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Barriers and Facilitators of Rapid HIV and Syphilis Testing Uptake Among Filipino Transnational Migrants in China
Hall,Brian J.1,2; Yang,Xinyu1; Huang,Lei1; Yi,Grace1,3; Chan,Edward W.W.1; Tucker,Joseph D.4,5; Latkin,Carl A.2
2019-03-15
Source PublicationAIDS and Behavior
ISSN15733254 10907165
Pages1-10
Abstract

Transnational migrant workers are known to be at high risk for HIV/STIs. This study estimated the point prevalence of HIV/syphilis and examined correlates of HIV/syphilis testing uptake among female migrant domestic workers in Macao, China. Data was obtained from 1363 female Filipino domestic workers who were offered free rapid HIV and syphilis testing. A mixed methods analysis was undertaken to examine correlates of testing and themes about reasons for not testing. Among 1164 women tested, there were no cases of HIV/syphilis observed and 199 (14.6%) refused HIV/syphilis testing. Greater social integration (aOR 1.12; 95% CI 1.02–1.24), having more than one sexual partner (aOR 1.65; 95% CI 1.02–2.65), and longer working hours on the testing day (aOR 0.97; 95% CI 0.94–1.00), were associated with testing uptake. Among those who tested, the majority (> 70%) had never tested before, suggesting the need to improve testing outreach. Qualitative themes about reasons for not testing included low perceived need and insufficient time. Individual and structural testing barriers should be reduced to optimize HIV/STI testing in migrant populations.

KeywordHiv Testing Uptake Transnational Migrants Women’s Health
DOI10.1007/s10461-019-02449-0
URLView the original
Language英语
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Document TypeJournal article
CollectionDEPARTMENT OF PSYCHOLOGY
Corresponding AuthorHall,Brian J.
Affiliation1.Global and Community Mental Health Research GroupDepartment of PsychologyFaculty of Social Sciences (E21)The University of Macau,Taipa,Macao
2.Department of HealthBehavior and SocietyJohns Hopkins Bloomberg School of Public Health,Baltimore,United States
3.Department of PopulationFamilyand Reproductive HealthJohns Hopkins Bloomberg School of Public Health,Baltimore,United States
4.Institute of Global Health and Infectious DiseaseUniversity of North Carolina,Chapel Hill,United States
5.Faculty of Infectious and Tropical DiseasesLondon School of Hygiene and Tropical Medicine,London,United Kingdom
First Author AffilicationFaculty of Social Sciences
Corresponding Author AffilicationFaculty of Social Sciences
Recommended Citation
GB/T 7714
Hall,Brian J.,Yang,Xinyu,Huang,Lei,et al. Barriers and Facilitators of Rapid HIV and Syphilis Testing Uptake Among Filipino Transnational Migrants in China[J]. AIDS and Behavior,2019:1-10.
APA Hall,Brian J..,Yang,Xinyu.,Huang,Lei.,Yi,Grace.,Chan,Edward W.W..,...&Latkin,Carl A..(2019).Barriers and Facilitators of Rapid HIV and Syphilis Testing Uptake Among Filipino Transnational Migrants in China.AIDS and Behavior,1-10.
MLA Hall,Brian J.,et al."Barriers and Facilitators of Rapid HIV and Syphilis Testing Uptake Among Filipino Transnational Migrants in China".AIDS and Behavior (2019):1-10.
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