Disassortative sexual mixing among migrant populations in the Netherlands: a potential for HIV/STI transmission?
Identifieur interne : 000B14 ( Main/Exploration ); précédent : 000B13; suivant : 000B15Disassortative sexual mixing among migrant populations in the Netherlands: a potential for HIV/STI transmission?
Auteurs : M. G. Van Veen [Pays-Bas] ; M. A. Kramer [Pays-Bas] ; E. L. M. Op De Coul [Pays-Bas] ; A. P. Van Leeuwen [Pays-Bas] ; O. De Zwart [Pays-Bas] ; M. J. W. Van De Laar [Pays-Bas, Suède] ; R. A. Coutinho [Pays-Bas] ; M. Prins [Pays-Bas]Source :
- AIDS Care : (Print) [ 0954-0121 ] ; 2009.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Pays-Bas.
- topic : Maladie sexuellement transmissible, Santé publique, Santé mentale, Homme.
English descriptors
- KwdEn :
Abstract
To gain insight into the transmission of HIV and sexually transmitted infection (STI) among large migrant groups in the Netherlands, we studied the associations between their demographic and sexual characteristics, in particular condom use, and their sexual mixing patterns with other ethnic groups. In 2002-2005, cross-sectional surveys were conducted among migrants from Surinam (Afro- and Hindo-), the Netherlands Antilles, Cape Verde, and Ghana at social venues in three large cities. A questionnaire was administrated and a saliva sample was collected for HIV antibody testing. Of 2105 migrants recruited, 1680 reported sexual contacts, of whom 41 % mixed sexually with other ethnicities, including the indigenous Dutch population. Such disassortative mixing was associated with being second-generation migrant, having several sexual partners, and having a steady and concurrent casual partner. Less disassortative mixing occurred in participants reporting visiting the country of origin. The association between condom use and sexual mixing differed by gender, with men using condoms inconsistently being most likely to be mixing with the Dutch indigenous population. HIV infection and recent STI treatment were not associated with disassortative mixing. This study shows substantial sexual mixing among migrant groups. Since disassortative mixing is more prevalent in second-generation migrants, it might increase in the upcoming years. The mixing patterns in relation to concurrency and the reported condom use in this study suggest a possibly increased level of HIV/STI transmission not only within migrant groups but also between migrant groups, especially via men who mix with the indigenous population and via migrant women who mix with non-Dutch casual partners. Although the observed HIV prevalence in migrants (0.6%) is probably too low to lead to much HIV transmission between ethnicity groups, targeted prevention measures are needed to prevent transmission of other STI.
Affiliations:
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G." last="Van Veen">M. G. Van Veen</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM)</s1><s2>Bilthoven</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Bilthoven</wicri:noRegion></affiliation></author><author><name sortKey="Kramer, M A" sort="Kramer, M A" uniqKey="Kramer M" first="M. A." last="Kramer">M. A. Kramer</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM)</s1><s2>Bilthoven</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Bilthoven</wicri:noRegion></affiliation></author><author><name sortKey="Op De Coul, E L M" sort="Op De Coul, E L M" uniqKey="Op De Coul E" first="E. L. M." last="Op De Coul">E. L. M. Op De Coul</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM)</s1><s2>Bilthoven</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Bilthoven</wicri:noRegion></affiliation></author><author><name sortKey="Van Leeuwen, A P" sort="Van Leeuwen, A P" uniqKey="Van Leeuwen A" first="A. P." last="Van Leeuwen">A. P. Van Leeuwen</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Municipal Health Service</s1><s2>The Hague</s2><s3>NLD</s3><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Municipal Health Service</wicri:noRegion></affiliation></author><author><name sortKey="De Zwart, O" sort="De Zwart, O" uniqKey="De Zwart O" first="O." last="De Zwart">O. De Zwart</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Municipal Public Health Service, Rotterdam-Rijnmond</s1><s3>NLD</s3><sZ>5 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Municipal Public Health Service, Rotterdam-Rijnmond</wicri:noRegion></affiliation></author><author><name sortKey="Van De Laar, M J W" sort="Van De Laar, M J W" uniqKey="Van De Laar M" first="M. J. W." last="Van De Laar">M. J. W. Van De Laar</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM)</s1><s2>Bilthoven</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Bilthoven</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>European Centre for Disease Prevention and Control (ECDC)</s1><s2>Stockholm</s2><s3>SWE</s3><sZ>6 aut.