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Emerging Themes in Epidemiology

, 12:16

First Online: 11 November 2015Received: 24 September 2014Accepted: 18 August 2015


BackgroundChina’s growing population of internal migrants has exceeded 236 million. Driven by rapid development and urbanization, this extreme population mobility creates opportunities for transmission of HIV and sexually-transmitted infections STI. Large numbers of rural migrants flock to megacities such as Shanghai in search of employment. Although migrants constitute a key population at heightened risk of acquiring HIV or an STI, there is a lack of easily accessible sexual health services available for them. In response, we designed a short, inexpensive sexual health intervention that sought to improve HIV and STI knowledge, while reducing stigma, risky sexual behaviour, and sexual transmission of HIV and STI among migrant construction workers MCW situated in Shanghai, China.

ResultsWe implemented a three-armed, community-randomized trial spread across three administrative districts of Shanghai. The low-intensity intervention included educational pamphlets. The medium-intensity intervention included pamphlets, posters, and videos. The high-intensity intervention added group and individual counselling sessions. Across 18 construction sites, 1871 MCW were allocated at baseline to receive one intervention condition. Among baseline participants, 1304 workers were retained at 3-months, and 1013 workers were retained at 6-months, representing a total of 579 person-years of follow-up. All workers, regardless of participation, had access to informational materials even if they did not participate in the evaluation. Overall outputs included: 2284 pamphlets distributed, 720 posters displayed, 672 h of video shown, 376 participants accessed group counselling, and 61 participants attended individual counselling sessions. A multivariable analysis of participation found that men aOR = 2.2; 95 % CI 1.1, 4.1; p = 0.036, workers situated in Huangpu district aOR = 5.0; 95 % CI 2.6, 9.5; p < 0.001, and those with a middle school education aOR = 1.9; 95 % CI 1.2, 3.0; p = 0.01 were more likely to have participated in intervention activities.

ConclusionA brief educational intervention that prioritized ease of delivery to a highly mobile workforce was feasible and easily accessed by participants. Routine implementation of sexual health interventions in workplaces that employ migrant labour have the potential to make important contributions toward improving HIV and STI outcomes among migrant workers in China’s largest cities.

KeywordsChina Shanghai HIV AIDS Sexually transmitted infections STI STD Prevention Intervention Workplace Migration Electronic supplementary materialThe online version of this article doi:10.1186-s12982-015-0033-8 contains supplementary material, which is available to authorized users.

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Autor: Joshua B. Mendelsohn - Liviana Calzavara - Lucia Light - Ann N. Burchell - Jinma Ren - Laiyi Kang


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