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AIDS and Behavior
Published in: AIDS and Behavior 9/2015

01-09-2015 | Original Paper

Migration, Multiple Sexual Partnerships, and Sexual Concurrency in the Garífuna Population of Honduras

Authors: Anisha D. Gandhi, Audrey Pettifor, Clare Barrington, Stephen W. Marshall, Frieda Behets, Maria Elena Guardado, Nasim Farach, Elvia Ardón, Gabriela Paz-Bailey

Published in: AIDS and Behavior | Issue 9/2015

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Abstract

The Garífuna, an ethnic minority group in Honduras, have been disproportionately affected by HIV. Previous research suggests that migration and high rates of multiple sexual partnerships are major drivers of the epidemic. Using data from a 2012 population-based survey, we assessed whether temporary migration was associated with (1) multiple sexual partnerships and (2) sexual concurrency among Garífuna men and women in Honduras. Among both men and women, temporary migration in the last year was associated with an increased likelihood of multiple sexual partnerships and with concurrency, though only the association between migration and multiple sexual partnerships among men was statistically significant (Adjusted Prevalence Ratio 1.7, 95 % CI 1.2–2.4). Migration may contribute to HIV/STI vulnerability among Garífuna men and women via increases in these sexual risk behaviors. Research conducted among men and women at elevated risk of HIV should continue to incorporate measures of mobility, including history of internal migration.
Literature
1.
2.
Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections, Honduras: 2010 Update. Geneva: UNAIDS/WHO; 2010.
3.
Sierra M. Epidemiología de VIH/SIDA en Honduras: Situación Actual y Perspectivas. In: Izazola Licea JA, editor. Situación Epidemiológica y Económica del SIDA en América Latina y el Caribe. Tepepan: Fundación Mexicana para la Salud; 1998. p. 99–119.
4.
5.
6.
7.
8.
Informe Nacional sobre los Progresos Realizados en la Aplicación del UNGASS: Honduras. Tegucigalpa: Secretaria de Salud de Honduras; 2010. p. 1–106.
9.
Paz-Bailey G, Morales-Miranda S, Jacobson JO, Gupta SK, Sabin K, Mendoza S, et al. High rates of STD and sexual risk behaviors among Garífunas in Honduras. JAIDS J Acquir Immune Defic Syndr. 2009;51:S26–34.CrossRefPubMed
10.
Tinajeros F, Miller WM, Castro L, Artiles N, Flores F, Evans JL, et al. Declining sexually transmitted infections among female sex workers: the results of an HIV and sexually transmitted infection prevention strategy in Honduras, 2006–08. Int J STD AIDS. 2012;23(2):88–93.CrossRefPubMed
11.
Johnston LG, Paz-Bailey G, Morales-Miranda S, Morgan M, Alvarez B, Hickman L, et al. High prevalence of Mycoplasma genitalium among female sex workers in Honduras: implications for the spread of HIV and other sexually transmitted infections. Int J STD AIDS. 2012;23(1):5–11.CrossRefPubMed
12.
Stansbury JP, Sierra M. Risks, stigma and Honduran Garífuna conceptions of HIV/AIDS. Soc Sci Med. 2004;59(3):457–71.CrossRefPubMed
13.
Sabin M, Luber G, Sabin K, Paredes M, Monterroso E. Rapid ethnographic assessment of HIV/AIDS among Garífuna communities in Honduras: informing HIV surveillance among Garífuna women. J Hum Behav Soc Environ. 2008;17(3–4):237–57.CrossRef
14.
Farach N. Estudio Formativo para la Implementación del Estudio Centroamericano de Vigilancia de Comportamiento Sexual y Prevalencia de ITS y VIH en Poblaciones Vulnerables, ECVC Honduras 2011. Tegucigalpa: Secretaría de Salud, Honduras, Departamento de ITS/VIH/SIDA; 2011. p. 1–81.
15.
Herrera-Paz E-F, Matamoros M, Carracedo Ã. The Garífuna (Black Carib) people of the Atlantic coasts of Honduras: population dynamics, structure, and phylogenetic relations inferred from genetic data, migration matrices, and isonymy. Am J Hum Biol. 2010;22(1):36–44.CrossRefPubMed
16.
England S. Negotiating race and place in the Garifuna Diaspora: identity formation and transnational grassroots politics in New York City and Honduras. Identities. 1999;6(1):5–53.CrossRef
17.
18.
González NL. Sojourners of the Caribbean: Ethnogenesis and Ethnohistory of the Garifuna. Urbana: University of Illinois Press; 1988. 296 p.
19.
