School of literature and journalism, Central South University, Changsha, Hunan Province, China.
Xiang Ya Nursing School, Central South University, Changsha, Hunan Province, China.
BMC Public Health. 2021 Dec 4;21(1):2213. doi: 10.1186/s12889-021-12234-1.
There are increasing Chinese migrants in sub-Saharan Africa currently. Most of them are engaged in infrastructure construction. Research has shown that they stay at particular risk of HIV and are recommended for HIV testing. However, their HIV testing behavior, and its relevant factors, have not been researched among them by now. This study describes the recent HIV testing behavior and relevant factors among Chinese migrant workers in Kenya.
A cross-sectional survey was conducted among 110 male Chinese workers from six different Chinese infrastructure construction enterprises in Kenya. Furthermore, a two-stage cluster random sampling method was used to select participants. We used a questionnaire that included HIV testing history, demographic characteristics, and putative multilevel facilitators of HIV testing. Logistic regression was used to explore the predictors of recent HIV testing behavior among Chinese migrant workers in Kenya.
Of the 110 participants, 30 (27.27%) were tested for HIV in the recent year. All participants were male, and the majority were married (73.2%). The mean age was 37.49 years (SD = 9.73; range: 23 to 63), and a considerable proportion refused to answer questions about transactional sexual behaviors in the last year. Most were able to obtain HIV-related information (91.8%) and were exposed to HIV-related information in the last year (68.2%), but only 47.6% had sufficient HIV knowledge. Nearly one-fifth of them believed that selling sex and paying for sex is acceptable. Multiple logistic regression analysis indicated that participants who could accept the 'pay for sex' (OR: 2.74; 95% CI: 1.02, 7.36) and exposed to HIV related information (OR: 4.75; 95% CI: 1.29, 17.44) were more likely to test for HIV in the recent 1 year.
Higher current HIV test rates were associated with a more open sexual attitude towards paying for sex and being exposed to HIV-related information in the last year among Chinese workers in Kenya. More specific attention to HIV should be attached to this population to increase the rate of HIV testing among them.
目前，撒哈拉以南非洲地区的中国移民数量不断增加。他们大多从事基础设施建设工作。研究表明，他们感染艾滋病病毒的风险特别高，建议对其进行艾滋病病毒检测。然而，目前尚未对肯尼亚的中国移民工人的艾滋病病毒检测行为及其相关因素进行研究。本研究描述了肯尼亚的中国移民工人最近的艾滋病病毒检测行为及其相关因素。
对肯尼亚六家中国基础设施建设企业的 110 名男性中国工人进行了横断面调查。此外，采用两阶段整群随机抽样方法选择参与者。我们使用了一份问卷，其中包括艾滋病病毒检测史、人口统计学特征以及可能促进艾滋病病毒检测的多层次因素。采用逻辑回归模型探讨肯尼亚中国移民工人最近进行艾滋病病毒检测行为的预测因素。
在 110 名参与者中，30 人（27.27%）在最近一年接受了艾滋病病毒检测。所有参与者均为男性，大多数已婚（73.2%）。平均年龄为 37.49 岁（标准差=9.73；范围：23 至 63 岁），相当一部分人拒绝回答过去一年中与商业性行为有关的问题。大多数人能够获得艾滋病病毒相关信息（91.8%）并在过去一年中接触过艾滋病病毒相关信息（68.2%），但只有 47.6%的人具备足够的艾滋病病毒知识。他们中有近五分之一的人认为卖淫和嫖娼是可以接受的。多因素逻辑回归分析表明，能够接受“卖淫嫖娼”的参与者（比值比：2.74；95%置信区间：1.02，7.36）和过去一年中接触过艾滋病病毒相关信息的参与者（比值比：4.75；95%置信区间：1.29，17.44）更有可能在最近 1 年内进行艾滋病病毒检测。
在肯尼亚的中国工人中，目前较高的艾滋病病毒检测率与更开放的性行为态度以及过去一年中接触过艾滋病病毒相关信息有关。应更加关注这一人群，提高他们的艾滋病病毒检测率。
