Population mobility associated with higher risk sexual behavior in eastern African communities participating in a Universal Testing and Treatment trial

There are significant knowledge gaps concerning complex forms of mobility emergent in sub-Saharan Africa, their relationship to sexual behaviors, HIV transmission, and how sex modifies these associations. This study, within an ongoing test-and-treat trial (SEARCH, NCT01864603), sought to measure effects of diverse metrics of mobility on behaviors, with attention to gender. Methods: Cross-sectional data were collected in 2016 from 1919 adults in 12 communities in Kenya and Uganda, to examine mobility (labor/non-labor-related travel), migration (changes of residence over geopolitical boundaries) and their associations with sexual behaviors (concurrent/higher risk partnerships), by region and sex. Multilevel mixed-effects logistic regression models, stratified by sex and adjusted for clustering by community, were fitted to examine associations of mobility with higher risk behaviors, in past 2 years/past 6 months, controlling for key covariates.

Keywords

HIV, Universal test and treat, Population dynamics, Geographic mobility, Sexual behaviour, Sub-Saharan Africa

Citation

Camlin, CS, Akullian, A., Neilands, TB, Getahun, M., Eyul, P., Maeri, I., ... & Charlebois, ED (2018). Population mobility associated with higher risk sexual behavior in eastern African communities participating in a Universal Testing and Treatment trial. Journal of the International AIDS Society , 21 , e25115. https://doi.org/10.1002/jia2.25115

URI

https://doi.org/10.1002/jia2.25115
https://nru.uncst.go.ug/xmlui/handle/123456789/364

Collections

Medical and Health Sciences

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