Vulnerabilities and risks of HIV infection among migrants in the Thane district, India
| Autor: | Debashree Chowdhury, Arvind Agarwal, Avijit Chakrabartty, S.S. Iyer, K.. M. Gopal, P. S. Saravanamurthy, Shantanu Purohit, P. Mishra |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cross-sectional study Human immunodeficiency virus (HIV) Vulnerability India HIV Infections medicine.disease_cause Logistic regression Vulnerable Populations law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Condom Risk Factors law Epidemiology medicine Humans 030212 general & internal medicine Young adult Transients and Migrants 030505 public health business.industry Public Health Environmental and Occupational Health virus diseases social sciences General Medicine Middle Aged female genital diseases and pregnancy complications Cross-Sectional Studies Socioeconomic Factors Spouse population characteristics Female 0305 other medical science business geographic locations Demography |
| Zdroj: | Public Health. 164:49-56 |
| ISSN: | 0033-3506 |
| DOI: | 10.1016/j.puhe.2018.07.019 |
| Popis: | Objectives To explore the vulnerabilities and risks of HIV infection among female migrants compared with male migrants in the Thane district of Maharashtra, India. Study design This is a cross-sectional epidemiological study. Methods Data from 35,841 migrants (men 96.2% and women 3.8%) were collected using the web-based ‘Migrant Service Delivery System.’ The data were then analysed in SPSS, version 23.0. Statistical analysis, including Chi-squared test and multivariate logistic regression, was used to identify factors influencing HIV infection for both male and female migrants. Results It was observed that 2.96% of female migrants had HIV infection compared with 0.77% of male migrants. We found that 12.1% of women consumed alcohol compared with 41.9% of men, and access to bars was 1.5% among women and 3.5% in men. We observed an even larger difference between men and women in their previous history of using brothels for sex; only 5.9% of female migrants reported previously having used brothels for sex, compared with 62.9% of male migrants. Approximately 12.3% of married women and 93.6% of married men had sex with someone other than their spouse. We found that 67.0% of married women and 73.9% of married men reported using a condom during their last sexual act compared with 60.9% of unmarried women and 68.1% of unmarried men. Conclusions In Thane, female migrants faced higher vulnerabilities and risks of HIV infection than male migrants. Consequently, innovative strategies are required to address these particular needs of female migrants. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect