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. 2019 Feb 21;19(1):223.
doi: 10.1186/s12889-019-6541-7.

Understanding condom use among unmarried female migrants: a psychological and personality factors modified information-motivation-behavioral skills model

Qiuming Shen  1 , Yichen Wang  2 , Zezhou Wang  1 , Ying Wang  1 , Mengyun Luo  1 , Suping Wang  1 , Xueqin Jiang  1 , Yinghua Yang  3 , Yong Cai  4 , Meili Shang  5
Affiliations

Understanding condom use among unmarried female migrants: a psychological and personality factors modified information-motivation-behavioral skills model

Qiuming Shen et al. BMC Public Health. .

Abstract

Background: In China, unmarried female migrants are vulnerable to sexual and reproductive health risks. One effective protection strategy is promoting consistent condom use (CCU).

Methods: We conducted a cross-sectional study to apply the information-motivation-behavioral skills (IMB) model and modified it by addition of psychological and personal factors to examine the related factors of CCU and provide suggestions for intervention among unmarried female migrants.

Results: Of all 903 eligible participants, only 13.8% of participants reported CCU in the past six months. Both the IMB model and the modified IMB model provided acceptable fit to the data. In both models, information had no direct or indirect influence on CCU (p > 0.05). However, behavioral skills had a positive effect on CCU (β = 0.344, p < 0.001 and β = 0.330, p < 0.001). Moreover, motivation contributed to CCU indirectly by affecting behavioral skills (β = 0.800, p < 0.001) and had no direct influence (p > 0.05). In the modified model, psychological and personality factors influenced CCU directly (β = - 0.100, p = 0.005).

Conclusions: Our results highlight the importance of conducting CCU promotion among unmarried female migrants. Future intervention strategies should focus on both the traditional IMB model constructs and the added psychological and personality factors.

Keywords: Condom use; IMB model; Migrant; Woman health.

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Conflict of interest statement

Ethics approval and consent to participate

The Ethics Committee of the School of Public Health of Shanghai Jiao Tong University approved the study (SJUPN-201302). We obtained written informed consent from all the participants following a clarification the objectives and the procedure of the study, as well as the potential risks and benefits of participation before enrolling the participants.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
The initial information–motivation–behavioral skills model of CCU. Circles represent latent variables and rectangles represent single-item indicators. Single arrows represent standardized regression coefficients and multi-headed arrows represent standardized correlations. Solid-lined curves represent statistical significance. Dotted lines represent a lack of statistical significance
Fig. 2
Fig. 2
The modified information–motivation–behavioral skills model of CCU. Circles represent latent variables and rectangles represent single-item indicators. Single arrows represent standardized regression coefficients and multi-headed arrows represent standardized correlations. Solid-lined curves represent statistical significance. Dotted lines represent a lack of statistical significance
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