Factors Associated with Short and Long Term Mobility and HIV Risk of Women Living in Fishing Communities Around Lake Victoria in Kenya, Tanzania, and Uganda: A Cross Sectional Survey.

Factors Associated with Short and Long Term Mobility and HIV Risk of Women Living in Fishing Communities Around Lake Victoria in Kenya, Tanzania, and Uganda: A Cross Sectional Survey.
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DOI:
10.1007/s10461-022-03824-0
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发表时间:
2023-03
期刊:
影响因子:
4.4
通讯作者:
Fast, Pat
Fast, Pat
中科院分区:
医学2区
文献类型:
--
作者:
Bahemuka, Ubaldo M.;Okimat, Paul;Webb, Emily L.;Seeley, Janet;Ssetaala, Ali;Okech, Brenda;Oketch, Bertha;Kibengo, Freddie M.;Okello, Elialilia;Kwena, Zachary;Kuteesa, Monica O.;Price, Matt A.;Kaleebu, Pontiano;Grosskurth, Heiner;Fast, Pat

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流动性与消极的艾滋病毒护理连续性结果有关。我们试图了解与肯尼亚,坦桑尼亚和乌干达渔业社区妇女的短期和长期流动性相关的因素。从2018年到2019年,我们对15岁及以上的女性进行了横断面调查,这些女性是从维多利亚湖周围的六个渔村的人口普查中随机选出的。收集的数据包括:人口统计数据、最近旅行中的危险性行为以及过去4个月的旅行行为。流动性被记录为参与者村庄外的任何过夜旅行。采用二水平多项logistic回归模型确定相关因素。共有901名参与者入组,其中645人(71.6%)报告旅行(53.4%;短期旅行和18.2%长期旅行)。五个因素与长期旅行有关:年龄,旅行目的,旅行频率,旅行时的性行为和目的地。46-75岁妇女的旅行不太可能是长期的。如果旅行的目的是访问,而不是贸易,长期旅行更常见,报告一次或两次旅行而不是三次或更多旅行的妇女更常见。长期旅行的女性更有可能在旅行中进行无保护的性行为。前往区域城镇/地区或另一个城镇/地区的妇女更有可能进行长期旅行。与居住在渔业社区的妇女旅行时间相关的因素可以为这些社区未来的卫生保健干预计划提供信息。在线版本包含补充材料,可通过10.1007/s10461-022-03824-0获得。
Mobility is linked to negative HIV care continuum outcomes. We sought to understand factors associated with short and long term mobility among women in fishing communities in Kenya, Tanzania, and Uganda. From 2018 through 2019 we conducted a cross-sectional survey of women aged 15 years and above, randomly selected from a census of six fishing villages, around Lake Victoria. Data collected included: demographics, risky sexual behaviour on the most recent trip, and travel behaviour in the previous 4 months. Mobility was recorded as any overnight trip outside the participant’s village. A two-level multinomial logistic regression model was used to determine the associated factors. A total of 901 participants were enrolled, of whom 645 (71.6%) reported travelling (53.4%; short and 18.2% long term trips). Five factors were associated with long term travel: age, travel purpose, frequency of travel, sexual behaviour while travelling, and destination. Trips made by women aged 46–75 years were less likely to be long term. Long term trips were more common if the trip was to visit, rather than to trade, and more common for women who reported one or two trips rather than three or more trips. Women who made long term trips were more likely to engage in unprotected sex while on a trip. Women who travelled to a regional town/district or another town/district were more likely to take long term trips. The factors associated with travel duration among women living in fishing communities could inform planning of future health care interventions in these communities. The online version contains supplementary material available at 10.1007/s10461-022-03824-0.
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