</sZ></inist:fA14><country>Suède</country><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Coutinho, R A" sort="Coutinho, R A" uniqKey="Coutinho R" first="R. A." last="Coutinho">R. A. Coutinho</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM)</s1><s2>Bilthoven</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Bilthoven</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>Center for Infection and Immunity Amsterdam, Academic Medical Centre, University of Amsterdam</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName><orgName type="university">Université d'Amsterdam</orgName></affiliation></author><author><name sortKey="Prins, M" sort="Prins, M" uniqKey="Prins M" first="M." last="Prins">M. Prins</name><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>Center for Infection and Immunity Amsterdam, Academic Medical Centre, University of Amsterdam</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName><orgName type="university">Université d'Amsterdam</orgName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Health Service</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>8 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author></analytic><series><title level="j" type="main">AIDS Care : (Print)</title><title level="j" type="abbreviated">AIDS Care : (Print)</title><idno type="ISSN">0954-0121</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">AIDS Care : (Print)</title><title level="j" type="abbreviated">AIDS Care : (Print)</title><idno type="ISSN">0954-0121</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Ethnic group</term><term>Human</term><term>Immigrant</term><term>Mental health</term><term>Netherlands</term><term>Public health</term><term>Risk factor</term><term>Sexual behavior</term><term>Sexually transmitted disease</term><term>Social environment</term><term>Transmission</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Pays-Bas</term><term>Maladie sexuellement transmissible</term><term>SIDA</term><term>Transmission</term><term>Facteur risque</term><term>Immigrant</term><term>Comportement sexuel</term><term>Ethnie</term><term>Santé publique</term><term>Santé mentale</term><term>Environnement social</term><term>Homme</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Pays-Bas</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Maladie sexuellement transmissible</term><term>Santé publique</term><term>Santé mentale</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To gain insight into the transmission of HIV and sexually transmitted infection (STI) among large migrant groups in the Netherlands, we studied the associations between their demographic and sexual characteristics, in particular condom use, and their sexual mixing patterns with other ethnic groups. In 2002-2005, cross-sectional surveys were conducted among migrants from Surinam (Afro- and Hindo-), the Netherlands Antilles, Cape Verde, and Ghana at social venues in three large cities. A questionnaire was administrated and a saliva sample was collected for HIV antibody testing. Of 2105 migrants recruited, 1680 reported sexual contacts, of whom 41 % mixed sexually with other ethnicities, including the indigenous Dutch population. Such disassortative mixing was associated with being second-generation migrant, having several sexual partners, and having a steady and concurrent casual partner. Less disassortative mixing occurred in participants reporting visiting the country of origin. The association between condom use and sexual mixing differed by gender, with men using condoms inconsistently being most likely to be mixing with the Dutch indigenous population. HIV infection and recent STI treatment were not associated with disassortative mixing. This study shows substantial sexual mixing among migrant groups. Since disassortative mixing is more prevalent in second-generation migrants, it might increase in the upcoming years. The mixing patterns in relation to concurrency and the reported condom use in this study suggest a possibly increased level of HIV/STI transmission not only within migrant groups but also between migrant groups, especially via men who mix with the indigenous population and via migrant women who mix with non-Dutch casual partners. Although the observed HIV prevalence in migrants (0.6%) is probably too low to lead to much HIV transmission between ethnicity groups, targeted prevention measures are needed to prevent transmission of other STI.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li><li>Suède</li></country><region><li>Hollande-Septentrionale</li><li>Svealand</li></region><settlement><li>Amsterdam</li><li>Stockholm</li></settlement><orgName><li>Université d'Amsterdam</li></orgName></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Van Veen, M G" sort="Van Veen, M G" uniqKey="Van Veen M" first="M. G." last="Van Veen">M. G. Van Veen</name></noRegion><name sortKey="Coutinho, R A" sort="Coutinho, R A" uniqKey="Coutinho R" first="R. A." last="Coutinho">R. A. Coutinho</name><name sortKey="Coutinho, R A" sort="Coutinho, R A" uniqKey="Coutinho R" first="R. A." last="Coutinho">R. A. Coutinho</name><name sortKey="De Zwart, O" sort="De Zwart, O" uniqKey="De Zwart O" first="O." last="De Zwart">O. De Zwart</name><name sortKey="Kramer, M A" sort="Kramer, M A" uniqKey="Kramer M" first="M. A." last="Kramer">M. A. Kramer</name><name sortKey="Op De Coul, E L M" sort="Op De Coul, E L M" uniqKey="Op De Coul E" first="E. L. M." last="Op De Coul">E. L. M. Op De Coul</name><name sortKey="Prins, M" sort="Prins, M" uniqKey="Prins M" first="M." last="Prins">M. Prins</name><name sortKey="Prins, M" sort="Prins, M" uniqKey="Prins M" first="M." last="Prins">M. Prins</name><name sortKey="Van De Laar, M J W" sort="Van De Laar, M J W" uniqKey="Van De Laar M" first="M. J. W." last="Van De Laar">M. J. W. Van De Laar</name><name sortKey="Van Leeuwen, A P" sort="Van Leeuwen, A P" uniqKey="Van Leeuwen A" first="A. P." last="Van Leeuwen">A. P. Van Leeuwen</name></country><country name="Suède"><region name="Svealand"><name sortKey="Van De Laar, M J W" sort="Van De Laar, M J W" uniqKey="Van De Laar M" first="M. J. W." last="Van De Laar">M. J. W. Van De Laar</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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