Tropical Medicine and International Health
Volume 8, Issue 10, 2003, Pages 933-939

Mumbai disease in far western Nepal: HIV infection and syphilis among male migrant-returnees and non-migrants (Article)

Poudel K.C. , Okumura J. , Sherchand J.B. , Jimba M.* , Murakami I. , Wakai S.
  • a Dept. of Intl. Community Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan, Dept. of Intl. Community Health, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan
  • b Dept. of Health Policy and Planning, Graduate School of Medicine, University of Tokyo, Tokyo, Japan, Dept. of Health Policy and Planning, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan
  • c Dept. of Microbiol. and Parasitology, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal, Dept. of Microbiol. and Parasitology, Institute of Medicine, Tribhuvan University, Tribhuvan, Nepal
  • d Dept. of Intl. Community Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan, Dept. of Intl. Community Health, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan
  • e College of Public Health, Chulalongkorn University, Bangkok, Thailand, College of Public Health, Chulalongkorn University, Institution Building 3, Soi Chulalongkorn 62, Payathai Road, Bangkok, Thailand
  • f Dept. of Intl. Community Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan, Dept. of Intl. Community Health, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan

Abstract

OBJECTIVE: To measure the seroprevalence of human immunodeficiency virus (HIV) infection and syphilis, and to assess the behavioural risk factors for these infections among migrant-returnees and non-migrants in far western Nepal. METHODS: In April 2001, we recruited 97 male migrant-returnees and 40 non-migrants from five rural villages in Doti district where migration to Mumbai is common. For data collection, we conducted a serological examination for HIV and syphilis, and a perception and behaviour survey on HIV and other sexually transmitted infections. RESULTS: We found that 11 of 137 men (8%) were positive for HIV infection and 30 men (22%) for syphilis. The respondents, especially the migrant-returnees from Mumbai, were engaging in risky behaviours such as pre- or extramarital sex, and sex with multiple partners, including sex workers. CONCLUSIONS: This study revealed high HIV and syphilis prevalence among the male migrant-returnees and non-migrants in far western Nepal where migration to Mumbai is common. The prevalent behaviours, particularly among the migrant-returnees, imply urgent needs of the behavioural modification programme in this area to prevent the spread of HIV infection to general population.

Author Keywords

Migration Sexual behaviours Nepal Epidemiology HIV/AIDS Syphilis

Index Keywords

HIV Infections sexual behavior Human immunodeficiency virus infection India health survey Safe Sex human risk assessment comorbidity middle aged rural population controlled study Acquired Immunodeficiency Syndrome Human immunodeficiency virus sexual transmission geographic pathology sexually transmitted disease health program Humans Adolescent male Socioeconomic Factors risk factor polygamy Risk Factors serodiagnosis Syphilis prostitution Health Knowledge, Attitudes, Practice behavior modification prevalence Article disease prevalence major clinical study adult seroepidemiology migration infection risk virus transmission Emigration and Immigration Nepal seroprevalence Seroepidemiologic Studies immigrant population
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0142153394&doi=10.1046%2fj.1365-3156.2003.01110.x&partnerID=40&md5=310667987a30c960c81545476885dd5f
DOI: 10.1046/j.1365-3156.2003.01110.x
ISSN: 13602276
Cited by: 63
Original Language: English