Perceived knowledge, attitude towards HIV/AIDS, and sexual behavior among migrant workers in Malaysia: a structural path analysis
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Universiti Malaysia Sarawak, Malaysia
Submission date: 2020-07-22
Final revision date: 2020-12-03
Acceptance date: 2020-12-11
Publication date: 2021-09-30
HIV & AIDS Review 2021;20(3):213-222
Acquired immuno-deficiency syndrome (AIDS) continues to be a public health challenge. Migrant workers are vulnerable to indulge in high-risk health behaviors. In this context, we analyzed the impact of perceived knowledge and attitude towards human immunodeficiency virus (HIV)/AIDS on sexual behavior among migrant workers in Sarawak, Malaysia.

Material and methods:
Data of 314 migrant workers were collected via face-to-face interview, using a cross-sectional structured questionnaires. Data analysis were done using Stata version 16.0; however, a structural equation model was developed and evaluated with WarpPLs, version 7.0.

Hypothetical model of sexual behavior, and perceived knowledge and attitude towards HIV/ AIDS were investigated in the present study. Analysis revealed that both directly and indirectly mediated through attitudes towards HIV/AIDS influence sexual behavior (p < 0.05). Moreover, attitude towards HIV/AIDS directly influenced sexual behavior (p < 0.05). However, knowledge of HIV/AIDS transmission did not affect sexual behavior (p > 0.05). Multivariate analysis showed that construction workers (p < 0.05) and daily wage (p < 0.001) had an impact on HIV and AIDS knowledge. Type of job such as farming (p < 0.05), daily wage (p < 0.05), and HIV and AIDS knowledge had an impact on attitude towards HIV and AIDS. However, type of job and daily wage appeared to be significant predictors of sexual behavior.

Although this study did not describe overall sexual behavior scenario among migrant workers, the findings could support guidelines and policies to developed awareness-creating packages, including HIV/AIDS behavior change communication. That would help to diminish HIV/AIDS vulnerability among migrant workers.

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