No difference in HIV incidence and sexual behaviour between out-migrants and residents in rural Manicaland, Zimbabwe

Tropical Medicine & International Health : TM & IH
C MundandiSimon Gregson

Abstract

Migration is associated with HIV infection, but the relationship has been mostly assessed in cross-sectional studies. In a prospective study, we investigated whether out-migrants are a selection of high-risk individuals and whether rural-to-urban migration results in risky sexual behaviour for HIV incidence. A population cohort was enrolled in a stratified household census in four different community types in Manicaland, east Zimbabwe, between July 1998 and February 2000, and followed-up after 3 years. Out-migrants to the national capital (Harare), the provincial capital (Mutare) and other study areas were followed-up. A structured questionnaire was administered and an HIV test was conducted at each interview. HIV prevalence and sexual risk behaviour at baseline, and HIV incidence and sexual behaviour during follow-up were compared for out-migrants and residents. At baseline, future migrants were significantly younger, better educated and more likely to be single than residents. For males, migration was highest from subsistence farming areas and roadside trading centres and lowest from estates. After adjusting for age, education, marital status and location, there were no differences in HIV prevalence and sexual risk behaviour ...Continue Reading

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Citations

Jul 27, 2011·Journal of Immigrant and Minority Health·Shira M GoldenbergOmar Sued
Mar 2, 2011·Global Public Health·Joanna Vearey
Apr 22, 2010·International Journal of Epidemiology·Simon GregsonOwen Mugurungi
Jul 2, 2008·PLoS Medicine·Timothy B HallettUNKNOWN ALPHA Network
Oct 31, 2007·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Xiaoming LiDanhua Lin
Jun 26, 2014·BMC Infectious Diseases·Chris KenyonMark Lurie
Oct 28, 2014·Mathematical Biosciences and Engineering : MBE·Aditya S KhannaSteven M Goodreau
Sep 1, 2007·Proceedings of the National Academy of Sciences of the United States of America·Simon GregsonRoy M Anderson
Nov 22, 2013·AIDS and Behavior·Susan CasselsAditya S Khanna
Oct 21, 2010·Tropical Medicine & International Health : TM & IH·Kevin D DeaneDeborah Johnston
May 13, 2008·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Elia J MmbagaKnut-Inge Klepp
May 26, 2011·Journal of the International AIDS Society·Kimberly A MarshSimon Gregson

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