title: Are condom-promotion interventions reaching internal migrants in China? Integrated evidence from two cross-sectional surveys.
abstract: Behavioral interventions containing behavior change techniques (BCTs) that do not reach the target populations sufficiently will fail to accomplish their desired outcome. To guide sexually transmitted infection prevention policy for internal migrants in China, this study examines the extent to which BCTs aiming at increasing condom use reach the migrants and investigates the preference of the target population for these techniques among 364 migrants and 44 healthcare workers (HCWs) in Shenzhen, China. The results show that condom-promotion techniques that had been offered by HCWs to internal migrants reached a limited proportion of the population (range of reach ratio: 17.6-55.0%), although there appears to be a good match between what is offered and what is preferred by Chinese internal migrants regarding condom-promotion techniques (rank difference ≤ 1). Our findings highlight the need to increase the reach of condom-promotion techniques among Chinese internal migrants, and suggest techniques that are likely to reach the target population and match their preferred health education approaches.
authors.affiliation: a Department of Public Health , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands.
authors.forename: Xiaona
authors.initials: X
authors.lastname: Liu
authors.affiliation: a Department of Public Health , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands.
authors.forename: Vicki
authors.initials: V
authors.lastname: Erasmus
authors.affiliation: a Department of Public Health , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands.
authors.forename: Lenneke
authors.initials: L
authors.lastname: van Genugten
authors.affiliation: c Department of Social Medicine and Health Education, School of Public Health , Peking University , Beijing , People's Republic of China.
authors.forename: Xinying
authors.initials: X
authors.lastname: Sun
authors.affiliation: b Shenzhen Center for Disease Control and Prevention , Shenzhen , People's Republic of China.
authors.forename: Jingguang
authors.initials: J
authors.lastname: Tan
authors.affiliation: a Department of Public Health , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands.
authors.forename: Jan Hendrik
authors.initials: JH
authors.lastname: Richardus
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006293:Health Promotion / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D021841:Safe Sex / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D014171:Transients and Migrants / Q000706:statistics & numerical data*
keywords: Behavioral change techniques; China; domestic migration; intervention uptake; personal preference; sexually transmitted infection prevention