Geographic mobility and potential bridging for sexually transmitted infections in Agbogbloshie, Ghana.
Identifieur interne : 000072 ( Main/Exploration ); précédent : 000071; suivant : 000073Geographic mobility and potential bridging for sexually transmitted infections in Agbogbloshie, Ghana.
Auteurs : Susan Cassels [États-Unis] ; Samuel M. Jenness [États-Unis] ; Adriana A E. Biney [Ghana] ; F Nii-Amoo Dodoo [États-Unis]Source :
- Social science & medicine (1982) [ 1873-5347 ] ; 2017.
Abstract
Short-term mobility can significantly influence the spread of infectious disease. In order for mobile individuals to geographically spread sexually transmitted infections (STIs), individuals must engage in sexual acts with different partners in two places within a short time. In this study, we considered the potential of mobile individuals as bridge populations - individuals who link otherwise disconnected sexual networks and contributed to ongoing STI transmission. Using monthly retrospective panel data, we examined associations between short-term mobility and sexual partner concurrency in Agbogbloshie, Ghana. We also examined bridging by the location of sex acts and the location of sexual partners in concurrent triads, and whether mobile individuals from our sample were more likely to be members of geographic bridging triads. Although reported rates of sexual partnership concurrency were much higher for men compared to women, mobility was only associated with increased concurrency for women. Additionally, this association held for middle-distance mobility and short-duration trips for women. Taking into account the location of sex acts and the location of sexual partners, about 22% of men (21.7% and 22.4% for mobile and non-mobile men, respectively) and only 3% of women (1.4% and 3.3% for mobile and non-mobile women, respectively) were potential bridges for STIs over the last year. Our results highlight the gendered nature of mobility and sexual risk behavior, reflecting the normative social context that encourages women to conceal certain types of sexual behavior.
DOI: 10.1016/j.socscimed.2017.05.003
PubMed: 28501018
Affiliations:
- Ghana, États-Unis
- Californie, Géorgie (États-Unis), Pennsylvanie, Région du Grand Accra
- Accra
- Université du Ghana
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Jenness</name><affiliation wicri:level="2"><nlm:affiliation>Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Biney, Adriana A E" sort="Biney, Adriana A E" uniqKey="Biney A" first="Adriana A E" last="Biney">Adriana A E. Biney</name><affiliation wicri:level="4"><nlm:affiliation>Regional Institute for Population Studies, University of Ghana, P.O. Box LG 96, Legon, Accra, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Regional Institute for Population Studies, University of Ghana, P.O. Box LG 96, Legon, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author><author><name sortKey="Dodoo, F Nii Amoo" sort="Dodoo, F Nii Amoo" uniqKey="Dodoo F" first="F Nii-Amoo" last="Dodoo">F Nii-Amoo Dodoo</name><affiliation wicri:level="2"><nlm:affiliation>The Pennsylvania State University & University of Ghana, 211 Oswald Tower, University Park, PA 16802, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Pennsylvania State University & University of Ghana, 211 Oswald Tower, University Park, PA 16802</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author></analytic><series><title level="j">Social science & medicine (1982)</title><idno type="eISSN">1873-5347</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Short-term mobility can significantly influence the spread of infectious disease. In order for mobile individuals to geographically spread sexually transmitted infections (STIs), individuals must engage in sexual acts with different partners in two places within a short time. In this study, we considered the potential of mobile individuals as bridge populations - individuals who link otherwise disconnected sexual networks and contributed to ongoing STI transmission. Using monthly retrospective panel data, we examined associations between short-term mobility and sexual partner concurrency in Agbogbloshie, Ghana. We also examined bridging by the location of sex acts and the location of sexual partners in concurrent triads, and whether mobile individuals from our sample were more likely to be members of geographic bridging triads. Although reported rates of sexual partnership concurrency were much higher for men compared to women, mobility was only associated with increased concurrency for women. Additionally, this association held for middle-distance mobility and short-duration trips for women. Taking into account the location of sex acts and the location of sexual partners, about 22% of men (21.7% and 22.4% for mobile and non-mobile men, respectively) and only 3% of women (1.4% and 3.3% for mobile and non-mobile women, respectively) were potential bridges for STIs over the last year. 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