title: Factors Associated With Condom Use for HIV Prevention Among Nepalese Labor Migrant Couples.
abstract: Information about factors associated with condom use among Nepalese labor migrant couples that are considered being at high risk of HIV infection is not clearly understood. Therefore, we carried out a cross-sectional study to identify the factors associated with condom use among Nepalese labor migrant couples. A total of 266 wives of Nepalese labor migrants were invited for an interview. Hierarchical logistic regression analysis was performed to analyze data. We found that almost 39% of the women reported having used a condom while having sex with their husbands. Age was the only husband-related factor independently associated with condom use. School education, knowledge about HIV/AIDS, discussion of HIV with peers and sexual negotiation with the husband were the wife-related factors independently associated with condom use. Our findings highlight a clear need to develop effective HIV prevention interventions targeting illiterate labor migrant couples, with a particular emphasis on increasing women's ability to negotiate condom use.
authors.affiliation: Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.|Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
authors.forename: Subash
authors.initials: S
authors.lastname: Thapa
authors.affiliation: Unit of Health Promotion Research, Institute of Public Health, University of Southern Denmark, Denmark.
authors.forename: Srijana
authors.initials: S
authors.lastname: Pathak
authors.affiliation: Unit of Health Promotion Research, Institute of Public Health, University of Southern Denmark, Denmark.
authors.forename: Anja
authors.initials: A
authors.lastname: Leppin
authors.affiliation: Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
authors.forename: Anne
authors.initials: A
authors.lastname: Buve
authors.affiliation: Centre for Sociological Research, Faculty of Social Sciences, KU Leuven, Leuven, Belgium.
authors.forename: Karin
authors.initials: K
authors.lastname: Hannes
authors.affiliation: Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), Kathmandu, Nepal.
authors.forename: Ghanshyam
authors.initials: G
authors.lastname: Kandel
authors.affiliation: Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
authors.forename: Catharina
authors.initials: C
authors.lastname: Mathei
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control; D000328:Adult; D055812:Community-Based Participatory Research; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007194:India / Q000453:epidemiology; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009390:Nepal / Q000208:ethnology; D012044:Regression Analysis; D012725:Sexual Behavior / Q000208:ethnology; D018454:Spouses; D014171:Transients and Migrants / Q000523:psychology*