Thapa Subash, Bista Nirmala, Timilsina Suraj, Buntinx Frank, Mathei Catharina
Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium
Department of Public Health, Nobel College Pokhara University, Kathmandu, Nepal.
Int J STD AIDS. 2014 Oct;25(11):793-9. doi: 10.1177/0956462414521162. Epub 2014 Jan 27.
Summary Labour migration has increased the risk of HIV infection among the wives of labour migrants in Nepal. We conducted a matched case-control study to identify the social and behavioural factors for HIV infection among the wives of labour migrants in Nepal. We interviewed 112 wives of labour migrants diagnosed with HIV (cases) and 112 wives of labour migrants testing negative for HIV (controls) and used logistic regression analysis to assess independent factors associated with HIV infection. Literacy status was the only one woman-related social factor associated with HIV infection. Meanwhile literacy status, age when going abroad for the first time and country of migration were the husband-related social factors and alcohol consumption, living alone abroad and having an unpaid partner abroad were the husband-related behavioural factors associated with HIV infection in the wives. Given the husband-related social and behavioural factors are mostly determining the risk of HIV infection in the wives in our study, prevention efforts must incorporate behaviour change approaches targeting specifically to labour migrants and also to their wives.
摘要 劳务移民增加了尼泊尔劳务移民妻子感染艾滋病毒的风险。我们开展了一项配对病例对照研究，以确定尼泊尔劳务移民妻子感染艾滋病毒的社会和行为因素。我们采访了112名被诊断感染艾滋病毒的劳务移民妻子（病例）和112名艾滋病毒检测呈阴性的劳务移民妻子（对照），并使用逻辑回归分析来评估与艾滋病毒感染相关的独立因素。识字状况是唯一与艾滋病毒感染相关的女性相关社会因素。同时，识字状况、首次出国年龄和移民国家是与丈夫相关的社会因素，而饮酒、独自在国外生活以及在国外有非付费伴侣是与丈夫相关的行为因素，这些因素与妻子感染艾滋病毒有关。鉴于在我们的研究中，与丈夫相关的社会和行为因素大多决定了妻子感染艾滋病毒的风险，预防工作必须纳入专门针对劳务移民及其妻子的行为改变方法。
