HIV risk behaviours among contracted and non-contracted male migrant workers in India: potential role of labour contractors and contractual systems in HIV prevention

AIDS. 2008 Dec;22 Suppl 5:S127-36. doi: 10.1097/01.aids.0000343771.75023.cc.

Abstract

Objective(s): To assess the HIV risk behaviours of male migrant contracted and non-contracted labourers in India and to understand the role of contract labour systems for use in HIV prevention efforts.

Methods: Cross-sectional surveys (N = 11 219) were conducted with male migrant workers, aged 18-49 years from 21 districts in four high HIV prevalence states of India. Analyses involved data from the subsample of contracted labour (n = 3880; 35% of total sample) to assess the prevalence of HIV risk behaviours and sexually transmitted infection (STI) symptoms and further comparisons with non-contracted labourers.

Results: Contracted male labourers are largely young; 70% were between the ages of 18 and 29 years. Over half (55%) were married, and a third (34%) resided away from their wives because of migrant work. More than one in six contract labourers (17%) reported having sex with a sex worker, and two-fifths of these reported an inconsistent use of condoms. One in 10 reported sex with both sex workers and non-spousal unpaid female partners in the past year in the places they had migrated to, and 31% reported sex with either a sex worker or non-spousal unpaid female partner in their places of origin over the past 2 years. After adjustment for sociodemographic characteristics, the contracted labourers were significantly more likely to report alcohol use and HIV risk behaviours than non-contracted labourers.

Conclusion: The existence of a wide network of labour contractors and a structured infrastructure of the contract system provides opportunities for effective and sustained worksite HIV prevention programmes among contracted male migrant workers in India.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Alcohol Drinking / epidemiology
  • Condoms / statistics & numerical data
  • Contract Services / statistics & numerical data*
  • Epidemiologic Methods
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control*
  • HIV Infections / transmission
  • Humans
  • India / epidemiology
  • Male
  • Middle Aged
  • Risk-Taking*
  • Sex Work / statistics & numerical data
  • Sexual Behavior / statistics & numerical data*
  • Socioeconomic Factors
  • Transients and Migrants / psychology*
  • Transients and Migrants / statistics & numerical data
  • Unsafe Sex / statistics & numerical data
  • Young Adult