title: Preventing HIV transmission in Chinese internal migrants: a behavioral approach.
abstract: This study is a step towards a behavioral intervention to prevent HIV transmission among Chinese internal migrants. To explore important and changeable determinants of condom use and inspect effective and feasible methods to increase condom use for the target population, we conducted a three-round web-based Delphi study among a panel of 62 experts between October 2012 and March 2013. The panelists were purposely selected using a stepwise procedure to represent topic-related areas of expertise. The response rate per round ranges from 21% to 81%. The panelists identified 19 possible determinants of condom use and reported 16 intervention methods they considered successful. They agreed that attitude towards condom use was the most important and changeable determinant, while applying behavioral theory, increasing sexual education and condom access, performing worksite health promotion, detecting risk factors, and working closely with relevant organizations and the government were effective and feasible methods to increase condom use among internal migrants in China. In conclusion, results of this study highlight the importance of attitude in changing condom use and underscore the need to apply behavior theory and integrate multiple educational approaches for developing behavioral HIV prevention interventions targeting internal migrants in China.
authors.affiliation: Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, Netherlands.
authors.forename: Xiaona
authors.identifier: 0000-0002-0183-8011
authors.initials: X
authors.lastname: Liu
authors.affiliation: Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, Netherlands.
authors.forename: Vicki
authors.initials: V
authors.lastname: Erasmus
authors.affiliation: Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing 100191, China.
authors.forename: Xinying
authors.initials: X
authors.lastname: Sun
authors.affiliation: Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, Netherlands.
authors.forename: Rui
authors.identifier: 0000-0001-7593-0964
authors.initials: R
authors.lastname: Cai
authors.affiliation: Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing 100191, China.
authors.forename: Yuhui
authors.initials: Y
authors.lastname: Shi
authors.affiliation: Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, Netherlands.
authors.forename: Jan Hendrik
authors.initials: JH
authors.lastname: Richardus
mesh_terms: D044466:Asian People; D002681:China / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission*; D015497:HIV-1; D063426:Human Migration; D006801:Humans; D008297:Male; D012309:Risk-Taking; D012725:Sexual Behavior