Gendered dimensions of population mobility associated with HIV across three epidemics in rural Eastern Africa

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dc.contributor.authorCamlin, Carol S.
dc.contributor.authorAkullian, Adam
dc.contributor.authorNeilands, Torsten B.
dc.contributor.authorGetahun, Monica
dc.contributor.authorBershteyn, Anna
dc.contributor.authorSsali, Sarah
dc.contributor.authorGeng, Elvin
dc.contributor.authorGandhi, Monica
dc.contributor.authorCohen, Craig R.
dc.contributor.authorMaeri, Irene
dc.contributor.authorEyul, Patrick
dc.contributor.authorPetersen, Maya L.
dc.contributor.authorHavlir, Diane V.
dc.contributor.authorKamya, Moses R.
dc.contributor.authorBukusi, Elizabeth A.
dc.contributor.authorCharlebois, Edwin D.
dc.date.accessioned2022-06-06T19:46:36Z
dc.date.available2022-06-06T19:46:36Z
dc.date.issued2008
dc.description.abstractMobility in sub-Saharan Africa links geographically-separate HIV epidemics, intensifies transmission by enabling higher-risk sexual behavior, and disrupts care. This population-based observational cohort study measured complex dimensions of mobility in rural Uganda and Kenya. Survey data were collected every 6 months beginning in 2016 from a random sample of 2308 adults in 12 communities across three regions, stratified by intervention arm, baseline residential stability and HIV status. Analyses were survey-weighted and stratified by sex, region, and HIV status. In this study, there were large differences in the forms and magnitude of mobility across regions, between men and women, and by HIV status. We found that adult migration varied widely by region, higher proportions of men than women migrated within the past one and five years, and men predominated across all but the most localized scales of migration: a higher proportion of women than men migrated within county of origin. Labor-related mobility was more common among men than women, while women were more likely to travel for non-labor reasons. Labor-related mobility was associated with HIV positive status for both men and women, adjusting for age and region, but the association was especially pronounced in women. The forms, drivers, and correlates of mobility in eastern Africa are complex and highly gendered. An in-depth understanding of mobility may help improve implementation and address gaps in the HIV prevention and care continua.en_US
dc.identifier.citationMasiye, F., & Ssekubugu, R. (2008). Routine third party disclosure of HIV results to identifiable sexual partners in sub-Saharan Africa. Theoretical Medicine and Bioethics, 29(5), 341-348. https://doi.org/10.1016/j.healthplace.2019.05.002en_US
dc.identifier.urihttps://doi.org/10.1016/j.healthplace.2019.05.002
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3779
dc.language.isoenen_US
dc.publisherTheoretical Medicine and Bioethicsen_US
dc.subjectMobilityen_US
dc.subjectMigrationen_US
dc.subjectGenderen_US
dc.subjectKenyaen_US
dc.subjectUgandaen_US
dc.subjectPopulation-baseden_US
dc.titleGendered dimensions of population mobility associated with HIV across three epidemics in rural Eastern Africaen_US
dc.typeArticleen_US
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