(3):415-23. DOI: 10.1097/00002030-200302140-00016. View

Kalichman S, Picciano J, Roffman R . Motivation to reduce HIV risk behaviors in the context of the Information, Motivation and Behavioral Skills (IMB) model of HIV prevention. J Health Psychol. 2008; 13(5):680-9. DOI: 10.1177/1359105307082456. View

Chapman J, Estcourt C, Hua Z . Saving 'face' and 'othering': getting to the root of barriers to condom use among Chinese female sex workers. Sex Health. 2008; 5(3):291-8. DOI: 10.1071/sh07057. View

Lemieux A, Fisher J, Pratto F . A music-based HIV prevention intervention for urban adolescents. Health Psychol. 2008; 27(3):349-57. DOI: 10.1037/0278-6133.27.3.349. View

Carey M, Vanable P, Senn T, Coury-Doniger P, Urban M . Evaluating a two-step approach to sexual risk reduction in a publicly-funded STI clinic: rationale, design, and baseline data from the Health Improvement Project-Rochester (HIP-R). Contemp Clin Trials. 2008; 29(4):569-86. PMC: 2575011. DOI: 10.1016/j.cct.2008.02.001. View

Morrison-Beedy D, Carey M, Aronowitz T . Psychosocial correlates of HIV risk behavior in adolescent girls. J Obstet Gynecol Neonatal Nurs. 2003; 32(1):94-101. DOI: 10.1177/0884217502239806. View

10.

Fisher J . Possible effects of reference group-based social influence on AIDS-risk behavior and AIDS prevention. Am Psychol. 1988; 43(11):914-20. DOI: 10.1037//0003-066x.43.11.914. View

11.

Basu I, Jana S, Rotheram-Borus M, Swendeman D, Lee S, Newman P . HIV prevention among sex workers in India. J Acquir Immune Defic Syndr. 2004; 36(3):845-52. PMC: 2826108. DOI: 10.1097/00126334-200407010-00012. View

12.

Svenson G, Ostergren P, Merlo J, Rastam L . Action control and situational risks in the prevention of HIV and STIs: individual, dyadic, and social influences on consistent condom use in a university population. AIDS Educ Prev. 2003; 14(6):515-31. DOI: 10.1521/aeap.14.8.515.24111. View

13.

Cornman D, Schmiege S, Bryan A, Benziger T, Fisher J . An information-motivation-behavioral skills (IMB) model-based HIV prevention intervention for truck drivers in India. Soc Sci Med. 2007; 64(8):1572-84. PMC: 4675654. DOI: 10.1016/j.socscimed.2006.11.011. View

14.

Ding Y, Detels R, Zhao Z, Zhu Y, Zhu G, Zhang B . HIV infection and sexually transmitted diseases in female commercial sex workers in China. J Acquir Immune Defic Syndr. 2005; 38(3):314-9. View

15.

Fisher J, Fisher W . Changing AIDS-risk behavior. Psychol Bull. 1992; 111(3):455-74. DOI: 10.1037/0033-2909.111.3.455. View

16.

Robertson A, Stein J, Baird-Thomas C . Gender differences in the prediction of condom use among incarcerated juvenile offenders: testing the Information-Motivation-Behavior Skills (IMB) model. J Adolesc Health. 2006; 38(1):18-25. DOI: 10.1016/j.jadohealth.2004.08.013. View

17.

Malow R, Devieux J, Rosenberg R, Samuels D, Jean-Gilles M . Alcohol use severity and HIV sexual risk among juvenile offenders. Subst Use Misuse. 2006; 41(13):1769-88. DOI: 10.1080/10826080601006474. View

18.

Myers D, Bishop G . Discussion effects on racial attitudes. Science. 1970; 169(3947):778-9. DOI: 10.1126/science.169.3947.778. View

19.

Yang X, Xia G . Gender, work, and HIV risk: determinants of risky sexual behavior among female entertainment workers in China. AIDS Educ Prev. 2006; 18(4):333-47. DOI: 10.1521/aeap.2006.18.4.333. View

20.

Kalichman S, Simbayi L, Cain D, Jooste S, Skinner D, Cherry C . Generalizing a model of health behaviour change and AIDS stigma for use with sexually transmitted infection clinic patients in Cape Town, South Africa. AIDS Care. 2006; 18(3):178-82. DOI: 10.1080/09540120500456292. View