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01-03-2008 | Original Paper

Mobility and HIV-Related Sexual Behavior in Burkina Faso

Authors: Maria R. Khan, Padmaja Patnaik, Lisanne Brown, Nicolas Nagot, Souleymane Salouka, Sharon S. Weir

Published in: AIDS and Behavior | Issue 2/2008

Abstract

This study compared HIV-related sexual behavior among mobile and non-mobile populations in Burkina Faso and identified venues where HIV/AIDS interventions targeting mobile individuals should be implemented. Men (N = 940) and women (N = 430) responded to a sexual behavior survey while socializing at venues where people meet sexual partners in eight Burkina Faso villages. Mobile women were more likely than non-mobile women to report new sexual partnerships (adjusted prevalence odds ratio (POR): 2.07, 95% confidence interval (CI): 1.19–3.59) and transactional sex (adjusted POR: 2.30, 95% CI: 1.55–3.42) in the past month. Mobility was most common and associations between mobility and sexual partnership levels were particularly strong among women interviewed in urban commercial towns situated near international borders. Mobile women were most likely to be interviewed at venues such as bars and clubs, making these appropriate locations for HIV/AIDS interventions. Mobility was not associated with HIV-related sexual behaviors among men.

Venue verification interviews supported community informants’ reports that sexual risk behavior clustered at the most frequently cited venues that were selected for the individual interviews. Representatives of these venues were more likely to report that at their venues, men find women sex partners, women find men sex partners and sex workers solicit clients (92.0, 88.0 and 26.7%, respectively) than representatives of all other venues (72.6, 65.7 and 8.7%, respectively). Individual interviews also confirmed that on-site sex partnership was common, though it differed greatly by setting; only 15% of men and women in rural villages had ever met a partner on site, compared with 60% of men and women in the border area of Banfora and over 70% in urban Tenkodogo.

Barongo, L. R., Borgdorff, M. W., Mosha, F. F., Nicoll, A., Grosskurth, H., Senkoro, K. P., et al. (1992). The epidemiology of HIV-1 infection in urban areas, roadside settlements and rural villages in Mwanza Region, Tanzania. AIDS, 6, 1521–1528.PubMedCrossRef

Bloom, S. S., Urassa, M., Isingo, R., Ng’weshemi, J., & Boerma, J. T. (2002). Community effects on the risk of HIV infection in rural Tanzania. Sexually Transmitted Infections, 78, 261–266.PubMedCrossRef

Boerma, J. T., Urassa, M., Nnko, S., Ng’weshemi, J., Isingo, R., Zaba, B., et al. (2002). Sociodemographic context of the AIDS epidemic in a rural area in Tanzania with a focus on people’s mobility and marriage. Sexually Transmitted Infections, 78(Suppl 1), i97–i105.PubMedCrossRef

Caram Asia (2006). State of health of migrants 2005: Access to health. Kuala Lumpur: CARAM.

CARE (2004). Community engagement to combat HIV/AIDS in vulnerable populations: OK TATA: Orienting key transporters, associates and truckers on AIDS. Raipur, India. Accessed September 2007 at: http://www.care.org/newsroom/specialreports/aids/pdfs/200608/India.pdf.

CARE (2006). An innovative program to battle HIV and AIDS along West Africa’s Railroads: Rail link. Accessed September 2007 at: http://www.care.org/newsroom/specialreports/aids/pdfs/200608/WestAfrica.pdf.

Catania, J. A., Gibson, D. R., Chitwood, D. D., & Coates, T. J. (1990). Methodological problems in AIDS behavioral research: Influences on measurement error and participation bias in studies of sexual behavior. Psychological Bulletin, 108, 339–362.PubMedCrossRef

Changalucha, J., Gavyole, A., Grosskurth, H., Hayes, R., & Mabey, D. (2002). STD/HIV intervention and research programme Mwanza Region, NW Tanzania. Sexually Transmitted Infections, 78(Suppl 1), i91–i96.PubMed

Coffee, M. P., Garnett, G. P., Mlilo, M., Voeten, H. A., Chandiwana, S., & Gregson, S. (2005). Patterns of movement and risk of HIV infection in rural Zimbabwe. The Journal of Infectious Diseases, 191(Suppl 1), S159–S167.PubMedCrossRef

Decosas, J., Kane, F., Anarfi, J. K., Sodji, K. D., & Wagner, H. U. (1995). Migration and AIDS. Lancet, 346, 826–828.PubMedCrossRef

EDSBF-II: Institut National de la Statistique et de la Demographique, et Macro International Inc. (2000). Enquete Demographique et de Sante, Burkina Faso 1998–1999. Calverton, Maryland (USA): Macro International.

