Short-term mobility and the risk of HIV infection among married couples in the fishing communities along Lake Victoria, Kenya.
Short-term mobility and the risk of HIV infection among married couples in the fishing communities along Lake Victoria, Kenya.
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DOI：
10.1371/journal.pone.0054523
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Bukusi EA
中科院分区：
文献类型：
--
作者：
Kwena ZA;Camlin CS;Shisanya CA;Mwanzo I;Bukusi EA
长期以来，流动性一直与高艾滋病毒流行率有关。我们试图评估渔业社区已婚夫妇流动与艾滋病毒感染风险之间关系的性别差异。我们对545对按比例代表基苏木县所有不同大小的钓鱼海滩的夫妇进行了1090次性别匹配的访谈和快速艾滋病毒检测。我们随机联系了一些渔民作为我们的主要参与者，并要求他们和他们的配偶一起参加这项研究。同意的夫妇被分开到不同的私人房间，同时接受采访，然后团聚，进行快速的艾滋病毒咨询和检测。除了社会经济和行为数据，我们还收集了过夜旅行的信息，并将夫妻分为四组：夫妻双方都不移动，夫妻双方都移动，只有女性移动，只有男性移动。除描述性统计外，我们还使用X2和U检验来比较变量组和多变量逻辑回归来测量流动性与HIV感染之间的关联。我们发现，女性在前一个月的旅行次数（平均4.6次，SD 7.1）与男性（平均3.3次，SD 4.9; p<0.01）相比有显著差异，当女性确实旅行时，她们比男性伴侣更有可能离开家的时间更长（平均5.2天[SD 7.2]比3.4天SD 5.6天；p = 0.01）。女性的艾滋病毒感染率为22.7%，而男性为20.9%，配偶不流动的流动女性感染艾滋病毒的可能性是配偶双方都不流动的夫妇的2.1倍。渔民配偶的流动性与艾滋病毒感染有关，这在渔民本身中并不明显。因此，在这个社区的干预措施可以结合针对妇女的特定性别规划和针对夫妇的综合规划。
Mobility has long been associated with high HIV prevalence. We sought to assess sex differences in the relationship between mobility and risk for HIV infection among married couples in the fishing communities. We conducted 1090 gender-matched interviews and rapid HIV testing with 545 couples proportionally representing all the different sizes of the fish-landing beaches in Kisumu County. We contacted a random sample of fishermen as our index participants and asked them to enrol in the study together with their spouses. The consenting couples were separated into different private rooms for concurrent interviews and thereafter reunited for couple rapid HIV counselling and testing. In addition to socio-economic and behavioural data, we collected information on overnight travels and divided couples in 4 groups as follows both partners not mobile, both partners mobile, only woman mobile, and only man mobile. Other than descriptive statistics, we used X2 and U tests to compare groups of variables and multivariate logistic regression to measure association between mobility and HIV infection. We found significant differences in the number of trips women travelled in the preceding month (mean 4.6, SD 7.1) compared to men (mean 3.3, SD 4.9; p<0.01) and when the women did travel, they were more likely to spend more days away from home than their male partners (mean 5.2 [SD 7.2] versus 3.4 SD 5.6; p = 0.01). With an HIV prevalence of 22.7% in women compared to 20.9% among men, mobile women who had non-mobile spouses had 2.1 times the likelihood of HIV infection compared to individuals in couples where both partners were non-mobile. The mobility of fishermen’s spouses is associated with HIV infection that is not evident among fishermen themselves. Therefore, interventions in this community could be a combination of sex-specific programming that targets women and combined programming for couples.
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影响因子：
3.7
作者：
Camlin CS;Hosegood V;Newell ML;McGrath N;Bärnighausen T;Snow RC
通讯作者：
Snow RC
影响因子：
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作者：
Howe, Laura D;Hargreaves, James R;Huttly, Sharon R A
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Huttly, Sharon R A
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影响因子：
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作者：
Marks, MJ;Fraley, RC
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