Epidemiology and Infection
Volume 139, Issue 12, 2011, Pages 1845-1853

The impact of mobility on HIV control: A modelling study (Article)

Vissers D.C.J. , De Vlas S.J.* , Bakker R. , Urassa M. , Voeten H.A.C.M. , Habbema J.D.F.
  • a Department of Public Health, Erasmus MC, University Medical Center Rotterdam, PO Box 2040, 3000 CA Rotterdam, Netherlands
  • b Department of Public Health, Erasmus MC, University Medical Center Rotterdam, PO Box 2040, 3000 CA Rotterdam, Netherlands
  • c Department of Public Health, Erasmus MC, University Medical Center Rotterdam, PO Box 2040, 3000 CA Rotterdam, Netherlands
  • d National Institute for Medical Research, Mwanza, Tanzania
  • e Department of Public Health, Erasmus MC, University Medical Center Rotterdam, PO Box 2040, 3000 CA Rotterdam, Netherlands
  • f Department of Public Health, Erasmus MC, University Medical Center Rotterdam, PO Box 2040, 3000 CA Rotterdam, Netherlands

Abstract

Mobility is associated with HIV due to more risky sexual behaviour of mobile groups such as travellers and migrants. Limited participation of such groups may reduce the effectiveness of HIV interventions disproportionally. The established STDSIM model, which simulates transmission and control of HIV and STD, was extended to simulate mobility patterns based on data from Tanzania. We explored the impact of non-participation of mobile groups (travellers and recent migrants) on the effectiveness of two interventions: condom promotion and health education aiming at partner reduction. If mobile groups do not participate, the effectiveness of both interventions could be reduced by 40%. The impact of targeting travellers with a combined HIV campaign is close to that of a general population intervention. In conclusion, it is important to account for possible non-participation of migrants and travellers. If non-participation is substantial, impact of interventions can be greatly improved by actively approaching these people. © 2011 Cambridge University Press.

Author Keywords

Migration travel Control Modelling HIV

Index Keywords

Models, Biological HIV Infections HIV education health promotion sexual behavior Human immunodeficiency virus infection Safe Sex human middle aged travel condom controlled study Young Adult Humans Adolescent male Computer simulation female prevalence Article high risk behavior infection control Risk-Taking program evaluation social participation intervention study migration adult simulation Tanzania Emigration and Immigration Patient Acceptance of Health Care
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-80255140409&doi=10.1017%2fS0950268811000069&partnerID=40&md5=60ae311c9eb906092c74dd6cb1055b82
DOI: 10.1017/S0950268811000069
ISSN: 09502688
Cited by: 11
Original Language: English