Migration and HIV transmission in rural south India: An ethnographic study

Migration and HIV transmission in rural south India: An ethnographic study
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DOI:
10.1080/13691050600963898
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发表时间:
2007-01-01
影响因子:
2.2
通讯作者:
Moses, Stephen
Moses, Stephen
中科院分区:
医学3区
文献类型:
--
作者:
Halli, Shiva S.;Blanchard, James;Moses, Stephen

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在印度北方卡纳塔克邦,人们普遍假设,艾滋病毒的传播是由于大量季节性男性劳动力向外移徙造成的。为了研究这一问题,在北方卡纳塔克邦的一个地区采用定量和定性相结合的方法进行了人种学研究。调查结果表明,移徙似乎不是影响已婚男子性行为的一个关键因素。近35%的已婚移徙男子报告有婚外性行为,40%的未婚移徙男子有婚前性行为。虽然在这一流行病的早期,艾滋病毒感染与移徙之间有很强的相关性,但最近这种相关性似乎越来越弱。迫切需要考虑到该区域社会和文化特点的更具创新性的艾滋病毒预防方案,以遏制这一流行病的迅速发展。
There is a widespread assumption in Northern Karnataka, India that HIV transmission is due to the large volume of male seasonal labour out-migration. In order to examine this issue, an ethnographic study was conducted in one of the Northern Karnataka districts using a combination of quantitative and qualitative methods. Findings indicate that migration does not seem to be a key factor affecting sexual behaviour among married men. Nearly 35% of married migrant men reported being involved in extramarital sex and 40% of unmarried migrant men were involved in premarital sex. While earlier in the epidemic there was a strong correlation between HIV infection and migration, more recently the correlation seems to be getting weaker. More innovative HIV prevention programmes which take into account the social and cultural characteristics of this region are urgently needed to curtail the rapid development of the epidemic.