Social and behavioural risk factors for HIV infection among the wives of labour migrants in Nepal

Thapa, Subash; Bista, Nirmala; Timilsina, Suraj; Buntinx, Frank; Matheï, Catharina

doi:10.1177/0956462414521162

Cited by 12 publications

(7 citation statements)

References 12 publications

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“…Occurrence of sexually transmitted infections in women strongly depends on their husband's sexual behavior . Although a previous study from Nepal reported a high risk of HIV infection among wives of migrants , we did not find an association between the husbands' residence and HPV infection in their spouse. The higher prevalence of HR‐HPV infection among current smokers in our study is consistent with the results of a large multicenter study that showed increasing risk of HPV positivity with higher smoking intensity .…”

Section: Discussioncontrasting

confidence: 99%

Prevalence of human papillomavirus infection among women in rural Nepal

Shakya

Syversen

Åsvold

et al. 2016

Acta Obstet Gynecol Scand

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Introduction. In this study we aimed to determine the overall and type-specific prevalence of cervical human papillomavirus (HPV) infection and risk factors for such infection among women in rural Nepal, and to investigate the distribution of HPV infection by cervical cytology. Material and methods. The study was conducted among women aged ≥15 years in five rural villages within Kavre District in Nepal. Sociodemographic data and information on risk factors for cervical cancer were obtained through an interview, and a cervical specimen was collected for HPV DNA detection and typing using the Anyplex

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Section: Discussioncontrasting

confidence: 99%

Prevalence of human papillomavirus infection among women in rural Nepal

Shakya

Syversen

Åsvold

et al. 2016

Acta Obstet Gynecol Scand

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“…First, in the sensitivity analysis of all sexually active women (i.e., not only women with linked partners), we obtained broadly similar findings. Second, we observed greater adverse impacts of food insecurity among women with migrant partners, which is notable given that migrants are a particularly vulnerable and high-risk sub-population in Nepal's HIV epidemic [47]. The bulk of the sizeable migrant worker population in Nepal consists of men, who may be gone for months or even years at a time [48].…”

Section: Discussionmentioning

confidence: 99%

“…Women who live in rural areas where plowing is a taboo activity [51] may experience considerable livelihood insecurity and economic dependence on men and may therefore be at even greater risk for HIV acquisition [50]. Definitive conclusions about whether Nepal's HIV epidemic is beginning to expand out of high-risk groups [31] and the extent to which migrant workers may act as a “bridge” to subgroups not typically thought of being at risk for HIV acquisition [47,50], however, are constrained by the poor quality of available epidemiological evidence on HIV and sexual behavior in Nepal as a whole [29]. …”

Section: Discussionmentioning

confidence: 99%

Population-Based Study of Food Insecurity and HIV Transmission Risk Behaviors and Symptoms of Sexually Transmitted Infections Among Linked Couples in Nepal

Tsai

Weiser

2014

AIDS Behav

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Food insecurity has recently emerged as an important risk factor for HIV acquisition among women worldwide. No previous studies have used linked data that would permit investigation of the extent to which food insecurity may have differential associations with HIV transmission risk behaviors or symptoms of sexually transmitted infections (STIs) among men and women in the same households. We used nationally representative data on linked couples from the Nepal 2011 Demographic and Health Survey. The primary explanatory variable of interest was food insecurity, measured with the Household Food Insecurity Access Scale. In multivariable logistic regression models, women in food insecure householdswere less likely to report recent condom use and more likely to report symptoms consistent with STIs. These patterns were absent among men. Interventions targeting food insecurity may have beneficial implications for both HIV prevention and gender equity in Nepal.

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“…Women having migrant husband who did not ever attend school were likely 5.87 times higher to get HIV. 15 Meanwhile, the women who had husband never attending school were likely 5 times higher to get HIV. Quinn and Overbaugh, 6 stated that lower education was one of the roots of women vulnerability toward HIV infection.…”

Section: Discussionmentioning

confidence: 99%

Husband’s Education Level and Alcohol Drinking Habit as Risk Factors of HIV Infection among Housewives in Pati District

Aeni¹,

Westendorp

2017

Kesmas: National Public Health Journal

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Cases of Human Immunodeficiency Virus (HIV) infection in Pati District increase, particularly among housewives. The aim of this study was to analyse the risk factors of HIV infection among housewives in Pati District using case-control study design. The respondents were 90 housewives divided into case and control group. The case group consisted of 30 housewives living with HIV, while the control group comprised 60 housewives living in the similar area of the counterparts. The data collection was focused on demographic, sexual behaviour, and sociocultural variables possessed by housewives and their husbands. The study resulted that the risk factors of HIV infection among housewives based on bivariate analysis were housewife's level of education, husband's level of education, husband's occupation, housewife's sexual transmission disease (STD) record, husband's STD record, husband's participation in religious activities, and husband's alcohol drinking habit. The risk factors that fitted to logistic regression model were education level and alcoholic behaviour of husbands that contributed to 29.1% HIV infection among housewives. In conclusion, the husband's variables are proved having stronger and very significant correlation with HIV infection among housewives than housewife's variables. Keywords: Alcohol drinking habit, education level, hiv, husband AbstrakKasus infeksi HIV di Kabupaten Pati menunjukkan peningkatan khususnya pada kelompok ibu rumah tangga (IRT). Penelitian ini bertujuan menganalisis faktor risiko penularan HIV pada ibu rumah tangga di Kabupaten Pati dengan desain penelitian kasus kontrol. Jumlah responden adalah 90 IRT yang terbagi dalam kelompok kasus dan kelompok kontrol. Kelompok kasus terdiri dari 30 IRT yang terinfeksi HIV, sedangkan kelompok kontrol terdiri dari 60 IRT yang tidak terinfeksi HIVdan tinggal di desa yang sama dengan responden pada kelompok kasus. Pengumpulan data difokuskan pada variabel demografi, perilaku seksual, dan sosial budaya yang melekat pada IRT dan suami. Hasil penelitian menunjukkan bahwa faktor risiko infeksi HIV pada IRT berdasarkan analisis bivariat adalah tingkat pendidikan IRT, tingkat pendidikan suami, pekerjaan suami, riwayat penyakit infeksi menular seksual (IMS) IRT, riwayat IMS suami, partisipasi suami dalam kegiatan keagamaan, dan kebiasan suami mengonsumsi alkohol. Variabel yang sesuai dengan model regresi logistik adalah tingkat pendidikan suami dan kebiasaan suami mengonsumsi alkohol, dimana kedua variabel memengaruhi 29,1% kasus infeksi HIV pada IRT. Disimpulkan bahwa variabel yang melekat pada suami memiliki signifikasi dan korelasi yang lebih kuat terhadap infeksi HIV dibandingkan kelompok IRT.

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Social and behavioural risk factors for HIV infection among the wives of labour migrants in Nepal

Cited by 12 publications

References 12 publications

Prevalence of human papillomavirus infection among women in rural Nepal

Prevalence of human papillomavirus infection among women in rural Nepal

Population-Based Study of Food Insecurity and HIV Transmission Risk Behaviors and Symptoms of Sexually Transmitted Infections Among Linked Couples in Nepal

Husband’s Education Level and Alcohol Drinking Habit as Risk Factors of HIV Infection among Housewives in Pati District

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