Migration, sexual networks, and HIV in Agbogbloshie, Ghana
Identifieur interne : 000461 ( Main/Exploration ); précédent : 000460; suivant : 000462Migration, sexual networks, and HIV in Agbogbloshie, Ghana
Auteurs : Susan Cassels [États-Unis] ; Samuel M. Jenness [États-Unis] ; Adriana A. E. Biney ; William Kwabena Ampofo ; F. Nii-Amoo Dodoo [États-Unis]Source :
- Demographic research [ 1435-9871 ] ; 2014.
Abstract
HIV is spread through structured sexual networks, which are influenced by migration patterns, but network-oriented studies of mobility and HIV risk behavior have been limited.
We present a comprehensive description and initial results from our Migration & HIV in Ghana (MHG) study in Agbogbloshie, an urban slum area within Accra, Ghana.
The MHG study was a population-based cross-sectional study of adults aged 18–49 in Agbogbloshie in 2012. We used a one-year retrospective relationship history calendar to collect egocentric network data on sexual partners as well as migration and short-term mobility, and tested for prevalent HIV-1/2 infection.
HIV prevalence was 5.5%, with prevalence among women (7.2%) over twice that of men (2.8%). Three-quarters of residents were born outside the Greater Accra region, but had lived in Agbogbloshie an average of 10.7 years. Only 7% had moved housing structures within the past year. However, short-term mobility was common. Residents had an average of 7.3 overnight trips in the last year, with women reporting more travel than men. Thirty-seven percent of men and 9% of women reported more than one sexual partner in the last year.
Population-based surveys of migration and sexual risk behavior using relationship history calendars in low-resource settings can produce high quality data. Residents in Agbogbloshie are disproportionately affected by HIV, and have high levels of short-term mobility. HIV prevention interventions targeted to highly mobile populations in high prevalence settings may have far-reaching and long-term implications.
Url:
DOI: 10.4054/DemRes.2014.31.28
PubMed: 25364298
PubMed Central: 4214381
Affiliations:
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Jenness</name><affiliation wicri:level="1"><nlm:aff id="A2">University of Washington, U.S.A</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>University of Washington</wicri:regionArea></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><nlm:aff id="A3">University of Ghana</nlm:aff></affiliation></author><author><name sortKey="Ampofo, William Kwabena" sort="Ampofo, William Kwabena" uniqKey="Ampofo W" first="William Kwabena" last="Ampofo">William Kwabena Ampofo</name><affiliation><nlm:aff id="A4">University of Ghana</nlm:aff></affiliation></author><author><name sortKey="Dodoo, F Nii Amoo" sort="Dodoo, F Nii Amoo" uniqKey="Dodoo F" first="F. Nii-Amoo" last="Dodoo">F. 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Jenness</name><affiliation wicri:level="1"><nlm:aff id="A2">University of Washington, U.S.A</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>University of Washington</wicri:regionArea></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><nlm:aff id="A3">University of Ghana</nlm:aff></affiliation></author><author><name sortKey="Ampofo, William Kwabena" sort="Ampofo, William Kwabena" uniqKey="Ampofo W" first="William Kwabena" last="Ampofo">William Kwabena Ampofo</name><affiliation><nlm:aff id="A4">University of Ghana</nlm:aff></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="1"><nlm:aff id="A5">The Pennsylvania State University, U.S.A</nlm:aff><country xml:lang="fr" wicri:curation="lc">États-Unis</country><wicri:regionArea>The Pennsylvania State University</wicri:regionArea></affiliation></author></analytic><series><title level="j">Demographic research</title><idno type="eISSN">1435-9871</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>BACKGROUND</title><p id="P1">HIV is spread through structured sexual networks, which are influenced by migration patterns, but network-oriented studies of mobility and HIV risk behavior have been limited.</p></sec><sec id="S2"><title>OBJECTIVE</title><p id="P2">We present a comprehensive description and initial results from our Migration & HIV in Ghana (MHG) study in Agbogbloshie, an urban slum area within Accra, Ghana.</p></sec><sec id="S3"><title>METHODS</title><p id="P3">The MHG study was a population-based cross-sectional study of adults aged 18–49 in Agbogbloshie in 2012. We used a one-year retrospective relationship history calendar to collect egocentric network data on sexual partners as well as migration and short-term mobility, and tested for prevalent HIV-1/2 infection.</p></sec><sec id="S4"><title>RESULTS</title><p id="P4">HIV prevalence was 5.5%, with prevalence among women (7.2%) over twice that of men (2.8%). Three-quarters of residents were born outside the Greater Accra region, but had lived in Agbogbloshie an average of 10.7 years. Only 7% had moved housing structures within the past year. However, short-term mobility was common. Residents had an average of 7.3 overnight trips in the last year, with women reporting more travel than men. Thirty-seven percent of men and 9% of women reported more than one sexual partner in the last year.</p></sec><sec id="S5"><title>CONCLUSIONS</title><p id="P5">Population-based surveys of migration and sexual risk behavior using relationship history calendars in low-resource settings can produce high quality data. Residents in Agbogbloshie are disproportionately affected by HIV, and have high levels of short-term mobility. HIV prevention interventions targeted to highly mobile populations in high prevalence settings may have far-reaching and long-term implications.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Adusarkodie, Y" uniqKey="Adusarkodie Y">Y AduSarkodie</name></author><author><name sortKey="Tetteh, C" uniqKey="Tetteh C">C Tetteh</name></author><author><name sortKey="Appiahdenkyira, E" uniqKey="Appiahdenkyira E">E AppiahDenkyira</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agyei Mensah, S" uniqKey="Agyei Mensah S">S Agyei-Mensah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agyei Mensah, S" uniqKey="Agyei Mensah S">S Agyei-Mensah</name></author><author><name sortKey="Oteng Ababio, M" uniqKey="Oteng Ababio M">M Oteng-Ababio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Akwara, Pa" uniqKey="Akwara P">PA 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Coulter</name></author><author><name sortKey="Ofiesh, C" uniqKey="Ofiesh C">C Ofiesh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weeks, Jr" uniqKey="Weeks J">JR Weeks</name></author><author><name sortKey="Hill, A" uniqKey="Hill A">A Hill</name></author><author><name sortKey="Stow, D" uniqKey="Stow D">D Stow</name></author><author><name sortKey="Getis, A" uniqKey="Getis A">A Getis</name></author><author><name sortKey="Fugate, D" uniqKey="Fugate D">D Fugate</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="White, Mj" uniqKey="White M">MJ White</name></author><author><name sortKey="Muhidin, S" uniqKey="Muhidin S">S Muhidin</name></author><author><name sortKey="Andrzejewski, C" uniqKey="Andrzejewski C">C Andrzejewski</name></author><author><name sortKey="Tagoe, E" uniqKey="Tagoe E">E Tagoe</name></author><author><name sortKey="Knight, R" uniqKey="Knight R">R Knight</name></author><author><name sortKey="Reed, H" uniqKey="Reed H">H Reed</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Ampofo, William Kwabena" sort="Ampofo, William Kwabena" uniqKey="Ampofo W" first="William Kwabena" last="Ampofo">William Kwabena Ampofo</name><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></noCountry><country name="États-Unis"><noRegion><name sortKey="Cassels, Susan" sort="Cassels, Susan" uniqKey="Cassels S" first="Susan" last="Cassels">Susan Cassels</name></noRegion><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><name sortKey="Jenness, Samuel M" sort="Jenness, Samuel M" uniqKey="Jenness S" first="Samuel M." last="Jenness">Samuel M. Jenness</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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