Linking migration, mobility and HIV
Linking migration, mobility and HIV
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DOI：
10.1111/j.1365-3156.2010.02647.x
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发表时间：
2010-12-01
影响因子：
3.3
通讯作者：
Johnston, Deborah
中科院分区：
文献类型：
--
作者：
Deane, Kevin D.;Parkhurst, Justin O.;Johnston, Deborah
人口流动通常被认为是艾滋病毒流行的关键驱动因素，既将地理上分离的流行病联系在一起，又通过诱导风险更高的性行为来加强传播。然而，除了对南非矿工和东非卡车司机的著名案例研究之外，关于艾滋病毒和流动性之间联系的证据是微妙的、相互矛盾的和不确定的，部分原因是不同研究中对流动性的抽象定义。这种有问题的流动性概念，没有提到谁搬家，他们搬家的动机，或发送和接收地区的特点，可能会对人们如何理解这一结构性因素在不同环境中对艾滋病毒风险的影响产生重大影响。今后关于流动和艾滋病毒传播的研究必须将移徙和流动理解为动态过程，并将不同的流动模式和形式与特定地点的性网络和艾滋病毒流行病学联系起来。
Population mobility is commonly identified as a key driver of the HIV epidemic, both linking geographically separate epidemics and intensifying transmission through inducing riskier sexual behaviours. However, beyond the well-known case studies of South African miners and East African truck drivers, the evidence on the links between HIV and mobility is nuanced, contradictory and inconclusive and is in part attributed to the abstract definitions of mobility used in different studies. This problematic conception of mobility, with no reference to who moves, their motivations for moving, or the characteristics of sending and receiving areas, can have a dramatic impact on how one understands the influence which this structural factor has on HIV risk in different settings. Future research on mobility and HIV transmission must incorporate an understanding of migration and mobility as dynamic processes and link different patterns and forms of mobility with location-specific sexual networks and HIV epidemiology.