Migration and HIV transmission in rural South India: An ethnographic study

Halli, Shiva S.; Blanchard, James; Satihal, Dayanand G; Moses, Stephen

doi:10.1080/13691050600963898

Cited by 56 publications

(67 citation statements)

References 4 publications

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“…According to studies carried out by Gupta and Singh, prolonged separation from family, spouse and socio-cultural norms, together with isolation and loneliness can lead to social and sexual practices, such as unsafe sex, which make migrant and mobile workers more susceptible to exposure to HIV infection 33 . A study by Halli and others emphasised that it is usually men who tend to engage in such high risk sexual behavior 34 . This study showed that staying away from one's spouse increases the odds of using condoms among migrant women.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Condom Use among Selected Migrant Commercial Farm Workers in South Africa

Musariri

Odimegwu

2016

Afr J Reprod Health

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Previous studies have shown that HIV prevalence rates are relatively high while condom use is low in migrant communities in South Africa. Using data from the Integrated Biological and Behavioural Surveillance Survey implemented by the International Organisation for Migration in 2010 among farm workers, this study seeks to investigate factors associated with condom use among migrant men and women in selected commercial farms in two provinces of South Africa. The study analysed 943 sexually active non-South Africans working in selected farms. Data analysis was undertaken at univariate, bivariate and multivariate levels using logistic regression producing odds ratios to examine the associations at 5% level of significance. The results showed that access to free condoms, financial stability and staying away from spouse increased the odds of condom use among migrant farm workers in Limpopo and Mpumalanga. Amongst men being financially stable and having access to free condoms significantly increased the odds of using condoms. Amongst women being married reduced the odds of using condoms while access to free condoms and living away from spouse significantly increased condom use. Determinants of condom use vary between male and female migrants. HIV prevention policies and programmes targeting migrant farm workers should be gender sensitive. (Afr J Reprod Health 2016; 20[2]: 13-26).Keywords: HIV prevention, migrant labour, risky behaviour, vulnerabilities. RésuméDes études antérieures ont montré que les taux de prévalence du VIH sont relativement élevés alors que l'utilisation du préservatif est faible dans les communautés des immigrés en Afrique du Sud. En utilisant les données de l'Enquête sur la surveillance biologique et comportementale intégrée mis en oeuvre par l'Organisation internationale pour la migration en 2010 au sein des travailleurs agricoles, cette étude vise à étudier les facteurs associés à l'utilisation du préservatif chez les hommes et les femmes immigrés dans les exploitations commerciales sélectionnées dans deux provinces d'Afrique du Sud. L'étude a analysé 943 non Sud-Africains sexuellement actifs travaillant dans des fermes sélectionnées. L'analyse des données a été réalisée aux niveaux univariés, bivariés et multivariés en utilisant la régression logistique produisant des rapports de cotes pour examiner les associations au niveau de signification de 5%. Les résultats ont montré que l'accès à des préservatifs gratuits, la stabilité financière et de rester loin du conjoint ont augmenté les chances de l'utilisation du préservatif parmi les travailleurs agricoles immigrés au Limpopo et Mpumalanga. Chez les hommes étant financièrement stable et ayant accès à des préservatifs gratuits ont augmenté de manière significative les chances de l'utilisation des préservatifs. Chez les femmes, le fait d'être mariées a réduit les chances d'utiliser des préservatifs alors que l'accès aux préservatifs gratuits et d'habiter loin du conjoint a augmenté de manière significative l'utilisation du préservatif. Le...

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Section: Discussionmentioning

confidence: 99%

Determinants of Condom Use among Selected Migrant Commercial Farm Workers in South Africa

Musariri

Odimegwu

2016

Afr J Reprod Health

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“…An extensive literature on factors affecting the spread of HIV has documented the relationship between migrants and their sexual risk behaviors in various parts of India (Halli et al 2007;Rego et al 2002;Saggurti et al 2008;Singh et al 2006;Thappa et al 2002;Vemuri and Bhattacharya 2004). This research suggests that migrant men living predominantly in male settings and groups (Poudel et al 2004) and those who drink alcohol are substantially more likely to engage in risky sexual behaviors such as unprotected sex and sex trade involvement (Mishra 2004).…”

Section: Introductionmentioning

confidence: 97%

Migration, Mobility and Sexual Risk Behavior in Mumbai, India: Mobile Men with Non-Residential Wife Show Increased Risk

Saggurti¹,

Schensul

Verma

2009

AIDS Behav

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This paper examines the relationship of migration and mobility of husband and wife to sexual risk behaviors among married men living in economically marginal communities in Mumbai, India. Non-migrant men reported significantly more often than the migrant men that they had one or more sex partners other than their wives in the last year. Further, men with occupational mobility reported significantly more often than the men who were not mobile that they had one or more non-spousal sexual partners in the last 1 year. Married men living in Mumbai with wives residing in their area of origin and who reported occupational mobility had the highest sexual risk behaviors, controlling for socio-demographic characteristics and migration. Interventions aimed at prevention of HIV among men require special focus on both migrant and non-migrant men with greater occupational mobility, with particular emphasis on migrant men whose wives have remained in their pre-migration home areas.

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“…4 Studies in Africa and Asia demonstrated that female partners of male migrants are also at higher risk of HIV infection. [5][6][7] As of July 2015, 26,702 cases of HIV were reported in Nepal. 8 The total number of HIV infection was estimated to be 39,249 and adult HIV prevalence was 0.2%.…”

Section: Introductionmentioning

confidence: 99%

Knowing is Not Enough: Migrant Workers’ Spouses Vulnerability to HIV

Aryal

Regmi

Teijlingen

et al. 2017

SAARC J. Tuber. Lung Dis. HIV/AIDS

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Introduction: Male migrants and their sexual partners at home are at increased risk of STIs (Sexually Transmitted Infections) including HIV (Human Immunodeficiency Virus). We aimed to assess the knowledge and attitudes of migrants’ wives regarding HIV and STIs, and to understand risk perception of HIV due to their husbands’ sexual behaviour. Methodology: A cross-sectional survey among 182 migrants’ wives was conducted in two rural villages of Chitwan district in Nepal. The participants were selected through multistage cluster sampling method and data were collected through a questionnaire administered through a face-to-face interview. Results: Nearly all (94%) of migrants’ wives had a good knowledge of HIV, however with some misconceptions. More than two-thirds of the participating migrants’ wives were aware about the risk of HIV infection in migrant husbands and subsequent risk of transmitting themselves through sexual intercourse. Nearly half of the participants reported inability to ask their husbands about HIV and STIs even if they had their doubts. Knowledge of HIV and HIV risk associated with migration were statistically significantly higher in younger women, those who were literate and the longer the period of their husbands’ migration. Conclusion: Despite having generally a good knowledge and awareness of HIV and migration induced HIV risk; migrants’ wives could not discuss sexual health issues with their husbands, thus increasing their vulnerability to HIV and STIs.SAARC J TUBER LUNG DIS HIV/AIDS, 2016; XIII(1), page: 9-15

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Migration and HIV transmission in rural South India: An ethnographic study

Cited by 56 publications

References 4 publications

Determinants of Condom Use among Selected Migrant Commercial Farm Workers in South Africa

Determinants of Condom Use among Selected Migrant Commercial Farm Workers in South Africa

Migration, Mobility and Sexual Risk Behavior in Mumbai, India: Mobile Men with Non-Residential Wife Show Increased Risk

Knowing is Not Enough: Migrant Workers’ Spouses Vulnerability to HIV

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