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Article: Contextual Factors Associated With Consistent Condom Use And Condom Self-efficacy Amongst African Asylum Seekers And Refugees In Hong Kong

TitleContextual Factors Associated With Consistent Condom Use And Condom Self-efficacy Amongst African Asylum Seekers And Refugees In Hong Kong
Authors
KeywordsRefugees
Asylum seekers
Sexual behaviour
HIV
Africa
Issue Date2018
PublisherElsevier BV. The Journal's web site is located at http://www.journals.elsevier.com/infection-disease-and-health
Citation
Infection, Disease & Health, 2018, v. 23 n. 1, p. 23-32 How to Cite?
AbstractBackground: Hong Kong has no systematic domestic policies committed to the rights of asylum-seekers and refugees (ASRs). This study explores the sexual health behaviours and social inequities amongst African ASRs in Hong Kong. Methods: A cross-sectional survey of African ASRs was conducted through three local non-governmental organizations in 2013. A logistic model was used to test the interactions and relationship between the respondents' consistent condom use and contextual antecedents, socio-demographic factors, psychosocial factors and condom self-efficacy (CSE) score. Results: 371 adult African ASRs were recruited. In the previous month, 35% and 38% of participants consistently had used condoms with regular and casual sexual partners respectively. However, less than 50% perceived no risk of HIV/STIs and less than 60% reported not knowing how to access sexual health screening. Consistent condom use was less likely among African ASRs who were married (adjusted odds ratio (aOR) = 0.10), used recreational drugs (aOR = 0.11) or were unsure of their sexual orientation (aOR = 0.05) and was positively associated with higher CSE scores (aOR = 1.09) Pre-migration determinants and lifestyle determinants accounted for most of the variance in the model. Conclusion: The inconsistent condom use makes African ASRs vulnerable to HIV/STIs. Tailored interventions are needed to address the associated determinants and inequities amongst African ASRs living in Hong Kong. © 2017 Australasian College for Infection Prevention and Control
Persistent Identifierhttp://hdl.handle.net/10722/247501
ISSN
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, WCW-
dc.contributor.authorMiu, HYH-
dc.contributor.authorChen, JY-
dc.contributor.authorCheng, S-
dc.contributor.authorOng, JJ-
dc.contributor.authorLoper, KA-
dc.date.accessioned2017-10-18T08:28:15Z-
dc.date.available2017-10-18T08:28:15Z-
dc.date.issued2018-
dc.identifier.citationInfection, Disease & Health, 2018, v. 23 n. 1, p. 23-32-
dc.identifier.issn2468-0451-
dc.identifier.urihttp://hdl.handle.net/10722/247501-
dc.description.abstractBackground: Hong Kong has no systematic domestic policies committed to the rights of asylum-seekers and refugees (ASRs). This study explores the sexual health behaviours and social inequities amongst African ASRs in Hong Kong. Methods: A cross-sectional survey of African ASRs was conducted through three local non-governmental organizations in 2013. A logistic model was used to test the interactions and relationship between the respondents' consistent condom use and contextual antecedents, socio-demographic factors, psychosocial factors and condom self-efficacy (CSE) score. Results: 371 adult African ASRs were recruited. In the previous month, 35% and 38% of participants consistently had used condoms with regular and casual sexual partners respectively. However, less than 50% perceived no risk of HIV/STIs and less than 60% reported not knowing how to access sexual health screening. Consistent condom use was less likely among African ASRs who were married (adjusted odds ratio (aOR) = 0.10), used recreational drugs (aOR = 0.11) or were unsure of their sexual orientation (aOR = 0.05) and was positively associated with higher CSE scores (aOR = 1.09) Pre-migration determinants and lifestyle determinants accounted for most of the variance in the model. Conclusion: The inconsistent condom use makes African ASRs vulnerable to HIV/STIs. Tailored interventions are needed to address the associated determinants and inequities amongst African ASRs living in Hong Kong. © 2017 Australasian College for Infection Prevention and Control-
dc.languageeng-
dc.publisherElsevier BV. The Journal's web site is located at http://www.journals.elsevier.com/infection-disease-and-health-
dc.relation.ispartofInfection, Disease & Health-
dc.rightsPosting accepted manuscript (postprint): © <year>. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/-
dc.subjectRefugees-
dc.subjectAsylum seekers-
dc.subjectSexual behaviour-
dc.subjectHIV-
dc.subjectAfrica-
dc.titleContextual Factors Associated With Consistent Condom Use And Condom Self-efficacy Amongst African Asylum Seekers And Refugees In Hong Kong-
dc.typeArticle-
dc.identifier.emailWong, WCW: wongwcw@hku.hk-
dc.identifier.emailChen, JY: chenjy@hku.hk-
dc.identifier.authorityWong, WCW=rp01457-
dc.identifier.authorityChen, JY=rp00526-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.idh.2017.08.006-
dc.identifier.pmid30479300-
dc.identifier.scopuseid_2-s2.0-85033447909-
dc.identifier.hkuros281341-
dc.identifier.volume23-
dc.identifier.issue1-
dc.identifier.spage23-
dc.identifier.epage32-
dc.identifier.isiWOS:000434173500005-
dc.publisher.placeNetherlands-

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