AIDS and Behavior
Volume 23, Issue 6, 2019, Pages 1396-1430

Effects of Migration on Risky Sexual Behavior and HIV Acquisition in South Africa: A Systematic Review and Meta-analysis, 2000–2017 (Review)

Dzomba A.* , Tomita A. , Govender K. , Tanser F.
  • a Africa Health Research Institute, K-RITH Tower Building, 719 Umbilo Road, Congella, Private Bag X7, Durban, South Africa, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa, KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
  • b Africa Health Research Institute, K-RITH Tower Building, 719 Umbilo Road, Congella, Private Bag X7, Durban, South Africa, KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa, Centre for Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
  • c Health Economics and HIV/AIDS Research Division (HEARD), University of KwaZulu-Natal, Westville Campus, Durban, South Africa
  • d Africa Health Research Institute, K-RITH Tower Building, 719 Umbilo Road, Congella, Private Bag X7, Durban, South Africa, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa, Centre for the AIDS Programme of Research in South Africa (CAPRISA), University of KwaZulu-Natal, Durban, South Africa, Research Department of Infection and Population Health, University College London, London, United Kingdom

Abstract

While human mobility has been implicated in fueling the HIV epidemic in South Africa, the link between migration and HIV has not been systematically reviewed and quantified. We conducted a systematic review of the role of migration in HIV risk acquisition and sexual behaviour based on 29 studies published between 2000 and 2017. Furthermore, we performed a meta-analysis of the association between migration and HIV risk acquisition in four of the studies that used HIV incidence as an outcome measure. The systematic review results show that HIV acquisition and risky sexual behavior were more prevalent among both male and female migrants compared to their non-migrant counterparts. The meta-analysis results demonstrate that migration was significantly associated with increased HIV acquisition risk (aOR = 1.69, 95% CI 1.33–2.14; I2 = 35.0%). There is an urgent need for effective combination HIV prevention strategies (comprising biomedical, behavioral and structural interventions) that target migrant populations. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Migration Risk of HIV acquisition Multiple sexual partnerships Meta-analysis Risky sexual behaviour

Index Keywords

statistics and numerical data Emigration and Immigration HIV Infections transmission Transients and Migrants Human immunodeficiency virus infection prevalence Unsafe Sex psychology high risk behavior South Africa meta analysis Risk-Taking Health Risk Behaviors human Humans migration
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058624059&doi=10.1007%2fs10461-018-2367-z&partnerID=40&md5=b8b34b9a0e7e2d65ff9f47aff827b750
DOI: 10.1007/s10461-018-2367-z
ISSN: 10907165
Original Language: English