The impact of migration on HIV-1 transmission in South Africa - A study of migrant and nonmigrant men and their partners
The impact of migration on HIV-1 transmission in South Africa - A study of migrant and nonmigrant men and their partners
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DOI：
10.1097/00007435-200302000-00011
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发表时间：
2003-02-01
影响因子：
3.1
通讯作者：
Karim, SSA
中科院分区：
文献类型：
--
作者：
Lurie, MN;Williams, BG;Karim, SSA
工作背景：调查移民和非移民男子和他们的农村partners.Goal之间的移民和艾滋病病毒感染的关联：其目标是确定HIV-1感染的危险因素在SouthAfrica.Study Design：这是一个横断面研究的196个移民男子和130个他们的农村合作伙伴，以及64个非移民男子和98个农村妇女的合作伙伴是非移民。男性移徙者在两个城市中心工作时被招募，距离他们的农村家园100公里和700公里。对农村伙伴进行了跟踪，并邀请他们参加。非移民夫妇被招募进行比较。该研究涉及一个详细的问卷调查和血液采集HIV testing.Results：检测显示，25.9%的流动男性和12.7%的非流动男性感染HIV（P = 0.029;比值比= 2.4; 95%CI = 1.1-5.3）。在多因素分析中，男性HIV感染的主要危险因素是流动人口、曾使用安全套和一生中居住在四个或四个以上地方。作为一个移民的合作伙伴是不是一个显着的危险因素，艾滋病毒感染的妇女，显着的危险因素是报告一个以上的当前固定的合作伙伴，年龄小于35岁，并有性病症状，在过去的4 months.Conclusion：移民是一个独立的危险因素，男性艾滋病毒感染。迫切需要采取工作场所干预措施，以防止进一步感染。农村妇女的艾滋病毒感染率很高，固定伴侣的移民身份不是感染艾滋病毒的主要风险因素。农村妇女无法获得适当的预防干预措施，无论其伴侣的移民身份如何。
Background: To investigate the association between migration and HIV infection among migrant and nonmigrant men and their rural partners.Goal: The goal was to determine risk factors for HIV-1 infection in South Africa.Study Design: This was a cross-sectional study of 196 migrant men and 130 of their rural partners, as well as 64 nonmigrant men and 98 rural women whose partners are nonmigrant. Male migrants were recruited at work in two urban centers, 100 km and 700 km from their rural homes. Rural partners were traced and invited to participate. Nonmigrant couples were recruited for comparison. The study involved administration of a detailed questionnaire and blood collection for HIV testing.Results: Testing showed that 25.9% of migrant men and 12.7% of nonmigrant men were infected with HIV (P = 0.029; odds ratio = 2.4; 95% CI = 1.1-5.3). In multivariate analysis, main risk factors for male HIV infection were being a migrant, ever having used a condom, and having lived in four or more places during a lifetime. Being the partner of a migrant was not a significant risk factor for HIV infection among women; significant risk factors were reporting more than one current regular partner, being younger than 35 years, and having STD symptoms during the previous 4 months.Conclusion: Migration is an independent risk factor for HIV infection among men. Workplace interventions are urgently needed to prevent further infections. High rates of HIV were found among rural women, and the migration status of the regular partner was not a major risk factor for HIV. Rural women lack access to appropriate prevention interventions, regardless of their partners' migration status.