艾滋病与临床研究杂志

Predictors of Perception of Risk of Contracting HIV among Migrant Road Construction Workers in Rural Cameroon

Abstract

Elvis Enowbeyang Tarkang, Lilian Belole Pencille, Flavia Adu-Poku, Seraphine Mawunya Dzah, Melanie Mbungo Nzegge, Evans Agamlor and Seth Yao Ahiabor

Background: Migration, mobility, and HIV/AIDS are well-documented interlinked phenomena. While the Cameroon AIDS Strategic Plan 2014-2017 focuses on the key populations, little was mentioned on migrant workers. Nevertheless, the inclusion of migrant workers in the road construction sector in the national strategic plan offers a critical opportunity to design and deliver HIV services that meet their needs. Risk perception of HIV/AIDS should accompany risky sexual behaviour change. This study investigated the predictors of perception of risk of contracting HIV among migrant road construction workers in the Southwest region of Cameroon using the Health Belief Model (HBM) as the theoretical framework. Methods: A cross-sectional survey of a stratified sample of 254 road construction workers was conducted at construction sites along the Kumba-Mamfe road in December 2015. Data were collected using a pretested structured questionnaire and analysed using binomial logistic regression using SPSS version 20 at the level 0.05. Results: Only 109 (42.9%) perceived that they are at risk of contracting HIV. Apart from perceived susceptibility to HIV which was found to be a significant predictor of the perception of risk of contracting HIV: OR=5.12 (95% CI 0.667- 15.604, p=0.004), none of the other constructs of the HBM was a significant predictor of perception of risk of contracting HIV. However, the perception that HIV is deadly (perceived severity) was associated with an increased likelihood of perception of risk of contracting HIV: OR=1.23 (95% CI 0.523-2.893, p=0.635); the perception that consistent condom use could prevent HIV transmission (perceived benefit) was associated with an increased likelihood of perception of risk of contracting HIV: OR=1.25 (95% CI 0.518-3.008, p=0.621); the perception by workers that they could refuse sex with their partners if they refused to use condoms (perceived self-efficacy) was associated with an increased likelihood of perception of risk of contracting HIV: OR=2.04 (95% CI 0.888-4.693, p=0.093). Conclusion: There is the need for sensitization programmes and interventions to increase the perception of susceptibility to HIV/AIDS among migrant road construction workers, which will, in turn, increase their perception of risk of contracting HIV and consequently bring about sexual behaviour change.