School of Public Health, University of Witwatersrand, Johannesburg, South Africa.
Nigerian Institute of Medical Research, Lagos, Nigeria.
Afr J Reprod Health. 2023 Jan;27(1):41-53. doi: 10.29063/ajrh2023/v27i1.4.
Despite the documented importance of sexual and reproductive health in women's life, access to sexual and reproductive health (SRH) services by migrant women remains low leading to negative sexual and reproductive health outcomes. This study investigated the factors associated with access to condoms and Human immunodeficiency virus (HIV) testing services among 2070 women aged 15-49 years residing in high migration communities. Logistic regression models were fitted and migration status was found to be an important factor in women's access to HIV testing services. In addition to migration status, age, educational level, marital status, religion, comprehensive knowledge about SRH, comprehensive knowledge about HIV, partner's age, and partner's educational level were significantly associated with access to condoms and HIV testing services. Programmes aimed at increasing access to condoms and HIV services should collaborate with adult basic education programmes in order to increase women's education and involve all women regardless of migration status, age and marital status. In addition, the involvement of male partners and religious leaders in disseminating and imparting accurate information and knowledge regarding SRH and HIV services to ensure women's access to both condoms and HIV testing services is required.
尽管性健康和生殖健康对女性生活具有重要意义，但移民女性获得性健康和生殖健康（SRH）服务的机会仍然很低，导致性健康和生殖健康结果不佳。本研究调查了居住在高移民社区的 2070 名 15-49 岁女性获得避孕套和人类免疫缺陷病毒（HIV）检测服务的相关因素。我们拟合了逻辑回归模型，发现移民身份是妇女获得 HIV 检测服务的一个重要因素。除了移民身份外，年龄、教育程度、婚姻状况、宗教信仰、对 SRH 的全面认识、对 HIV 的全面认识、伴侣年龄和伴侣教育程度与获得避孕套和 HIV 检测服务也显著相关。旨在增加获得避孕套和 HIV 服务的项目应与成人基础教育项目合作，以提高妇女的教育水平，并让所有妇女，无论其移民身份、年龄和婚姻状况如何，都能参与其中。此外，需要让男性伴侣和宗教领袖参与传播和传授有关性健康和生殖健康以及 HIV 服务的准确信息和知识，以确保妇女能够获得避孕套和 HIV 检测服务。
