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Disassortative sexual mixing among migrant populations in the Netherlands: a potential for HIV/STI transmission?

Identifieur interne : 000050 ( PascalFrancis/Corpus ); précédent : 000049; suivant : 000051

Disassortative sexual mixing among migrant populations in the Netherlands: a potential for HIV/STI transmission?

Auteurs : M. G. Van Veen ; M. A. Kramer ; E. L. M. Op De Coul ; A. P. Van Leeuwen ; O. De Zwart ; M. J. W. Van De Laar ; R. A. Coutinho ; M. Prins

Source :

RBID : Pascal:09-0387131

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
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A11 02  1    @1 KRAMER (M. A.)
A11 03  1    @1 OP DE COUL (E. L. M.)
A11 04  1    @1 VAN LEEUWEN (A. P.)
A11 05  1    @1 DE ZWART (O.)
A11 06  1    @1 VAN DE LAAR (M. J. W.)
A11 07  1    @1 COUTINHO (R. A.)
A11 08  1    @1 PRINS (M.)
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Format Inist (serveur)

NO : PASCAL 09-0387131 INIST
ET : Disassortative sexual mixing among migrant populations in the Netherlands: a potential for HIV/STI transmission?
AU : VAN VEEN (M. G.); KRAMER (M. A.); OP DE COUL (E. L. M.); VAN LEEUWEN (A. P.); DE ZWART (O.); VAN DE LAAR (M. J. W.); COUTINHO (R. A.); PRINS (M.)
AF : Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM)/Bilthoven/Pays-Bas (1 aut., 2 aut., 3 aut., 6 aut., 7 aut.); Municipal Health Service/The Hague/Pays-Bas (4 aut.); Municipal Public Health Service, Rotterdam-Rijnmond/Pays-Bas (5 aut.); European Centre for Disease Prevention and Control (ECDC)/Stockholm/Suède (6 aut.); Center for Infection and Immunity Amsterdam, Academic Medical Centre, University of Amsterdam/Amsterdam/Pays-Bas (7 aut., 8 aut.); Health Service/Amsterdam/Pays-Bas (8 aut.)
DT : Publication en série; Niveau analytique
SO : AIDS Care : (Print); ISSN 0954-0121; Royaume-Uni; Da. 2009; Vol. 21; No. 6; Pp. 683-691; Bibl. 1 p.1/4
LA : Anglais
EA : 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.
CC : 002B05A02; 002B05C02D; 002A26G05
FD : Pays-Bas; Maladie sexuellement transmissible; SIDA; Transmission; Facteur risque; Immigrant; Comportement sexuel; Ethnie; Santé publique; Santé mentale; Environnement social; Homme
FG : Europe; Virose; Infection; Immunodéficit; Immunopathologie
ED : Netherlands; Sexually transmitted disease; AIDS; Transmission; Risk factor; Immigrant; Sexual behavior; Ethnic group; Public health; Mental health; Social environment; Human
EG : Europe; Viral disease; Infection; Immune deficiency; Immunopathology
SD : Holanda; Enfermedad de transmisión sexual; SIDA; Transmisión; Factor riesgo; Inmigrante; Conducta sexual; Etnia; Salud pública; Salud mental; Contexto social; Hombre
LO : INIST-22096.354000187183210020
ID : 09-0387131

Links to Exploration step

Pascal:09-0387131

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<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>
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<ET>Disassortative sexual mixing among migrant populations in the Netherlands: a potential for HIV/STI transmission?</ET>
<AU>VAN VEEN (M. G.); KRAMER (M. A.); OP DE COUL (E. L. M.); VAN LEEUWEN (A. P.); DE ZWART (O.); VAN DE LAAR (M. J. W.); COUTINHO (R. A.); PRINS (M.)</AU>
<AF>Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM)/Bilthoven/Pays-Bas (1 aut., 2 aut., 3 aut., 6 aut., 7 aut.); Municipal Health Service/The Hague/Pays-Bas (4 aut.); Municipal Public Health Service, Rotterdam-Rijnmond/Pays-Bas (5 aut.); European Centre for Disease Prevention and Control (ECDC)/Stockholm/Suède (6 aut.); Center for Infection and Immunity Amsterdam, Academic Medical Centre, University of Amsterdam/Amsterdam/Pays-Bas (7 aut., 8 aut.); Health Service/Amsterdam/Pays-Bas (8 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>AIDS Care : (Print); ISSN 0954-0121; Royaume-Uni; Da. 2009; Vol. 21; No. 6; Pp. 683-691; Bibl. 1 p.1/4</SO>
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<EA>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.</EA>
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<FG>Europe; Virose; Infection; Immunodéficit; Immunopathologie</FG>
<ED>Netherlands; Sexually transmitted disease; AIDS; Transmission; Risk factor; Immigrant; Sexual behavior; Ethnic group; Public health; Mental health; Social environment; Human</ED>
<EG>Europe; Viral disease; Infection; Immune deficiency; Immunopathology</EG>
<SD>Holanda; Enfermedad de transmisión sexual; SIDA; Transmisión; Factor riesgo; Inmigrante; Conducta sexual; Etnia; Salud pública; Salud mental; Contexto social; Hombre</SD>
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