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Gender, migration and HIV in rural KwaZulu-Natal, South Africa
Gender, migration and HIV in rural KwaZulu-Natal, South Africa
- Source :
- PloS one, vol 5, iss 7, PLoS ONE, PLoS ONE, Vol 5, Iss 7, p e11539 (2010), Camlin, CS; Hosegood, V; Newell, M-L; McGrath, N; Barnighausen, T; & Snow, RC. (2010). Gender, Migration and HIV in Rural KwaZulu-Natal, South Africa. PLOS ONE, 5(7). doi: 10.1371/journal.pone.0011539. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/4nq0s9wq
- Publication Year :
- 2010
- Publisher :
- eScholarship, University of California, 2010.
-
Abstract
- Objectives: research on migration and HIV has largely focused on male migration, often failing to measure HIV risks associated with migration for women. We aimed to establish whether associations between migration and HIV infection differ for women and men, and identify possible mechanisms by which women's migration contributes to their high infection risk.Design: data on socio-demographic characteristics, patterns of migration, sexual behavior and HIV infection status were obtained for a population of 11,677 women aged 15–49 and men aged 15–54, resident members of households within a demographic surveillance area participating in HIV surveillance in 2003–04.Methods: logistic regression was conducted to examine whether sex and migration were independently associated with HIV infection in three additive effects models, using measures of recent migration, household presence and migration frequency. Multiplicative effects models were fitted to explore whether the risk of HIV associated with migration differed for males and females. Further modeling and simulations explored whether composition or behavioral differences accounted for observed associations.Results: relative to non-migrant males, non-migrant females had higher odds of being HIV-positive (adjusted odds ratio [aOR] = 1.72; 95% confidence interval [1.49–1.99]), but odds were higher for female migrants (aOR = 2.55 [2.07–3.13]). Female migrants also had higher odds of infection relative to female non-migrants (aOR = 1.48 [1.23–1.77]). The association between number of sexual partners over the lifetime and HIV infection was modified by both sex and migrant status: For male non-migrants, each additional partner was associated with 3% higher odds of HIV infection (aOR = 1.03 [1.02–1.05]); for male migrants the association between number of partners and HIV infection was non-significant. Each additional partner increased odds of HIV infection by 22% for female non-migrants (aOR = 1.22 [1.12–1.32]) and 46% for female migrants (aOR = 1.46 [1.25–1.69]).Conclusions: higher risk sexual behavior in the context of migration increased women's likelihood of HIV infection
- Subjects :
- Gerontology
Rural Population
Male
HIV Infections
Logistic regression
South Africa
0302 clinical medicine
Medicine
030212 general & internal medicine
Young adult
education.field_of_study
Multidisciplinary
virus diseases
Public Health and Epidemiology/Global Health
Infectious Diseases/HIV Infection and AIDS
Emigration and Immigration
Middle Aged
Infectious Diseases
HIV/AIDS
Female
0305 other medical science
Infection
Research Article
Infectious Diseases/Epidemiology and Control of Infectious Diseases
Adult
Adolescent
General Science & Technology
Science
Sexual Behavior
Population
Reproductive Health and Childbirth
Context (language use)
Odds
03 medical and health sciences
Young Adult
Acquired immunodeficiency syndrome (AIDS)
Decent Work and Economic Growth
Clinical Research
Behavioral and Social Science
Women's Health/Sexually Transmitted Diseases
Humans
education
030505 public health
business.industry
Odds ratio
medicine.disease
Logistic Models
Women's Health
Sexually Transmitted Infections
Public Health and Epidemiology/Epidemiology
Rural area
business
Public Health and Epidemiology/Social and Behavioral Determinants of Health
Demography
Subjects
Details
- ISSN :
- 19326203
- Database :
- OpenAIRE
- Journal :
- PloS one, vol 5, iss 7, PLoS ONE, PLoS ONE, Vol 5, Iss 7, p e11539 (2010), Camlin, CS; Hosegood, V; Newell, M-L; McGrath, N; Barnighausen, T; & Snow, RC. (2010). Gender, Migration and HIV in Rural KwaZulu-Natal, South Africa. PLOS ONE, 5(7). doi: 10.1371/journal.pone.0011539. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/4nq0s9wq
- Accession number :
- edsair.doi.dedup.....eadd99cda7ac98896bb0cacf7e380d76
- Full Text :
- https://doi.org/10.1371/journal.pone.0011539.