Egger, M., Pauw, J., Lopatatzidis, A., Medrano, D., Paccaud, F., & Smith, G. D. (2000). Promotion of condom use in a high-risk setting in Nicaragua: A randomised controlled trial. Lancet, 355, 2101–2105.PubMedCrossRef

INSD - Institut National de la Statistique et de la Demographique, et Macro International Inc. (2003). Enquete Demographique et de Sante, Burkina Faso 2003. Calverton: Macro International.

Jackson, D. J., Rakwar, J. P., Richardson, B. A., Mandaliya, K., Chohan, B. H., Bwayo, J. J., et al. (1997). Decreased incidence of sexually transmitted diseases among trucking company workers in Kenya: Results of a behavioural risk-reduction programme. AIDS, 11, 903–909.PubMedCrossRef

Kane, F., Alary, M., Ndoye, I., Coll, A. M., M’Boup, S., Gueye, A., et al. (1993). Temporary expatriation is related to HIV-1 infection in rural Senegal. AIDS, 7, 1261–1265.PubMedCrossRef

Kengeya-Kayondo, J. F., Kamali, A., Nunn, A. J., Ruberantwari, A., Wagner, H. U., & Mulder, D. W. (1996). Incidence of HIV-1 infection in adults and socio-demographic characteristics of seroconverters in a rural population in Uganda: 1990–1994. International Journal of Epidemiology, 25, 1077–1082.PubMedCrossRef

Khan, M., & Burkina Faso PLACE Study Group (2003). Combating the epidemic at the level of the Health District: A rapid assessment of AIDS prevention in Banfora and Tenkodogo Health Districts of Burkina Faso using the PLACE method. Chapel Hill: MEASURE Evaluation Project.

Lagarde, E., Pison, G., & Enel, C. (1996). A study of sexual behavior change in rural Senegal. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 11, 282–287.PubMed

Lagarde, E., Schim van der Loeff, M., Enel, C., Holmgren, B., Dray-Spira, R., Pison, G., et al. (2003). Mobility and the spread of human immunodeficiency virus into rural areas of West Africa. International Journal of Epidemiology, 32, 744–752.PubMedCrossRef

Laukamm-Josten, U., Mwizarubi, B. K., Outwater, A., Mwaijonga, C. L., Valadez, J. J., Nyamwaya, D., et al. (2000). Preventing HIV infection through peer education and condom promotion among truck drivers and their sexual partners in Tanzania, 1990–1993. AIDS Care, 12, 27–40.PubMedCrossRef

Lurie, M. N., Williams, B. G., Zuma, K., Mkaya-Mwamburi, D., Garnett, G. P., Sweat, M. D., et al. (2003). Who infects whom? HIV-1 concordance and discordance among migrant and non-migrant couples in South Africa. AIDS, 17, 2245–2252.PubMedCrossRef

Lydie, N., & Robinson, N. J. (1998). West and central Africa. International Migration, 36, 469–511.PubMedCrossRef

Lydie, N., Robinson, N. J., Ferry, B., Akam, E., De Loenzien, M., & Abega, S. (2004). Mobility, sexual behavior, and HIV infection in an urban population in Cameroon. Journal of Acquired Immune Deficiency Syndromes, 35, 67–74.PubMedCrossRef

Meda, N., Cartoux, M., Dabis, F., Bazie, B., Hetherington, J., Dahourou, H., et al. (2001). Stabilization of HIV infection rates in urban Burkina Faso, 1995–1999. International Journal of STD and AIDS, 12, 460–462.PubMedCrossRef

