Migration, Sexual behavior and the risk of HIV in Kenya
Migration, Sexual behavior and the risk of HIV in Kenya
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DOI：
10.2307/2547354
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发表时间：
1999-12-01
影响因子：
3.8
通讯作者：
Biddlecom, AE
中科院分区：
文献类型：
--
作者：
Brockerhoff, M;Biddlecom, AE
在撒哈拉以南非洲，移徙与艾滋病之间的联系有大量文献记载，但对这种关系背后的社会和行为机制仍然知之甚少。使用1993年肯尼亚ic和健康调查的数据，本文探讨了移民是否比非移民更有可能有多个最近的性伴侣，而不是使用安全套与这些合作伙伴。结果表明，移民是高风险性行为的一个关键因素，其重要性因性别和移民方向而异。独立的婚姻和同居状况，社会环境，艾滋病的认识，和其他重要的影响性行为，男性之间的城市地区和农村地区内的女性移民更有可能比非移民同行从事性行为，有利于艾滋病毒感染。在农村地区，来自城市的移民比非移民更有可能进行高风险性行为。给予;由于男子在城市移徙中占主导地位，以及城乡之间的大量流动，这些结果对肯尼亚全国的艾滋病毒传播产生了严重影响。
The association of migration with AIDS in sub-Saharan Africa is well documented, yet the social and behavioral mechanisms underlying this relationship remain poorly understood. Using data from the 1993 Kenya ic and Health Survey, this article examines whether migrants are more likely than nonmigrants to have multiple recent sexual partners and not use condoms with those partners. Results indicate that migration is a critical factor in high-risk sexual behavior and that its Importance varies by gender and by the direction of movement. Independent of marital and cohabitation status, social milieu, awareness of AIDS, and other crucial influences on sexual behavior, male migrants between urban areas and female migrants within rural areas are much more likely than nonmigrant counterparts to engage in sexual practices conducive to HIV infection. In rural areas, migrants from urban places are more likely than nonmigrants to practice high-risk sex. Given;he predominance of men in urban migration and the large volume of circulatory movement between urban and rural areas, these results have serious implications for HIV transmission throughout Kenya.