Abstract
The objective of this paper was to identify factors related to the use of HIV testing among cross border migrants in Thailand. Two measures of vulnerability (social integration and legal/economic status) as well as HIV knowledge, risk behaviour, and demographic factors were tested for association with HIV testing. Data were drawn from a survey of 2600 sexually active migrants age 15–59 in multiple provinces of Thailand. The measures of social integration (AOR = 1.14(95 % CI 1.09, 1.20) female; AOR = 1.12 (95 %CI 1.05, 1.19) male) and legal-income status (AOR = 1.12 (95 % CI 1.07, 1.18) female; AOR = 1.31 (95 %CI 1.20, 1.42) male) were positively related to the odds of reporting an HIV test for both male and female migrants. Exposure to AIDS programming including attending an AIDS meeting and possessing AIDS knowledge was also related to an increase in HIV testing. In addition, reproductive health factors including sexual risk behavior and childbirth increased the rate of HIV testing.
Resumen
Pruebas del VIH y la vulnerabilidad de los migrantes extranjeros en Tailandia. Integración social y el estatus legal/económica de los trabajadores migrantes desde el extranjero en Tailandia. El objetivo de este estudio es identificar los factores relacionados con el uso de pruebas del SIDA entre migrantes extranjeros en Tailandia. Dos medidas de vulnerabilidad (la integración social y el estatus legal/económica) juntas con el conocimiento del VIH, comportamiento riesgoso y factores demográficos fueron probados con la asociación con las pruebas de VIH. Los datos fueron sacados por una encuesta de 2600 participantes. Los participantes de la encuesta fueron ambos hombres como mujeres entre 15 a 59 años de edad y todos fueron activos sexualmente. Los participantes fueron sacados por varias provincias de Tailandia. Las medidas de la integración social (la proporción de probabilidades ajustado (PPA) = 1.14 (95 % CI 1.09 1.20) femenino; PPA = 1.12 (95 % CI 1.05 1.19) masculino) y el estatus de ingresos legales (PPA = 1.12 (95 % CI 1.07 1.18) femenino; PPA = 1.31 (95 % CI 1.20 1.42) masculino) fueron positivamente relacionadas con la probabilidad del reportaje de una prueba de SIDA por todos los migrantes. Conocimiento aumentado acerca de los programas de SIDA, lo cual incluye asistir juntas de SIDA y poseer conocimiento del SIDA, también fue relacionado con el aumento de la realizada de pruebas del VIH. Además, factores de la salud reproductiva incluyendo nivel de riesgo de actividades sexuales y el parto aumentaron la frecuencia de la realizada de pruebas del VIH.
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References
Alvarez del Arco D, Monge S, Azcoaga A, et al. HIV testing and counseling for migrant populations living in high income countries: a systematic review. Eur J Public Health. 2012;23(6):1039–45.
Aung T, Pongpanich S, Robson M. Health seeking behaviours among Myanmar migrant workers in Ranong province, Thailand. J Health Res. 2009;23:5–9.
Berkman LF, Glass T, Brissette I, Seeman TE. From social integration to health: Durkheim in the new millennium. Soc Sci Med. 2000;51(6):843–57.
Bollini S, Pompalloma S, Warner P, Kupelnick B. Pregnancy outcome of migrant women and integration policy. A systematic review of the literature. Soc Sci Med. 2009;68(3):452–61.
Boonchalaski W, Chamratrithirong A, Huguet J. Has permanent settlement of temporary migrant workers in Thailand begun. Asian Pac Migr J. 2012;21(3):387–404.
Burns F, Imrie JY, Nazroo AJ, Johnson AM, Fenton KA. Why the(y) wait? Key informant understandings of factors contributing to late presentation and poor utilization of HIV health and social care services by African migrants in Britain. AIDS Care. 2007;19(1):102–8.
Chamratrithirong A, Boonchalaski W. Summary Report of the Impact Evaluation of the Prevention of HIV/AIDS among Migrant Workers in Thailand (PHAMIT). Nakhon Pathom: Institute for Population and Social Research, Mahidol University; 2008.
Chamratrithirong A, Punpuing S, Boonchalaksi W, Holumyong C, Chamchan C, Apipornchaisakul K, Youngpanichakul S. Prevention of HIV/AIDS among Migrant Workers in Thailand (PHAMIT 2): Impact Evaluation Survey 2014. Institute for Population and Social Research, Mahidol University. 2015.
