BACKGROUND:The contribution of women's mobility to the HIV/AIDS epidemic in Africa is poorly understood, despite women's high mobility and evidence that it is associated with higher-risk sexual behavior. We sought to measure levels of mobility, HIV prevalence, and related risk behaviors among female traders in Kisumu, Kenya. METHODS:We used global positioning system mapping to develop a probability-based sample and recruited 305 female market traders for participation in a survey and voluntary HIV counseling and testing in 2014. We estimated HIV prevalence and fitted logistic regression models to measure associations between mobility, risk behaviors, and HIV infection. RESULTS:HIV prevalence was 25.6% (95% confidence interval: 21.0 to 30.8); 11.5% had migrated (changed residence, over county, or national boundary) in the past year and 39.3% in the past 5 years. More than one-third (38.3%) spent nights away from main residence in the past month, with 11.4% spending more than a week away. Multiple partners were reported by 13.1% of women in the last year; 16% of married women reported a concurrent partnership. Mobility was not significantly associated with HIV prevalence, although recent short-term mobility was significantly correlated with higher numbers of sexual partners in the past year. CONCLUSIONS:Female market traders were highly mobile, and HIV prevalence among traders was higher than in the general population of women of reproductive age in Kisumu (15.3% in 2013), and Nyanza Province, Kenya (16.1% in 2012). High HIV prevalence and risk behavior among women in this study warrant accelerated attention to HIV prevention and care needs of mobile women, including market traders.

译文

背景:尽管妇女的流动性很高,而且有证据表明其与高风险的性行为有关,但妇女的流动性对非洲艾滋病毒/艾滋病流行的贡献知之甚少。我们力图衡量肯尼亚基苏木的女性商人中的流动性,艾滋病毒感染率以及相关的风险行为。
方法:我们使用全球定位系统地图绘制了一个基于概率的样本,并于2014年招募了305名女性市场交易员参与调查和自愿性HIV咨询和测试。我们估算了HIV患病率,并拟合了Logistic回归模型来衡量流动性之间的关联,危险行为和HIV感染。
结果:HIV感染率为25.6%(95%置信区间:21.0至30.8);在过去的一年中,有11.5%的人口迁徙(居住地,县或国家边界发生了变化),在过去的5年中,这一比例为39.3%。在过去的一个月中,有超过三分之一(38.3%)的人在主要住所度过了夜晚,其中有11.4%的人度过了一周以上的住宿时间。去年有13.1%的女性报告说有多个伴侣。 16%的已婚妇女表示有共同的伴侣关系。流动性与艾滋病毒的患病率没有显着相关,尽管最近的短期流动性与过去一年中性伴侣数量的增加显着相关。
结论:女性市场交易员流动性很高,并且在基苏木(2013年为15.3%)和肯尼亚的尼安扎省(2012年为16.1%),贸易商中的艾滋病毒流行率高于育龄妇女的总人口。在这项研究中,妇女中较高的艾滋病毒流行率和危险行为值得我们进一步关注流动妇女(包括市场商人)对艾滋病毒的预防和护理需求。

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