Palacio J. The multifacted Garifuna: juggling cultural spaces in the 21st century. In: Palacio J, editor. The Garifuna: a nation across borders essays in social anthropology. Benque Viejo del Carmen: Cubola Productions; 2005. p. 105–22.
20.
21.
Tercero G. Cosmivision, Comportamiento y SIDA: Un Estudio de Antropología Médica entre los Garífunas. Honduras: Intra-American Development Bank; 2002. p. 1–94.
22.
23.
Duckett M, Joint United Nations Programme on HIV/AIDS. Migrants’ right to health. Geneva: Joint United Nations Programme on HIV/AIDS; 2001.
24.
Hirsch JS, Muñoz-Laboy M, Nyhus CM, Yount KM, Bauermeister JA. “Because He Misses His Normal Life Back Home”: masculinity and sexual behavior among Mexican Migrants in Atlanta, Georgia. Perspect Sex Reprod Health. 2009;41(1):23.CrossRefPubMedPubMedCentral
25.
Apostolopoulos Y, Sonmez S, Kronenfeld J, Castillo E, McLendon L, Smith D. STI/HIV risks for Mexican migrant laborers: exploratory ethnographies. J Immigr Minor Health. 2006;8(3):291–2.CrossRefPubMed
26.
Shedlin MG, Decena CU, Oliver-Velez D. Initial acculturation and HIV risk among new Hispanic immigrants. J Natl Med Assoc. 2005;97(7 Suppl):32S.PubMedPubMedCentral
27.
Kissinger P, Althoff M, Burton N, Schmidt N, Hembling J, Salinas O, et al. Prevalence, patterns and predictors of substance use among Latino migrant men in a new receiving community. Drug Alcohol Depend. 2013;133(3):814–24.CrossRefPubMedPubMedCentral
28.
Kissinger P, Kovacs S, Anderson-Smits C, Schmidt N, Salinas O, Hembling J, et al. Patterns and predictors of HIV/STI risk among Latino migrant men in a new receiving community. AIDS Behav. 2011;16(1):199–213.CrossRef
29.
Winett L, Harvey SM, Branch M, Torres A, Hudson D. Immigrant Latino men in rural communities in the Northwest: social environment and HIV/STI risk. Cult Health Sex. 2011;13(6):643–56.CrossRefPubMed
30.
31.
Dladla AN, Hiner CA, Qwana E, Lurie M. Speaking to rural women: the sexual partnerships of rural South African women whose partners are migrants. Soc Transit. 2001;32(1):79.CrossRef
32.
Ochoa-Marín SC, Cristancho-Marulanda S, González-López JR. Migrants’ female partners: social image and the search for sexual and reproductive health services. Rev Salud Pública. 2011;13(2):183–95.CrossRefPubMed
33.
34.
Cassels S, Jenness SM, Khanna AS. Conceptual framework and research methods for migration and HIV transmission dynamics. AIDS Behav. 2014;18(12):2302–13.
35.
Goldenberg SM, Strathdee SA, Perez-Rosales MD, Sued O. Mobility and HIV in Central America and Mexico: a critical review. J Immigr Minor Health. 2011;14(1):48–64.CrossRef
36.
Krishnan S, Dunbar MS, Minnis AM, Medlin CA, Gerdts CE, Padian NS. Poverty, gender inequities, and women’s risk of human immunodeficiency virus/AIDS. Ann N Y Acad Sci. 2008;1136(1):101–10.CrossRefPubMedPubMedCentral
37.
Hirsch JS, Higgins J, Bentley ME, Nathanson CA. The social constructions of sexuality: marital infidelity and sexually transmitted disease-HIV risk in a Mexican migrant community. Am J Public Health. 2002;92(8):1227–37.CrossRefPubMedPubMedCentral
38.
39.
Lurie M, Harrison A, Wilkinson D, Karim SA. Circular migration and sexual networking in rural KwaZulu/Natal: implications for the spread of HIV and other sexually transmitted diseases. Health Transit Rev. 1997;7:17–27.
40.
41.
42.
Kenyon C, Colebunders R, Hens N. Determinants of generalized herpes simplex virus-2 epidemics: the role of sexual partner concurrency. Int J STD AIDS. 2013;24(5):375–82.CrossRefPubMed
43.
Lurie MN, Rosenthal S. Concurrent partnerships as a driver of the HIV epidemic in sub-Saharan Africa? The evidence is limited. AIDS Behav. 2009;14(1):17–24.CrossRefPubMed
44.
Morris M. Barking up the wrong evidence tree. Comment on Lurie & Rosenthal, “Concurrent Partnerships as a Driver of the HIV Epidemic in Sub-Saharan Africa? The Evidence is Limited”. AIDS Behav. 2009;14(1):31–3.CrossRefPubMedCentral
45.
Epstein H. The mathematics of concurrent partnerships and HIV: a commentary on Lurie and Rosenthal, 2009. AIDS Behav. 2009;14(1):29–30.CrossRef
46.
47.
Go M-H, Blower S. What impact will reducing concurrency have on decreasing the incidence of HIV in heterosexual populations? Sex Transm Dis. 2012;39(6):414–5.CrossRefPubMedPubMedCentral
48.
