School of Public Health, School of Medicine, Shanghai Jiao Tong University, No.227, South Chongqing Road, Shanghai, 200025, People's Republic of China.
Department of Hospital Infection Control, Ruijin Hospital, affiliated with the School of Medicine Shanghai Jiao Tong University, Shanghai, 200025, People's Republic of China.
BMC Public Health. 2019 Feb 21;19(1):223. doi: 10.1186/s12889-019-6541-7.
In China, unmarried female migrants are vulnerable to sexual and reproductive health risks. One effective protection strategy is promoting consistent condom use (CCU).
We conducted a cross-sectional study to apply the information-motivation-behavioral skills (IMB) model and modified it by addition of psychological and personal factors to examine the related factors of CCU and provide suggestions for intervention among unmarried female migrants.
Of all 903 eligible participants, only 13.8% of participants reported CCU in the past six months. Both the IMB model and the modified IMB model provided acceptable fit to the data. In both models, information had no direct or indirect influence on CCU (p > 0.05). However, behavioral skills had a positive effect on CCU (β = 0.344, p < 0.001 and β = 0.330, p < 0.001). Moreover, motivation contributed to CCU indirectly by affecting behavioral skills (β = 0.800, p < 0.001) and had no direct influence (p > 0.05). In the modified model, psychological and personality factors influenced CCU directly (β = - 0.100, p = 0.005).
Our results highlight the importance of conducting CCU promotion among unmarried female migrants. Future intervention strategies should focus on both the traditional IMB model constructs and the added psychological and personality factors.
在中国，未婚女性流动人口面临着性与生殖健康风险。促进坚持使用避孕套（CCU）是一种有效的保护策略。
我们进行了一项横断面研究，应用信息-动机-行为技巧（IMB）模型，并通过增加心理和个人因素对其进行修正，以检验未婚女性流动人口坚持使用避孕套的相关因素，并为干预提供建议。
在所有 903 名合格参与者中，只有 13.8%的参与者报告在过去六个月中坚持使用避孕套。IMB 模型和修正后的 IMB 模型都对数据具有可接受的拟合度。在两个模型中，信息对 CCU 均没有直接或间接的影响（p>0.05）。然而，行为技能对 CCU 有积极影响（β=0.344，p<0.001 和β=0.330，p<0.001）。此外，动机通过影响行为技能间接促进 CCU（β=0.800，p<0.001），但没有直接影响（p>0.05）。在修正后的模型中，心理和人格因素直接影响 CCU（β=-0.100，p=0.005）。
我们的结果强调了对未婚女性流动人口进行坚持使用避孕套促进的重要性。未来的干预策略应同时关注传统的 IMB 模型结构和增加的心理和人格因素。
