208255 Proficiency in condom use among African American and Hispanic migrant workers

Monday, November 9, 2009

H. Virginia McCoy, PhD , Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL
Muni Balakrishnan Rubens, MBBS , Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL
Anamika Batra, BDS , Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL
Manny Estrada, MPH , Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL
Background: In light of increasing prevalence of HIV/AIDS in migrant workers (MW), proper use of condoms is essential. MW are one of the rapidly growing populations in the U.S that have been immensely affected by AIDS.

Methods: Baseline data, including 77 African-Americans (AA) and 149 Hispanics, from an ongoing HIV/ AIDS intervention study was used. Condom use skills were evaluated on a 15 point scale in which participants were observed placing a condom on a condom model following a demonstration. Chi-Square tests were used to compare AA and Hispanic MW with respect to demographic characteristics and condom use skills.

Results: African Americans demonstrated better condom use skills than Hispanics on almost all observed items. AA performed significantly better than Hispanics on the following skills: Checking expiration date on package (63.9%, p<0.01), careful opening of package (80.6%, p<0.01), checking for damage (65.3%, p<0.05), determined direction in which condom has to be rolled (90.3%, p<0.01), adding lubricant to inside tip of condom or penis (76.4%, p<0.01), rolling of condom correctly downwards (90.1%, p<0.01), rolling condom to the base of penis (91.7%, p<0.05), leaving space at the tip of condom (88.9%, p<0.01), turning to the side and withdrawing condom (70.8%, p<0.01) and taking care to avoid spilling (66.4%, p<0.01).

Conclusions: A low level of condom use skills among Hispanics places them at higher risk of HIV infection. The results urge HIV interventions targeting MW to develop strategies to increase condom use skills among Hispanics.

Learning Objectives:
1. To understand the characteristics of migrant workers. 2. To understand the factors affecting condom use skills in African American and Hispanic migrant workers. 3. To learn about the particular challenges migrant workers are facing with respect to HIV/AIDS.

Keywords: Migrant Farm Workers, Condom Use

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a dentist who is pursuing a masterís degree in public health from Florida International University, Miami, FL. I am associated with an HIV/AIDS intervention research among migrant farm workers in rural South Florida for a year. I am mainly involved with the data analysis part of the research and have been author of two abstracts on this study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: Other HIV/AIDS Topic Areas
See more of: HIV/AIDS