Kerns V. Female control of sexuality: Garifuna women at middle age. In: Kerns V, Brown JK, editors. In her prime: new views of middle-aged women. Urbana: University of Illinois Press; 1992. p. 95–111.
49.
Gargallo F. Garifuna: a culture of women and men. In: Palacio J, editor. The Garifuna: a nation across borders essays in social anthropology. Benque Viejo del Carmen: Cubola Productions; 2005. p. 137–58.
50.
Informe de los Resultados de la Evaluación de Impacto de las Radionovelas Garífunas “Los Ancestros No Mueren” y “Larubeya.” Departamento de ITS/VIH/SIDA, Secretaría de Salud, Honduras; Management Sciences for Health; USAID; 2008. p. 66.
51.
Buszin J. Multiple partnerships and risk for HIV among the Garífuna minority population in Belize. Health (N Y). 2012;04(08):474–82.
52.
UNGASS Country Progress Report. Belize, 2006–2007. Belize City: National AIDS Commission of Belize; 2008. p. 47.
53.
Global AIDS Country Progress Report. Belize, 2010–2011. Belize City: National AIDS Commission of Belize; 2012. p. 68.
54.
Consultation on Concurrent Sexual Partnerships: Recommendations from a meeting of the UNAIDS Reference Group on Estimates, Modelling and Projections held in Nairobi, Kenya, April 20–21st 2009 [Internet]. UNAIDS Reference Group on Estimates, Modelling, and Projections; 2009. www.​epidem.​org.
55.
Stata Statistical Software. College Station: StataCorp, LP; 2011.
56.
Frank R, Wildsmith E. The grass widows of Mexico: migration and union dissolution in a binational context. Soc Forces. 2005;83(3):919–47.CrossRef
57.
Landale NS, Ogena NB. Migration and union dissolution among Puerto Rican women. Int Migr Rev. 1995;29(3):671–92.CrossRef
58.
Kwena ZA, Camlin CS, Shisanya CA, Mwanzo I, Bukusi EA. Short-term mobility and the risk of HIV infection among married couples in the fishing communities along Lake Victoria, Kenya. PLoS One. 2013;8(1):e54523.CrossRefPubMedPubMedCentral
59.
Camlin CS, Hosegood V, Newell M-L, McGrath N, Bärnighausen T, Snow RC. Gender, migration and HIV in rural KwaZulu-Natal, South Africa. PLoS One. 2010;5(7):e11539.CrossRefPubMedPubMedCentral
60.
Camlin CS, Kwena ZA, Dworkin SL, Cohen CR, Bukusi EA. “She mixes her business”: HIV transmission and acquisition risks among female migrants in western Kenya. Soc Sci Med. 2014;1982(102):146–56.CrossRef
61.
62.
Weir SS, Pailman C, Mahlalela X, Coetzee N, Meidany F, Boerma JT. From people to places: focusing AIDS prevention efforts where it matters most. AIDS Lond Engl. 2003;17(6):895–903.CrossRef
63.
Caballero M, Leyva-Flores R, Ochoa-Marín SC, Zarco Á, Guerrero C. Las mujeres que se quedan: migración e implicación en los procesos de búsqueda de atención de servicios de salud. Salud Pública México. 2008;50(3):241–50.CrossRef
64.
Barber-Madden R, Velasco E, Schnell C. Evaluation of COMCAVI HIV/AIDS Umbrella Grant program in Honduras [Internet]. USAID Global Health Technical Assistance Project; 2008. Report No.: 08-001-84. www.​ghtechproject.​com/​resources.
65.
66.
Encuesta Nacional de Salud y Demografica 2011–2012. Tegucigalpa, Honduras: Secretaría de Salud [Honduras], Instituto Nacional de Estadistica (INE) e ICF International; 2013.
67.
Helleringer S, Kohler H-P, Kalilani-Phiri L, Mkandawire J, Armbruster B. The reliability of sexual partnership histories: implications for the measurement of partnership concurrency during surveys. AIDS. 2011;25(4):503–11.CrossRefPubMedPubMedCentral
68.
69.
Nnko S, Boerma JT, Urassa M, Mwaluko G, Zaba B. Secretive females or swaggering males? Soc Sci Med. 2004;59(2):299–310.CrossRefPubMed
70.
71.
Mercer CH, Aicken CRH, Tanton C, Estcourt CS, Brook MG, Keane F, et al. Serial monogamy and biologic concurrency: measurement of the gaps between sexual partners to inform targeted strategies. Am J Epidemiol. 2013;178(2):249–59.CrossRefPubMed
Metadata
Title
Migration, Multiple Sexual Partnerships, and Sexual Concurrency in the Garífuna Population of Honduras
Authors
Anisha D. Gandhi
Audrey Pettifor
Clare Barrington
Stephen W. Marshall
Frieda Behets
Maria Elena Guardado
Nasim Farach
Elvia Ardón
Gabriela Paz-Bailey
Publication date
01-09-2015
Publisher
Springer US
Published in
AIDS and Behavior / Issue 9/2015
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1139-2

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