Davis K, Leijenaar M, Oldersma J, editors. The gender of power. London: SAGE Publications Ltd; 1991.
Derose KP, Escarce JJ, Lurie N. Immigrants and health care: Sources of vulnerability. Health Aff. 2007;26(5):1258–68.
Ford K, Chamratrithirong A. Sexual partners and condom use of migrant workers in Thailand. AIDS Behav. 2007;11(6):905–14.
Ford K, Chamratrithirong A, Apipornchaisakul K, Panichapak P, Pinyosinwat T. Social integration, AIDS knowledge and factors related to HIV prevention among migrant workers in Thailand. AIDS Behav. 2014;18(1):390–7.
Gorbach PM, Sopheab H, Chhorvann C, Weiss RE, Vun MC. Changing behaviors and patterns among Cambodian sex workers: 1997–2003. J Acq Immun Def Syndr. 2006;42(2):242–7.
Kelly JA, Murphy DA, Sikkema KJ, et al. Randomized controlled community level HIV prevention intervention for sexual risk behavior among homosexual men in US cities. Community HIV Prev Res Collab Lancet. 1997;350(9090):1500–5.
Kuo W-H, Tsai Y-M. Social networking, hardiness, and immigrants mental health. J Health Social Behav. 1986;27(2):133–49.
McCoy VH, Hlaing WWM, Ergon-Rowe E, Samuels D, Malow R. Lessons from the field: a migrant HIV prevention project. Public Health Rep. 2009;124:790.
Michaels S. The safe sex talk, Burmese style. The Irrawaddy. January 20, 2014. www.irrawaddy.org/feature/safe-sex-talk-Burmese-style.html. Accessed 12 June 2015.
Obermeyer CM, Osborn M. The utilization of testing and counseling for HIV: a review of the social and behavioral evidence. Am J Public Health. 2007;97(10):1762–74.
Pinyosinwat T. PHAMIT: A Program on HIV/AIDS prevention among migrant workers. J Field Actions. 2009;3:1–13.
Portes S. Modes of structural incorporation and present theories of labor migration. In: Kritz M, Keeley C, Tomasi S, editors. Global trends in migration. New York: Center for Migration Studies; 1983.
Rotheram-Borus MJ, Wu Z, Lijung L, et al. Reductions in sexually transmitted infections associated with popular opinion leaders in China in a randomized controlled trial. Sex Transm Infect. 2011;87(4):337–43.
Sciortino R, Punpuing S. Cross border migration into Thailand. Bangkok: Institute of Migration (IOM); 2009.
Sikkema KJ, Kelly JA, Winnwt RA, et al. Randomized controlled community level HIV prevention intervention for women living in 18 low income housing developments. Am J Public Health. 2000;90(1):57–63.
Umberson D. Family status and health behaviors: Social control as a dimension of social integration. J Health Soc Behav. 1987;9(1):306–19.
UNAIDS. UNAIDS Policy Brief: HIV and International Labor Migration. 2008, August. http://data.unaids.org/pub/Manual/2008/jc1513a_policybrief_en.pdf. Accessed 19 Sept 2015.
UNFPA. A Reproductive Health Needs Assessment in Myanmar, Yangon. 1999. http://countryoffice.unfpa.org/myanmar/drive/unpf0115.pdf. Accessed 19 Sept 2015.
Weine SM, Kashuba AB. Labor migration and HIV risk: a systematic review of the literature. AIDS Behav. 2012;16:1605–21.
Yanagisawa S, Mey V, Wakai S. Comparison of health-seeking behaviour between poor and better-off people after health sector reform in Cambodia. Public Health. 2004;118(1):21–30.
Acknowledgments
The data for this study was collected by the Institute for Social and Population Research (IPSR), Mahidol University in association with the Raks Thai foundation. Funding was provided by the Global Fund to fight AIDS, Malaria and Tuberculosis. Aphichat Chamratrithirong served as the Director of this study.
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Ford, K., Holumyong, C. HIV Testing and Cross Border Migrant Vulnerability: Social Integration and Legal/Economic Status Among Cross Border Migrant Workers in Thailand. AIDS Behav 20, 919–927 (2016). https://doi.org/10.1007/s10461-015-1255-z
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DOI: https://doi.org/10.1007/s10461-015-1255-z