Effects of Migration on Risky Sexual Behavior and HIV Acquisition in South Africa: A Systematic Review and Meta-analysis, 2000-2017

被引：41

作者：

Dzomba, Armstrong ^{[1
,2
,6
]}

Tomita, Andrew ^{[1
,6
,7
]}

Govender, Kaymarlin ^{[5
]}

Tanser, Frank ^{[1
,2
,3
,4
]}

机构：

[1] Africa Hlth Res Inst, K RITH Tower Bldg,719 Umbilo Rd,Private Bag X7, Durban, South Africa

[2] Univ KwaZulu Natal, Sch Nursing & Publ Hlth, Durban, South Africa

[3] Univ KwaZulu Natal, Ctr AIDS Programme Res South Africa CAPRISA, Durban, South Africa

[4] UCL, Res Dept Infect & Populat Hlth, London, England

[5] Univ KwaZulu Natal, Hlth Econ & HIV AIDS Res Div HEARD, Westville Campus, Durban, South Africa

[6] Univ KwaZulu Natal, KwaZuluNatal Res Innovat & Sequencing Platform KR, Coll Hlth Sci, Durban, South Africa

[7] Univ KwaZulu Natal, Sch Nursing & Publ Hlth, Ctr Rural Hlth, Durban, South Africa

来源：

AIDS AND BEHAVIOR | 2019年 / 23卷 / 06期

基金：

英国医学研究理事会;

关键词：

Risky sexual behaviour; Multiple sexual partnerships; Risk of HIV acquisition; Migration; Meta-analysis; LABOR MIGRATION; HIGH-PREVALENCE; TRUCK DRIVERS; MIGRANT WOMEN; CAPE-TOWN; POPULATION; MOBILITY; PARTNERSHIPS; INFECTIONS; PATTERNS;

D O I：

10.1007/s10461-018-2367-z

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

While human mobility has been implicated in fueling the HIV epidemic in South Africa, the link between migration and HIV has not been systematically reviewed and quantified. We conducted a systematic review of the role of migration in HIV risk acquisition and sexual behaviour based on 29 studies published between 2000 and 2017. Furthermore, we performed a meta-analysis of the association between migration and HIV risk acquisition in four of the studies that used HIV incidence as an outcome measure. The systematic review results show that HIV acquisition and risky sexual behavior were more prevalent among both male and female migrants compared to their non-migrant counterparts. The meta-analysis results demonstrate that migration was significantly associated with increased HIV acquisition risk (aOR=1.69, 95% CI 1.33-2.14; I-2=35.0%). There is an urgent need for effective combination HIV prevention strategies (comprising biomedical, behavioral and structural interventions) that target migrant populations.

引用

页码：1396 / 1430

页数：35

共 57 条

[1]

[Anonymous], 2003, C AFR MIGR COMP PERS

[2]

[Anonymous], LANCET INFECT DIS

[3]

[Anonymous], SOC DYN J AFR STUD

[4]

[Anonymous], J IMMIGRANT MINORITY