Gendered dimensions of population mobility associated with HIV across three epidemics in rural Eastern Africa.
Gender
HIV
Kenya
Migration
Mobility
Population-based
Uganda
Journal
Health & place
ISSN: 1873-2054
Titre abrégé: Health Place
Pays: England
ID NLM: 9510067
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
29
01
2019
revised:
25
04
2019
accepted:
03
05
2019
pubmed:
4
6
2019
medline:
15
9
2020
entrez:
2
6
2019
Statut:
ppublish
Résumé
Mobility in sub-Saharan Africa links geographically-separate HIV epidemics, intensifies transmission by enabling higher-risk sexual behavior, and disrupts care. This population-based observational cohort study measured complex dimensions of mobility in rural Uganda and Kenya. Survey data were collected every 6 months beginning in 2016 from a random sample of 2308 adults in 12 communities across three regions, stratified by intervention arm, baseline residential stability and HIV status. Analyses were survey-weighted and stratified by sex, region, and HIV status. In this study, there were large differences in the forms and magnitude of mobility across regions, between men and women, and by HIV status. We found that adult migration varied widely by region, higher proportions of men than women migrated within the past one and five years, and men predominated across all but the most localized scales of migration: a higher proportion of women than men migrated within county of origin. Labor-related mobility was more common among men than women, while women were more likely to travel for non-labor reasons. Labor-related mobility was associated with HIV positive status for both men and women, adjusting for age and region, but the association was especially pronounced in women. The forms, drivers, and correlates of mobility in eastern Africa are complex and highly gendered. An in-depth understanding of mobility may help improve implementation and address gaps in the HIV prevention and care continua.
Identifiants
pubmed: 31152972
pii: S1353-8292(19)30104-2
doi: 10.1016/j.healthplace.2019.05.002
pmc: PMC6589115
mid: NIHMS1529479
pii:
doi:
Types de publication
Journal Article
Observational Study
Research Support, N.I.H., Extramural
Langues
eng
Pagination
339-351Subventions
Organisme : NIAID NIH HHS
ID : P30 AI027763
Pays : United States
Organisme : NIMH NIH HHS
ID : P30 MH062246
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH104132
Pays : United States
Informations de copyright
Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.
Références
AIDS Educ Prev. 2013 Jun;25(3):216-31
pubmed: 23631716
J Int AIDS Soc. 2018 Jul;21 Suppl 4:e25115
pubmed: 30027668
Soc Sci Med. 2007 Feb;64(3):689-700
pubmed: 17097204
J Infect Dis. 2005 Feb 1;191 Suppl 1:S159-67
pubmed: 15627226
Sex Transm Dis. 2002 Jan;29(1):44-9
pubmed: 11773878
Sex Transm Dis. 2008 Aug;35(8):714-20
pubmed: 18520338
JAMA. 2017 Jun 6;317(21):2196-2206
pubmed: 28586888
Lancet HIV. 2016 Mar;3(3):e111-9
pubmed: 26939734
Demography. 2012 Feb;49(1):239-65
pubmed: 22109083
AIDS Patient Care STDS. 2014 Jun;28(6):284-95
pubmed: 24839872
Soc Sci Med. 2011 Jan;72(2):149-56
pubmed: 21146910
J Int AIDS Soc. 2018 Jul;21 Suppl 4:e25136
pubmed: 30027588
Trop Med Int Health. 2010 Dec;15(12):1458-63
pubmed: 20958895
AIDS Behav. 2012 Aug;16(6):1605-21
pubmed: 22481273
AIDS Behav. 2014 Dec;18(12):2302-13
pubmed: 24257897
Ann Soc Belg Med Trop. 1993 Jun;73(2):143-7
pubmed: 8368890
Popul Space Place. 2014 Aug 1;20(6):528-551
pubmed: 25332690
Mt Sinai J Med. 2011 May-Jun;78(3):342-51
pubmed: 21598261
Soc Sci Med. 2007 Dec;65(12):2464-73
pubmed: 17761375
J Int AIDS Soc. 2018 Jul;21 Suppl 4:e25114
pubmed: 30027583
Soc Sci Med. 2014 Feb;102:146-56
pubmed: 24565152
Arch Intern Med. 1994 Jun 27;154(12):1391-6
pubmed: 8002691
AIDS. 2017 Nov 13;31(17):2427-2429
pubmed: 28926401
AIDS Behav. 2016 Oct;20(10):2464-2476
pubmed: 26961380
Lancet. 2009 Jan 3;373(9657):48-57
pubmed: 19038438
BMC Public Health. 2009 Jun 18;9:193
pubmed: 19538717
J Int AIDS Soc. 2018 Jan;21(1):
pubmed: 29314658
J Acquir Immune Defic Syndr. 2017 Apr 15;74(5):e121-e128
pubmed: 27875361
Infect Dis Model. 2018 Apr 23;3:97-106
pubmed: 30839863
Curr Opin HIV AIDS. 2015 Nov;10(6):430-8
pubmed: 26352396
J Infect Dis. 2012 Aug 15;206(4):543-51
pubmed: 22711905
Int J Health Serv. 1991;21(1):157-73
pubmed: 2004869
PLoS Med. 2014 Mar 04;11(3):e1001610
pubmed: 24595023
PLoS One. 2015 Nov 24;10(11):e0142805
pubmed: 26599277
Soc Sci Med. 2005 Apr;60(8):1739-49
pubmed: 15686806