TY - JOUR
T1 - Understanding the barriers and factors to HIV testing intention of women engaging in compensated dating in Hong Kong
T2 - The application of the extended Theory of Planned Behavior
AU - Mo, Phoenix K.H.
AU - Lau, Joseph T.F.
AU - Xin, Meiqi
AU - Fong, Vivian W.I.
N1 - Funding Information:
This study is supported by the Commissioned Health and Medical Research Fund of Food and Health Bureau of HKSAR Government, Reference number: CU-16-C15 (https://rfs1.fhb. gov.hk/english/funds/funds_hmrf/funds_hmrf_abt/ funds_hmrf_abt.html) to PKHM. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Publisher Copyright:
© 2019 Mo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2019/6/27
Y1 - 2019/6/27
N2 - Background Women engaging in compensated dating is one of the at risk group of HIV infection due to multiple sexual partnerships and risky sexual practices. The present study examined the prevalence of HIV testing behavior and intention, and identified factors associated with HIV testing intention among women engaging in compensated dating in Hong Kong. Factors from the Theory of Planned Behaviors and the role of various types of barriers to HIV testing were also explored. Methods An anonymous, cross-sectional survey was conducted online. Target participants were women who have engaged in compensated dating and provided sex services to clients. Participants were recruited via three sources, including i) online outreaching, ii) referral made by NGOs, and iii) referral made by participants. A total of 183 participants completed the study. Results Respectively 29.7% and 18.6% have taken up HIV testing and showed intention to take up HIV testing in the future year. Results from the multiple hierarchical regression model showed that having ever received HIV testing (β = 0.44, p < .001), attitudes towards HIV testing (β = 0.22, p < .01), subjective norm (β = 0.18, p < .05), perceived behavioral control (β = 0.18, p < .01) and perceived discrimination from health care workers (β = -0.24, p < .05) significantly predicted intention to take up HIV testing. Conclusion The present study demonstrates the applicability of extended TPB in HIV testing intention among women engaging in compensated dating. Interventions to promote HIV testing among this group are greatly warranted.
AB - Background Women engaging in compensated dating is one of the at risk group of HIV infection due to multiple sexual partnerships and risky sexual practices. The present study examined the prevalence of HIV testing behavior and intention, and identified factors associated with HIV testing intention among women engaging in compensated dating in Hong Kong. Factors from the Theory of Planned Behaviors and the role of various types of barriers to HIV testing were also explored. Methods An anonymous, cross-sectional survey was conducted online. Target participants were women who have engaged in compensated dating and provided sex services to clients. Participants were recruited via three sources, including i) online outreaching, ii) referral made by NGOs, and iii) referral made by participants. A total of 183 participants completed the study. Results Respectively 29.7% and 18.6% have taken up HIV testing and showed intention to take up HIV testing in the future year. Results from the multiple hierarchical regression model showed that having ever received HIV testing (β = 0.44, p < .001), attitudes towards HIV testing (β = 0.22, p < .01), subjective norm (β = 0.18, p < .05), perceived behavioral control (β = 0.18, p < .01) and perceived discrimination from health care workers (β = -0.24, p < .05) significantly predicted intention to take up HIV testing. Conclusion The present study demonstrates the applicability of extended TPB in HIV testing intention among women engaging in compensated dating. Interventions to promote HIV testing among this group are greatly warranted.
UR - http://www.scopus.com/inward/record.url?scp=85069000919&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0213920
DO - 10.1371/journal.pone.0213920
M3 - Journal article
C2 - 31246969
AN - SCOPUS:85069000919
SN - 1932-6203
VL - 14
JO - PLoS ONE
JF - PLoS ONE
IS - 6
M1 - e0213920
ER -
