Effects of Migration on Risky Sexual Behavior and HIV Acquisition in South Africa: A Systematic Review and Meta-analysis, 2000–2017.

While human mobility has been implicated in fueling the HIV epidemic in South Africa, the link between migration and HIV has not been systematically reviewed and quantified. We conducted a systematic review of the role of migration in HIV risk acquisition and sexual behaviour based on 29 studies pub...

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Publicado en:AIDS & Behavior Vol. 23; no. 6; pp. 1396 - 1431
Autores principales: Dzomba, Armstrong, Tomita, Andrew, Govender, Kaymarlin, Tanser, Frank
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Springer Nature Jun2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Effects of Migration on Risky Sexual Behavior and HIV Acquisition in South Africa: A Systematic Review and Meta-analysis, 2000–2017.
      aug:
        au:
          Dzomba, Armstrong
          Tomita, Andrew
          Govender, Kaymarlin
          Tanser, Frank
        affil: Africa Health Research Institute, Private Bag X7, K-RITH Tower Building, 719 Umbilo Road, Congella, Durban, South Africa
      sug:
        subj:
          Sexual Behavior
          Risk Taking Behavior
          HIV Infections Risk Factors
          Emigration and Immigration Psychosocial Factors
          Human
          Systematic Review
          Meta Analysis
          South Africa
          Prevalence
          Male
          Female
          Sex Factors
          Migrants
          HIV Infections Prevention and Control
          Male
          Female
      ab: While human mobility has been implicated in fueling the HIV epidemic in South Africa, the link between migration and HIV has not been systematically reviewed and quantified. We conducted a systematic review of the role of migration in HIV risk acquisition and sexual behaviour based on 29 studies published between 2000 and 2017. Furthermore, we performed a meta-analysis of the association between migration and HIV risk acquisition in four of the studies that used HIV incidence as an outcome measure. The systematic review results show that HIV acquisition and risky sexual behavior were more prevalent among both male and female migrants compared to their non-migrant counterparts. The meta-analysis results demonstrate that migration was significantly associated with increased HIV acquisition risk (aOR = 1.69, 95% CI 1.33–2.14; I2 = 35.0%). There is an urgent need for effective combination HIV prevention strategies (comprising biomedical, behavioral and structural interventions) that target migrant populations.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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