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FACTORS ASSOCIATED WITH HIGH-RISK BEHAVIOUR AMONG MIGRANTS IN THE STATE OF MAHARASHTRA, INDIA

Published online by Cambridge University Press:  04 March 2013

NEETA RAO ,
L. JEYASEELAN ,
ANNA JOY ,
V. SAMPATH KUMAR ,
M. THENMOZHI  and
SMRITI ACHARYA
NEETA RAO
Affiliation:
Avert Society, Mumbai, India
L. JEYASEELAN*
Affiliation:
Department of Biostatistics, Christian Medical College, Vellore, India
ANNA JOY
Affiliation:
Avert Society, Mumbai, India
V. SAMPATH KUMAR
Affiliation:
Health Office, United States Agency for International Development, New Delhi, India
M. THENMOZHI
Affiliation:
Department of Biostatistics, Christian Medical College, Vellore, India
SMRITI ACHARYA
Affiliation:
Avert Society, Mumbai, India
*
1Corresponding author. Email: [email protected]
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Summary

Studies among migrants show that they are more susceptible to HIV infection than the general population and thereby spread the epidemic from high prevalence to low prevalence areas. It is therefore critical to enhance the body of knowledge on factors associated with condom use among migrants. This study, conducted in 2009 in the State of Maharashtra, covers 4595 single in-migrants aged 15–49 years and aims at understanding the factors associated with non-use of condoms consistently. Information was collected using a Structured Interview Schedule covering demographic, socioeconomic profile, sexual history, knowledge, behaviour and stigma and discrimination indicators. Logistic regression analysis was used to understand the association between unprotected sex and various socio-demographic and environmental factors. The models were run using the Enter method. The goodness-of-fit of the model was assessed using Hosmer and Lemeshow chi-squared statistics. A significant association is observed between sex with sex workers and older migrants (>24 years), the literate, those who are mobile, unmarried, employed in the textile, quarry and construction industries, who often consume alcohol and who watch pornographic films. The factors associated with unprotected sex are age between 30 and 34 years and no literacy. Migrants who are mobile and consume alcohol show a significant association with unprotected sex. The findings suggest a need for a comprehensive HIV prevention programme including strategies to address the stressful work conditions. The prevention programmes should focus not only on skills for safer sex practices, but also on alcohol use reduction.

Type
Articles
Information
Journal of Biosocial Science , Volume 45 , Issue 5 , September 2013 , pp. 627 - 641
Copyright
Copyright © Cambridge University Press 2013 

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