Stages of change, knowledge and self-efficacy for condom use in migrants.
DOI:
https://doi.org/10.56935/hij.v2i2.21Keywords:
Transtheoretical Model, Condoms, Self Efficacy, Transients and MigrantsAbstract
Introduction: Migrants experience different circumstances that define sexual behavior, increasing their vulnerability to acquiring STIs and HIV. For the prevention of STIs, including HIV, adopting condom use as a protective practice is essential, according to the National Health and Nutrition Survey. The objective of this study is to describe the relationship between condom knowledge and self-efficacy in condom use with the stages of change for condom use in migrants in transit. Method: The design is correlational and cross-sectional in a sample of migrant men and women in transit in the city of Tijuana, Baja California. Data were processed using the Statistical Package for the Social Sciences (SPSS) 25. Descriptives were determined using means ± standard deviation (SD) and frequencies. Spearman's correlation coefficient (Spearman's Rho) was used with a 95% error margin, p<0.05. Results: In the stages of change for condom use, 31.1% were in precontemplation, meaning they had no intention of using condoms in their vaginal, oral, and/or anal sexual relations within the next six months. On the other hand, 26.6% were in preparation, indicating they intended to always use condoms during vaginal, anal, or oral sex within the next thirty days. 19.8% of the migrants had been using condoms for more than six months in every sexual encounter, classifying them in the maintenance stage for condom use. Migrants in the initial stages like precontemplation and contemplation had lower scores than those in the maintenance stage. Conclusion: Knowledge of condoms and self-efficacy in condom use have a significant positive relationship with the stages of change for condom use. It is suggested to replicate the study with a larger sample and incorporate variables such as motivation, decisional balance, and processes of change, as well as others indicated by the literature as important in condom use behavior among migrants in transit.
References
World Health Organization. Sexually transmitted infections. [Internet]. 2021 [cited 2023 Oct 23]. Available from: https://www.who.int/es/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)
World Health Organization. More than 1 million curable sexually transmitted infections are acquired every day. [Internet]. 2019 [cited 2023 Oct 23]. Available from: https://www.who.int/es/news/item/06-06-2019-more-than-1-million-new-curable-sexually-transmitted-infections-every-day
World Health Organization. Progress report on HIV, viral hepatitis and sexually transmitted infections, 2019. [Internet]. 2019 [cited 2023 Oct 23]. Available from: https://apps.who.int/iris/bitstream/handle/10665/324797/WHO-CDS-HIV-19.7-eng.pdf
Secretaría de Salud. Boletín Epidemiológico Sistema Nacional de Vigilancia Epidemiológica Sistema Único de Información. Semana epidemiológica 41. [Internet]. 2022 [cited 2023 Oct 23]. Available from: https://www.gob.mx/salud/documentos/boletinepidemiologico-sistema-nacional-de-vigilancia-epidemiologica-sistema-unico-de-informacion-231750
Encuesta Nacional de Salud y Nutrición. Resultados Nacionales. [Internet]. 2018 [cited 2023 Oct 28]. Available from: https://ensanut.insp.mx/encuestas/ensanut2018/doctos/informes/ensanut_2018_informe_final.pdf
World Health Organization. Migrants and refugees are at higher risk of developing ill health. [Internet]. 2019 [cited 2023 Oct 28]. Available from: https://www.who.int/es/news/item/21-01-2019-21-01-2019-21-01-2019-migrants-and-refugees-at-higher-risk-of-developing-ill-health
Guerra-Ordoñez JA, Benavides-Torres RA, Onofre-Rodríguez DJ, Márquez-Vega MA, Guerra-Rodríguez GM, Wall KM. Self-efficacy and Coping as Correlates of Migrant Safe Sexual Behavior to Prevent HIV. J Assoc Nurses AIDS Care [Internet]. 2017 [cited 2023 Nov 1];28(5):761–769. Available from: https://doi.org/10.1016/j.jana.2017.05.008 DOI: https://doi.org/10.1016/j.jana.2017.05.008
Alvizo Perera EJ, Quintal López R. Estrategias de prevención del VIH/sida en hombres mayas migrantes de Yucatán: aportes desde la mercadotecnia social. Estudios de Cultura Maya [Internet]. 2022 [cited 2023 Nov 1]; LIX:239-263. Available from: https://www.redalyc.org/articulo.oa?id=281371269009 DOI: https://doi.org/10.19130/iifl.ecm.59.22X879
