Mobility and HIV in Tanzanian couples: both mobile persons and their partners show increased risk
| Autor: | Debby C. J. Vissers, Hélène A. C. M. Voeten, Raphael Isingo, Basia Zaba, Coleman Kishamawe, Mark Urassa, Gerard J. J. M. Borsboom, J. Dik F. Habbema, Gabriel Mwaluko, Sake J. de Vlas |
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| Přispěvatelé: | Public Health |
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Longitudinal study Adolescent Sexual Behavior Immunology Psychological intervention Human immunodeficiency virus (HIV) Prevalence HIV Infections medicine.disease_cause Tanzania Acquired immunodeficiency syndrome (AIDS) SDG 3 - Good Health and Well-being Risk Factors Humans Immunology and Allergy Medicine Risk factor Aged Travel Unsafe Sex biology business.industry Middle Aged biology.organism_classification medicine.disease Sexual Partners Infectious Diseases Increased risk Female business Demography |
| Zdroj: | AIDS, 20(4), 601-608. Lippincott Williams & Wilkins |
| ISSN: | 0269-9370 |
| Popis: | __Objective:__ To investigate how mobility is related to sexual risk behavior and HIV infection, with special reference to the partners who stay behind in mobile couples. __Methods:__ HIV status, sexual behavior and demographic data of 2800 couples were collected in a longitudinal study in Kisesa, rural Tanzania. People were considered short-term mobile if they had slept outside the household at least once on the night before one of the five demographic interviews, and long-term mobile if they were living elsewhere at least once at the time of a demographic round. __Results:__ Overall, whereas long-term mobile men did not report more risk behavior than resident men, short-term mobile men reported having multiple sex partners in the last year significantly more often. In contrast, long-term mobile women reported having multiple sex partners more often than resident women (6.8 versus 2.4%; P = 0.001), and also had a higher HIV prevalence (7.7 versus 2.7%; P = 0.02). In couples, men and women who were resident and had a long-term mobile partner both reported more sexual risk behavior and also showed higher HIV prevalence than people with resident/ short-term mobile partners. Remarkably, risk behavior of men increased more when their wives moved than when they were mobile themselves. __Conclusions:__ More sexual risk behavior and an increased risk of HIV infection were seen not only in mobile persons, but also in partners staying behind. Interventions aiming at reducing risk behavior due to mobility should therefore include partners staying behind. |
| Databáze: | OpenAIRE |
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