High-risk sex and displacement among refugees and surrounding populations in 10 countries: the need for integrating interventions

AIDS
Paul B SpiegelMaysoon Dahab

Abstract

Between 2004 and 2012, the United Nations High Commissioner for Refugees conducted behavioural surveillance surveys in 27 separate communities in 10 countries. Random systematic or two-stage cluster sampling was used among participants of age 15-49 years, using a modified standard questionnaire. We conducted descriptive data analysis and multivariable logistic regression to identify factors independently associated with multiple sexual partnerships. Of 27 sites surveyed comprising 24 219 individuals, 11 refugee and surrounding communities were paired. Recent displacement comprised less than 10% of participants. Visiting neighbouring communities varied from 8.6 to 74.4%. Multiple sexual partnerships varied from 2.7% in Sudan to 32.5% in Tanzania. Condom use during last sex was low in most of the communities (<5%). The prevalence of forced sex was similar in paired sites, with intimate partner violence being the most frequent, ranging between 1.0 and 4.6% in camps and 0.8 and 3.6% in communities, with the exception of Nepal (10.8 and 9.8%). Being away from home for more than 1 month and having lived in community for less than 12 months was associated with multiple partnerships in six and five of 16 sites, respectively. In the lar...Continue Reading

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Citations

Mar 24, 2016·African Journal of AIDS Research : AJAR·Mirgissa Kaba SerbessaHelmut Kloos
Oct 20, 2015·Bulletin of the World Health Organization·Thidar PyoneNynke van den Broek
Apr 3, 2019·BMJ : British Medical Journal·Carmen H LogieClaire Uwase Kipenda
Feb 28, 2018·Journal of the International AIDS Society·Dick ChamlaPriscilla Idele

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