HIV/AIDS awareness,perceived risk level and sexual behavior among spouses of labor migrants and spouses of non-migrants in gautari VDC of Siraha district.
SUMMARY: Not only HIV/AIDS but also migration status is the ever raised issue in Nepal as one of the factors contributing to the AIDS virus through exposure to unsafe sex and other risk taking behaviors. There is frequent migration of some people aged 15-61 years from Gautari VDC (Village Developme...
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| Format: | Unknown |
| Language: | English |
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c2009.
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| Summary: | SUMMARY: Not only HIV/AIDS but also migration status is the ever raised issue in Nepal as one of the factors contributing to the AIDS virus through exposure to unsafe sex and other risk taking behaviors. There is frequent migration of some people aged 15-61 years from Gautari VDC (Village Development Committee) with increasing trend years by year since last decade in the proportions viz. 95.90 percent in foreign countries (77.81) percent in Gulf Status, 12.88 percent in India, 5.21 percent in Malaysia and Congo) and 4.10 percent in different place within Nepal out of total 365 migrant ones staying currently in the range of 6 months to 22 years since their start of work. Till date in this site, there has not been done any study among female spouses in relation to their husbands' migration status regarding HIV/AIDS awareness, perceived risk level and sexual behavior among female spousal population in Gautari VDC of Siraha District for partial contribution in enhancing the HIV/AIDS prevention in general population as well as complementing and supplementing National AIDS and STIs Prevention and Control Program regarding policy building in local strategy with new documentation on the concerned area of interest. Across-sectional and descriptive study design of quantitative type was conducted among 948 study population (365 spouses of labor migrants and 583 spouses of non-migrants) enumerated through RHHS (Rapid Household Survey) mobilizing club members. Data were collected from the sample population (122 spouses of labor migrants and 118 spouses on non-migrants framed by Systematic Random Sampling method) by formal face-to-face secret interview with them using semi/structure questionnaire. Epi-Info version 3.5 and SPSS window version 13.0 software program were used for data entry and analysis. Frequencies distribution were delivered by cross tabulation. Bi-variate analysis (Cross Tabulation, Chi-square Test, Fisher Exact Tests and Binary Logistic Regression) set at p-value <0.05 for two-tailed test, Odds Ratio (OR) with Confidence Interval (CI) at 95 percent significance level were calculated to observe for association and extant of risks was done to meet the objectives or to answer the research questions. Almost similar proportions regarding heard about HIV/AIDS was observed among spouses of labor migrants as compared to spouses of non-migrants (67.05% vs 70.21%). Slightly more than one-third (39.77%) spouses of labor migrants as compared to slightly more than half (51.06%) spouses of non-migrants had known about AIDS virus transmission. About two-thirds (65.91%), slightly more than two-thirds and half (86.36%), and slightly more than half 55.68%) spouses of labor migrants as compared to about two-thirds (65.96%), slightly more than two-thirds and half (84.04%), and slightly more than two-thirds and half (87.23%) spouses on non-migrants rejected misconceptions on MoT (Mode of Transmission) of the AIDS virus viz. by mosquito bite, by sharing/ using food, drink, toilet, bathroom, pond, clothes, comb or fomites and because of witchcraft or supernatural means with a person having AIDS respectively. Slightly more than one-ninth (11.36%) spouses of labor migrants as compared to slightly more than one-sixth (17.02%) spouses of non-migrants were aware that the healthy looking person can have the AIDS virus and can transmit to his/her sexual partner. Similarly, slightly more than one-third (39.77%) spouses of labor migrants as compared to about half (47.87%) spouses on non-migrants (39.77%) had known about AIDS virus prevention. But, only one-twelfth and half (7.95%) spouses of labor migrants as compared to one-thirty oneth (3.19%) spouses of non-migrants negotiated with their husbands to adopt preventive measures of HIV/AIDS. About one-fifth (19.32%) spouses of labor migrants as compared to slightly more than one-seventh spouse of non-migrants (14.89%) had communicated with husband about HIV/AIDS or problems at their private part in terms of at least one or more sorts of communication viz. fatality of HIV/AIDS, MoT of HIV/AIDS, preventive measures of HIV/AIDS, medical consultation on HIV/AIDS or other problems at their private parts and risky sexual behavior. But, only one-seventeenth and half (5.68%) spouses of labor migrants as compared to one-forty seventh (2.13%) spouses of non-migrants negotiated with their husbands to use condoms. Slightly more than two-thirds and half (86.36%) spouses of labor migrants as compared to slightly more than two-thirds (69.15%) spouses of non-migrants had perceived their husbands' habitual to alcohol abuse. The association between migration status and alcohol abuse versus no abuse by their husbands as perceived by the spouses was found highly significant difference(p-value =0.007, OR =2.83,95% CI =13.35-59.81). Nearly two-thirds (62.5%) spouses of labor migrant as compared to nearly half (46.81%) spouses of non-migrants had perceived sexual encounter by their husbands after alcohol abuse. The association between migration status and encountered sexual contact after alcohol abuse by their husbands perceived by the spouses was found significant difference (p-value = 0.034, OR =1.89, 95% CI = 1.048-3.423). Slightly more than two-thirds (69.32%) and about one-third (30.68%) spouses of labor migrants as compared to about one-third (32.98%) and slightly more than two-thirds (67.02%) spouses of non-migrants perceived pattern of condom use as occasionally and not at all respectively. Spouses of labor migrants perceived their husband's involvement in risky sexual behavior (especially extra-materials sex) far from home more than 3 times as compared to spouses of non-migrants (22.72% vs 7.45%). The association between migration status and risky sexual behavior perceived by the spouses was found highly significant difference (p-value = 0.006, OR = 3.66, 95% CI= 1.46 -9.15). Nearly two-thirds (65.91%) spouses of labor migrants as compared to one-third (32.98%) spouses of non-migrants had problems at their private parts. This shows that there might be likelihood of risk due to sexual exposure between spouses. The finding of this study showed that though HIV/AIDS awareness found almost similar proportions expect some variations among different sorts of awareness by background characteristics, spouses of labor migrants are more vulnerable to risky sexual behavior than spouses of non-migrants statistically. Hence, migration status and alcohol abuse are strong associated risk factor for risky sexual behavior as well as potential factors in risk of contracting HIV/AIDS awareness, perceived risk level and sexual behavior among female spousal population, so that future evaluation may be done for designing and intervening programs concerned that negative behavior like alcohol abuse is the potential risk factor followed by extra-martial sex associated with mobility and migration and hence local strategy must be built upon these issues addressing the Gender Based Violence (GBV). |
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| Item Description: | Thesis Report. |
| Physical Description: | xii, 85p. : |