School of Oriental and African Studies, London, UK.
Trop Med Int Health. 2010 Dec;15(12):1458-63. doi: 10.1111/j.1365-3156.2010.02647.x. Epub 2010 Oct 19.
Population mobility is commonly identified as a key driver of the HIV epidemic, both linking geographically separate epidemics and intensifying transmission through inducing riskier sexual behaviours. However, beyond the well-known case studies of South African miners and East African truck drivers, the evidence on the links between HIV and mobility is nuanced, contradictory and inconclusive and is in part attributed to the abstract definitions of mobility used in different studies. This problematic conception of mobility, with no reference to who moves, their motivations for moving, or the characteristics of sending and receiving areas, can have a dramatic impact on how one understands the influence which this structural factor has on HIV risk in different settings. Future research on mobility and HIV transmission must incorporate an understanding of migration and mobility as dynamic processes and link different patterns and forms of mobility with location-specific sexual networks and HIV epidemiology.
人口流动通常被认为是 HIV 流行的一个关键驱动因素,它不仅连接了地理位置上分隔的流行地区,还通过诱导风险性行为加剧了传播。然而,除了南非矿工和东非卡车司机等众所周知的案例研究外,关于 HIV 与流动之间关系的证据是复杂的、矛盾的和不确定的,部分原因是不同研究中使用的流动抽象定义。这种有问题的流动概念,没有提到谁在流动、他们流动的动机,或发送和接收地区的特征,可能会对人们如何理解这种结构性因素在不同环境中对 HIV 风险的影响产生巨大影响。未来关于流动和 HIV 传播的研究必须将对移民和流动的理解作为一个动态过程,并将不同模式和形式的流动与特定地点的性网络和 HIV 流行病学联系起来。