Labor migration and HIV risk: a systematic review of the literature.
Labor migration and HIV risk: a systematic review of the literature.
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DOI：
10.1007/s10461-012-0183-4
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发表时间：
2012-08
影响因子：
4.4
通讯作者：
Kashuba, Adrianna B.
中科院分区：
文献类型：
--
作者：
Weine, Stevan M.;Kashuba, Adrianna B.
为了解如何制定多层次的策略来应对劳动力流动人口中的艾滋病风险，我们对来自卫生和社会科学文献的97篇文章进行了系统回顾。研究地点为非洲（23%）、美洲（26%）、欧洲（7%）、东南亚（21%）和西太平洋（24%）。在符合纳入标准的研究中，艾滋病毒风险与政策、社会文化背景、健康和心理健康以及性行为等层面的多层次决定因素相关。与艾滋病毒风险最经常相关的政策决定因素是：长期和/或经常缺勤、经济状况以及困难的工作和住房条件。最常与艾滋病毒风险相关的社会文化背景决定因素是：文化规范、家庭分离和社会支持不足。与艾滋病毒风险最相关的健康和心理健康因素是：物质使用、其他性传播感染、心理健康问题、没有艾滋病毒检测和使用针头。最常与艾滋病毒风险增加相关的性行为是：有限的安全套使用，多重伙伴关系，性工作者的客户，艾滋病毒知识低，和低感知艾滋病毒风险。通过多元统计数据显示，与政策或社会文化背景相比，健康和心理健康以及性行为的影响程度更大。这些发现在多个不同的全球劳动力移民地点的一致性凸显了多层次干预策略的必要性。然而，为了更好地为多层面干预措施的制定、实施和评估提供信息，需要进行更多的研究，克服先前的方法局限性，并侧重于建立新的因地制宜的干预措施和政策。
To inform the development of multilevel strategies for addressing HIV risk among labor migrants, 97 articles from the health and social science literatures were systematically reviewed. The study locations were Africa (23 %), the Americas (26 %), Europe (7 %), South East Asia (21 %), and Western Pacific (24 %). Among the studies meeting inclusion criteria, HIV risk was associated with multilevel determinants at the levels of policy, sociocultural context, health and mental health, and sexual practices. The policy determinants most often associated with HIV risk were: prolonged and/or frequent absence, financial status, and difficult working and housing conditions. The sociocultural context determinants most often associated with HIV risk were: cultural norms, family separation, and low social support. The health and mental health factors most often associated with HIV risk were: substance use, other STIs, mental health problems, no HIV testing, and needle use. The sexual practices most often associated with increased HIV risk were: limited condom use, multiple partnering, clients of sex workers, low HIV knowledge, and low perceived HIV risk. Magnitude of effects through multivariate statistics were demonstrated more for health and mental health and sexual practices, than for policy or sociocultural context. The consistency of these findings across multiple diverse global labor migration sites underlines the need for multilevel intervention strategies. However, to better inform the development, implementation, and evaluation of multilevel interventions, additional research is needed that overcomes prior methodological limitations and focuses on building new contextually tailored interventions and policies.
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影响因子：
6.4
作者：
Coffee, MP;Garnett, GP;Gregson, S
通讯作者：
Gregson, S
影响因子：
1.9
作者：
Amirkhanian, Yuri A.;Kuznetsova, Anna V.;Kelly, Jeffrey A.;DiFranceisco, Wayne J.;Musatov, Vladimir B.;Avsukevich, Natalya A.;Chaika, Nikolay A.;McAuliffe, Timothy L.
通讯作者：
McAuliffe, Timothy L.
DOI：
10.1080/09540120220133035
发表时间：
2002-08-01
影响因子：
1.7
作者：
Bandyopadhyay, M;Thomas, J
通讯作者：
Thomas, J
影响因子：
3.8
作者：
Bronfman, MN;Leyva, R;Rueda, CA
通讯作者：
Rueda, CA
影响因子：
3.8
作者：
Deering, Kathleen N.;Vickerman, Peter;Boily, Marie-Claude
通讯作者：
Boily, Marie-Claude