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南非开普敦自行定居的外国女性移民中社会支持、艾滋病毒血清状况与自认为感染艾滋病毒可能性之间的关系

The Relationship Between Social Support, HIV Serostatus, and Perceived Likelihood of Being HIV Positive Among Self-Settled Female, Foreign Migrants in Cape Town, South Africa.

作者信息

Giorgio Margaret, Townsend Loraine, Zembe Yanga, Cheyip Mireille, Guttmacher Sally, Kapadia Farzana, Mathews Cathy

机构信息

College of Global Public Health, New York University, 411 Lafayette Street, 5th Floor, New York, NY, 10003, USA.

Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.

出版信息

J Immigr Minor Health. 2017 Aug;19(4):883-890. doi: 10.1007/s10903-016-0514-z.

Abstract

Female cross-border migrants experience elevated risks for HIV, and migrants in South Africa may face additional risks due to the country's underlying HIV prevalence. These risks may be mitigated by the receipt of social support. A behavioral risk-factor survey was administered using respondent-driven sampling. Multivariable regression models assessed the relationships between social support and two HIV outcomes: HIV serostatus and perceived HIV status. Low social support was not significantly associated with HIV status (aOR = 1.03, 95 % CI 0.43-2.46), but was significantly related to a perception of being HIV positive (aPR = 1.36, 95 % CI 1.04-1.78). Age, marital status, and education level were significantly associated with HIV serostatus. Illegal border-crossing, length of time in South Africa, anal sex, and transactional sex were significantly associated with aperception of being HIV positive. Future research should investigate how HIV risks and the receipt of social support change throughout the migration process.

摘要

女性跨境移民感染艾滋病毒的风险较高,由于南非潜在的艾滋病毒流行情况,该国的移民可能面临更多风险。获得社会支持可能会降低这些风险。使用应答驱动抽样方法进行了一项行为风险因素调查。多变量回归模型评估了社会支持与两个艾滋病毒相关结果之间的关系:艾滋病毒血清学状态和自我认知的艾滋病毒感染状况。社会支持水平低与艾滋病毒感染状况无显著关联(调整后比值比=1.03,95%置信区间0.43-2.46),但与自我感觉感染艾滋病毒显著相关(调整后患病率比=1.36,95%置信区间1.04-1.78)。年龄、婚姻状况和教育水平与艾滋病毒血清学状态显著相关。非法越境、在南非停留的时间、肛交和交易性行为与自我感觉感染艾滋病毒显著相关。未来的研究应调查在整个移民过程中艾滋病毒风险和社会支持的获得情况是如何变化的。

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