AIDS and Behavior
Volume 20, Issue 4, 2016, Pages 746-753

Sex Differences in HIV Prevalence, Behavioral Risks and Prevention Needs Among Anglophone and Francophone Sub-Saharan African Migrants Living in Rabat, Morocco (Article)

Johnston L.* , Oumzil H. , El Rhilani H. , Latifi A. , Bennani A. , Alami K.
  • a Independent Consultant, Amsterdam, Netherlands, UNAIDS, Rabat, Morocco
  • b Institut National d’Hygiène, Rabat, Morocco
  • c UNAIDS, Rabat, Morocco
  • d Ministère de la Santé, Programme National de Lutte contre le SIDA, Rabat, Morocco
  • e Ministère de la Santé, Programme National de Lutte contre le SIDA, Rabat, Morocco
  • f UNAIDS, Rabat, Morocco

Abstract

Morocco has experienced a dramatic increase of migration from sub-Sahara Africa during the past decade. Recently included among the most vulnerable populations cited in the Morocco National Strategic Plans on HIV/TB for 2012–2016, sub-Saharan Africa migrants living in an irregular administrative situation participated in a survey to provide baseline data about their socio-demographic, sexual and HIV testing behaviors and HIV and syphilis prevalence. Two surveys using respondent driven sampling were conducted in 2013 among males and females, ≥18 years, originating from sub-Saharan African countries and living and/or working in an irregular administrative situation in Rabat and residing at least 3 months in Morocco. Analysis was conducted to evaluate differences between the two samples and between females and males within each sample using the successive sampling estimator in RDS Analyst. Roughly 3 % of francophone and anglophone migrants were infected with HIV, whereas a statistically significantly higher percentage of francophone (2.8 %), compared to anglophone (0.3 %), migrants were infected with syphilis. Females were found to have HIV infection rates three times higher and past year sexually transmitted infection signs and symptoms more than two times higher than their male counterparts. Female migrants also had statistically significantly higher percentages of ever testing for HIV and HIV testing and receiving results in the past year compared to males. We found distinct and important differences between migrants depending on whether they come from francophone versus anglophone countries and whether they were male or female. Future research should continue to explore these differences, while policies and programs should note these differences to best allocate resources in providing social and health services to these populations. © 2015, Springer Science+Business Media New York.

Author Keywords

Sub-Sahara Africa Migration Respondent driven sampling Morocco HIV/AIDS

Index Keywords

HIV Infections Africa south of the Sahara sexual behavior human sexuality middle aged Sexual Partners statistics and numerical data ethnology Sexually Transmitted Diseases Humans migrant sexual development Sex Characteristics psychology Black person male Emigrants and Immigrants African Continental Ancestry Group female prevalence Health Knowledge, Attitudes, Practice high risk behavior Risk-Taking adult attitude to health Morocco

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84933558245&doi=10.1007%2fs10461-015-1115-x&partnerID=40&md5=d01c79f6a62b5c771314c58e93a89006

DOI: 10.1007/s10461-015-1115-x
ISSN: 10907165
Cited by: 4
Original Language: English