International Organization for Migration. World Migration Report 2022. [Internet]. 2022 [cited 2023 Nov 1]. Available from: https://worldmigrationreport.iom.int/wmr-2022-interactive/?lang=ES
International Organization for Migration. World Migration Report 2020. [Internet]. 2020 [cited 2023 Nov 1]. Available from: https://worldmigrationreport.iom.int/wmr-2020-interactive/?lang=ES
Pan American Health Organization. PAHO and IOM sign agreement to improve the health of 70 million migrants in the Americas. [Internet]. 2020 [cited 2023 Nov 1]. Available from: https://www.paho.org/es/noticias/9-10-2020-ops-oim-firman-acuerdo-para-mejorar-salud-70-millones-migrantes-americas
Canales AI, Fuentes JA, León CR. Desarrollo y migración: Desafíos y oportunidades en los países del norte de Centroamérica. [Internet]. 2019 [cited 2023 Nov 1]. Available from: https://repositorio.cepal.org/server/api/core/bitstreams/55aaa08e-7c40-4d21-90bf-1402d422b400/content
Unidad de Política Migratoria, Registro e Identidad de Personas. Estadísticas migratorias, síntesis 2022. [Internet]. 2022 [cited 2023 Nov 1]. Available from: http://portales.segob.gob.mx/work/models/PoliticaMigratoria/CEM/Estadisticas/Sintesis_Graficas/Sintesis_2022.pdf
Instituto Nacional de Migración. Permanecen 10 mil migrantes en BC. [Internet]. 2019 [cited 2023 Nov 1]. Available from: https://www.inm.gob.mx/gobmx/word/index.php/permanecen-10-mil-migrantes-en-bc/
Ruiz-Bugarin CL, Onofre-Rodríguez DJ. Subestructuración teórica: Modelo de Conducta Sexual Asertiva en Migrantes. Index Enferm [Internet]. 2021 [cited 2023 Nov 1];30(1-2):85–89. Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962021000100019
Prochaska JO, DiClemente CC, Norcross JC. In search of how people change: Applications to addictive behaviors. Addict Nurs Netw. 1992;5(1):2-16. DOI: https://doi.org/10.3109/10884609309149692
Aranda-Ibarra JR, Benavides-Torres RA. Pilot feasibility randomized controlled trial of an MI intervention to reduce sexual risk in migrants. Unpublished manuscript. 2023.
Grimley DM, Prochaska JO, Velicer WF, Prochaska GE. Contraceptive and condom use adoption and maintenance: A stage paradigm approach. Health Educ Q [Internet]. 1995 [cited 2023 Nov 1];22(1):20–35. Available from: https://pubmed.ncbi.nlm.nih.gov/7721599/ DOI: https://doi.org/10.1177/109019819502200104
Montijo SSR, Cervantes MR, Arroyo BF, Rodríguez DM. Indicadores del uso eficaz del preservativo. Rev Puertorriquena Psicol [Internet]. 2014 [cited 2023 Nov 3];25(2):244–58. Available from: https://www.repsasppr.net/index.php/reps/article/view/242
López F, Moral J. Validación de una escala de autoeficacia para la prevención del SIDA en adolescentes. Salud Publica Mex [Internet]. 2001 [cited 2023 Nov 3];43:421-432. Available from: https://www.scielo.org.mx/pdf/spm/v43n5/6721.pdf DOI: https://doi.org/10.1590/S0036-36342001000500006
Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot [Internet]. 1997 [cited 2023 Nov 3];12(1):38–48. Available from: http://dx.doi.org/10.4278/0890-1171-12.1.38 DOI: https://doi.org/10.4278/0890-1171-12.1.38
Tung WC, Hu J, Efird JT, Su W, Yu L. HIV knowledge and condom intention among sexually abstinent Chinese students. Int Nurs Rev [Internet]. 2013 [cited 2023 Nov 3];60(3):366–73. Available from: http://dx.doi.org/10.1111/inr.12039 DOI: https://doi.org/10.1111/inr.12039
Tung WC, Cook DM, Lu M. Sexual behavior, stages of condom use, and self-efficacy among college students in Taiwan. AIDS Care [Internet]. 2011 [cited 2023 Nov 3];23(1):113–20. Available from: http://dx.doi.org/10.1080/09540121.2010.498863 DOI: https://doi.org/10.1080/09540121.2010.498863
Ramírez-Ortiz D, Sheehan DM, Ibañez GE, Ibrahimou B, De La Rosa M, Cano MA. Self-efficacy and HIV testing among Latino emerging adults: examining the moderating effects of distress tolerance and sexual risk behaviors. AIDS Care [Internet]. 2020 [cited 2023 Nov 5];32(12):1556–64. Available from: http://dx.doi.org/10.1080/09540121.2020.1736259 DOI: https://doi.org/10.1080/09540121.2020.1736259
Gullette DL, Turner JG. Stages of change and condom use among an internet sample of gay and bisexual men. J Assoc Nurses AIDS Care [Internet]. 2004 [cited 2023 Nov 5];15(2):27–37. Available from: https://pubmed.ncbi.nlm.nih.gov/15090131/ DOI: https://doi.org/10.1177/1055329003261968
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