Mnyika, K. S., Klepp, K. I., Kvale, G., & Ole-Kingori, N. (1997). Determinants of high-risk sexual behaviour and condom use among adults in the Arusha region, Tanzania. International Journal of STD and AIDS, 8, 176–183.PubMedCrossRef

Morris, M., Wawer, M. J., Makumbi, F., Zavisca, J. R., & Sewankambo, N. (2000). Condom acceptance is higher among travelers in Uganda. AIDS, 14, 733–741.PubMedCrossRef

Mupemba, K. (1999). The Zimbabwe HIV prevention program for truck drivers and commercial sex workers: A behaviour change intervention. In J. C. Caldwell (Ed.), Resistances to behavioural change to reduce HIV/AIDS infection (pp. 133–137). Canberra, Australia: Health Transition Centre, National Centre for Epidemiology and Population Health, Australian National University.

Nagot, N., Meda, N., Ouangre, A., Ouedraogo, A., Yaro, S., Sombie, I., et al. (2004). Review of STI and HIV epidemiological data from 1990 to 2001 in urban Burkina Faso: Implications for STI and HIV control. Sexually Transmitted Infections, 80, 124–129.PubMedCrossRef

Nunn, A. J., Wagner, H. U., Kamali, A., Kengeya-Kayondo, J. F., & Mulder, D. W. (1995). Migration and HIV-1 seroprevalence in a rural Ugandan population. AIDS, 9, 503–506.PubMedCrossRef

Pison, G., Le Guenno, B., Lagarde, E., Enel, C., & Seck, C. (1993). Seasonal migration: a risk factor for HIV infection in rural Senegal. Journal of Acquired Immune Deficiency Syndromes, 6, 196–200.PubMed

Quigley, M., Munguti, K., Grosskurth, H., Todd, J., Mosha, F., Senkoro, K., et al. (1997). Sexual behaviour patterns and other risk factors for HIV infection in rural Tanzania: a case-control study. AIDS, 11, 237–248.PubMedCrossRef

Rojanapithayakorn, W., & Hanenberg, R. (1996). The 100% condom program in Thailand. AIDS, 10, 1–7.PubMedCrossRef

Tambashe, B. O., Speizer, I. S., Amouzou, A., & Djangone, A. M. (2003). Evaluation of the PSAMAO “Roulez Protege” mass media campaign in Burkina Faso. Prevention du SIDA sur les Axes Migratoires de l’Afrique de l’Ouest. AIDS Education and Prevention, 15, 33–48.PubMedCrossRef

UNAIDS (2005a). Factsheet on HIV/AIDS Burkina Faso. Geneva: UNAIDS. Accessed Sept 2007 at: http://www.unaids.org/en/Regions_Countries/Countries/burkinafaso.asp.

UNAIDS (2005b). Factsheet on HIV/AIDS Côte d`Ivoire. Geneva: UNAIDS. Accessed Sept 2007 at: http://www.unaids.org/en/Regions_Countries/Countries/c%C3%B4te_d_ivoire.asp.

UNAIDS/IOM (1998). Migration and AIDS. International Migration, 36, 445–468.CrossRef

UNAIDS/IOM (2001). Population mobility and AIDS. Geneva: UNAIDS.

UNAIDS/WHO (2006). AIDS epidemic update 2006. Geneva: UNAIDS.

Weir, S. S. (2006). Fact sheet: PLACE: Innovation in identifying places for AIDS prevention. Chapel Hill: MEASURE Evaluation Project.

Weir, S. S., Pailman, C., Mahlalela, X., Coetzee, N., Meidany, F., & Boerma, J. T. (2003). From people to places: Focusing AIDS prevention efforts where it matters most. AIDS, 17, 895–903.PubMedCrossRef

White, R. G. (2003). What can we make of an association between human immunodeficiency virus prevalence and population mobility? International Journal of Epidemiology, 32, 753–754.PubMedCrossRef

Title: Mobility and HIV-Related Sexual Behavior in Burkina Faso
Authors: Maria R. Khan
Padmaja Patnaik
Lisanne Brown
Nicolas Nagot
Souleymane Salouka
Sharon S. Weir
Publication date: 01-03-2008
Publisher: Springer US
Published in: AIDS and Behavior / Issue 2/2008
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-007-9314-8

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