Sociodemographic context of the AIDS epidemic in a rural area in Tanzania with a focus on people's mobility and marriage
Sociodemographic context of the AIDS epidemic in a rural area in Tanzania with a focus on people's mobility and marriage
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DOI：
10.1136/sti.78.suppl_1.i97
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发表时间：
2002-04-01
影响因子：
3.6
通讯作者：
Mwaluko, G
中科院分区：
文献类型：
--
作者：
Boerma, JT;Urassa, M;Mwaluko, G
本分析的重点是坦桑尼亚西北部贫困的半城市和农村人口（Kisesa词）的社会文化和经济特征如何直接或间接地影响艾滋病毒和其他性传播感染（STI）的流行病学。贫困和社会文化变化可能导致观察到的基萨婚姻高度不稳定和短期和长期移民水平高，特别是在年轻人中。婚姻和移民模式是影响艾滋病毒传播的重要潜在因素。最具成本效益的干预战略可能是把重点放在流动性更高、酒吧更常见、艾滋病毒流行率和发病率远高于附近农村的交易中心。如果资源充足，可以在农村开展更多的工作，但尚不清楚，如果交易中心的干预措施有效，农村流行病将在多大程度上自我维持。
This analysis focuses on how sociocultural and economic characteristics of a poor semi-urban and rural population (Kisesa word) in north west Tanzania may directly and indirectly affect the epidemiology of HIV and other sexually transmitted infections (STI). Poverty and sociocultural changes may contribute to the observed high levels of marital instability and high levels of short and long term migration in Kisesa, especially among younger adults. Marriage and migration patterns are important underlying factors affecting the spread of HIV. The most cost-effective intervention strategy may be to focus on the trading centre in which mobility is higher, bars were more common, and HIV prevalence and incidence were considerably higher than in the nearby rural villages. If resources suffice, additional work can be undertaken in the rural villages although it is not clear to what extent the rural epidemic would be self sustaining if the interventions in the trading centre were effective.