title: HIV Testing and Cross Border Migrant Vulnerability: Social Integration and Legal/Economic Status Among Cross Border Migrant Workers in Thailand.
abstract: The objective of this paper was to identify factors related to the use of HIV testing among cross border migrants in Thailand. Two measures of vulnerability (social integration and legal/economic status) as well as HIV knowledge, risk behaviour, and demographic factors were tested for association with HIV testing. Data were drawn from a survey of 2600 sexually active migrants age 15-59 in multiple provinces of Thailand. The measures of social integration (AOR = 1.14(95 % CI 1.09, 1.20) female; AOR = 1.12 (95 %CI 1.05, 1.19) male) and legal-income status (AOR = 1.12 (95 % CI 1.07, 1.18) female; AOR = 1.31 (95 %CI 1.20, 1.42) male) were positively related to the odds of reporting an HIV test for both male and female migrants. Exposure to AIDS programming including attending an AIDS meeting and possessing AIDS knowledge was also related to an increase in HIV testing. In addition, reproductive health factors including sexual risk behavior and childbirth increased the rate of HIV testing.
authors.affiliation: Institute for Population and Social Research, Mahidol University, Salaya, Nakhon Pathom, Thailand. kford@umich.edu.|School of Public Health, University of Michigan, 1925 Lorraine Place, Ann Arbor, MI, 48104, USA. kford@umich.edu.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Ford
authors.affiliation: Institute for Population and Social Research, Mahidol University, Salaya, Nakhon Pathom, Thailand.
authors.forename: Charamporn
authors.initials: C
authors.lastname: Holumyong
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D004641:Emigration and Immigration; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007182:Income; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D012309:Risk-Taking; D012725:Sexual Behavior; D012917:Social Adjustment; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013785:Thailand; D014171:Transients and Migrants / Q000523:psychology / Q000706:statistics & numerical data*; D035862:Vulnerable Populations; D055815:Young Adult
keywords: HIV testing; Migrants; Thailand; Vulnerable populations