AIDS and Behavior
Volume 21, Issue 3, 2017, Pages 949-961

HIV Prevalence and Risk Factors Among Male Foreign Migrants in Cape Town, South Africa (Article)

Giorgio M.* , Townsend L. , Zembe Y. , Cheyip M. , Guttmacher S. , Carter R. , Mathews C.
  • a College of Global Public Health, New York University, 411 Lafayette Street, 5th Floor, New York, NY 10003, United States
  • b Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa
  • c Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa
  • d Centers for Disease Control and Prevention, Pretoria, South Africa
  • e College of Global Public Health, New York University, 411 Lafayette Street, 5th Floor, New York, NY 10003, United States
  • f College of Global Public Health, New York University, 411 Lafayette Street, 5th Floor, New York, NY 10003, United States
  • g Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa

Abstract

While migration has been shown to be a risk factor for HIV, variation in HIV prevalence by subgroups of migrants needs further exploration. This paper documents the HIV prevalence and key characteristics among male foreign migrants in Cape Town, South Africa and the effectiveness of respondent-driven sampling (RDS) to recruit this population. Participants in this cross-sectional study completed a behavioral risk-factor questionnaire and provided a dried blood sample for HIV analysis. Overall HIV prevalence was estimated to be 8.7 % (CI 5.4–11.8) but varied dramatically by country of origin. After adjusting for country of origin, HIV sero-positivity was positively associated with older age (p = 0.001), completing high school (p = 0.025), not having enough money for food (p = 0.036), alcohol use (p = 0.049), and engaging in transactional sex (p = 0.022). RDS was successful in recruiting foreign migrant men. A better understanding of the timing of HIV acquisition is needed to design targeted interventions for migrant men. © 2016, Springer Science+Business Media New York.

Author Keywords

Migration South Africa Behavioral risk HIV surveillance Gender

Index Keywords

HIV Infections Alcohol Drinking sexual behavior Human immunodeficiency virus infection drinking behavior alcohol consumption sampling high school human sexuality middle aged Sexual Partners statistics and numerical data condom Condoms money Human immunodeficiency virus prevalence Cross-Sectional Studies South Africa Surveys and Questionnaires cross-sectional study migrant human tissue psychology Humans male risk factor Risk Factors questionnaire prevalence high risk behavior blood Risk-Taking adult transactional sex migration gender human experiment utilization Transients and Migrants
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84983422347&doi=10.1007%2fs10461-016-1521-8&partnerID=40&md5=cf13c96b181f7574f513226e0f7e08fd
DOI: 10.1007/s10461-016-1521-8
ISSN: 10907165
Cited by: 2
Original Language: English