Associated health and social determinants of mobile populations across HIV epidemic gradients in Southern Africa

Journal of Migration and Health

Adam Akullian¹  Hae-Young Kim²  Zindoga Mukandavire³  Godfrey N. Musuka⁴  Esteban Correa-Agudelo⁵  Diego F. Cuadros⁶ 

[1]Department of Population Health, New York University Grossman School of Medicine, USA

[2]Health Geography and Disease Modeling Laboratory, University of Cincinnati, Cincinnati, USA

[3]KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP) KwaZulu-Natal, South Africa

[4]Africa Health Research Institute, KwaZulu-Natal, South Africa

[5]Department of Geography and Geographic Information Science, University of Cincinnati, Cincinnati, OH, 45221, USA

[6]ICAP at Columbia University, Harare, Zimbabwe

关键词: Disease mapping;    Health determinants;    Mobile population;    Southern Africa;    Spatial epidemiology;   

DOI  :  

来源: DOAJ

【 摘 要 】

Background: Growing travel connectivity and economic development have dramatically increased the magnitude of human mobility in Africa. In public health, vulnerable population groups such as mobile individuals are at an elevated risk of sexually transmitted diseases, including HIV. Methods: The population-based Demographic Health Survey data of five Southern African countries with different HIV epidemic intensities (Angola, Malawi, South Africa, Zambia, and Zimbabwe) were used to investigate the association between HIV serostatus and population mobility adjusting for socio-demographic, sexual behavior and spatial covariates. Results: Mobility was associated with HIV seropositive status only in Zimbabwe (adjusted odds ratio [AOR] = 1.37 [95% confidence interval [CI]: 1.01–1.67]). These associations were not significant in Angola, Malawi, South Africa, and Zambia. Females had higher odds of mobility than males in Zimbabwe (AOR = 1.37, CI: 1.10–1.69). The odds of mobility decreased with age in all five countries. Conclusions: Our findings highlight the heterogeneity of the social and health determinants of mobile populations in several countries with different HIV epidemic intensities. Effective interventions using precise geographic focus combined with detailed attribute characterization of mobile populations can enhance their impact especially in areas with high density of mobile individuals and high HIV prevalence.

【 授权许可】

Unknown