Research Centre for Longitudinal and Life Course Studies and Department of Sociology, University of Antwerp, City Campus, Prinsstraat 13, BE-2000, Antwerp, Belgium.
Interuniversity Institute for Biostatistics and statistical Bioinformatics, University of Hasselt, Hasselt, Belgium.
Int J Equity Health. 2017 Oct 10;16(1):179. doi: 10.1186/s12939-017-0674-z.
Information dealing with social and behavioural risk factors as well as their mechanisms among Mozambican migrants working in South African mines remains undocumented. This study aims to understand the various factors influencing HIV-related risk behaviours and the resulting HIV positive status of Mozambican miners employed by South African mines. This analysis was undertaken in order to inform a broader and more effective HIV preventive framework in Mozambique.
This study relied upon data sourced from the first Integrated Biological and Behavioural Survey among Mozambican miners earning their living in South African mines. It employs quantitative techniques using standard statistical tools to substantiate the laid-down objectives. The primary technique applied in this paper is the multivariable statistical method used in the formulation and application of a proximate determinants framework.
The odds of reporting one sexual partner were roughly three times higher for miners working as perforators as opposed to other types of occupation. As well, the odds of condom use - always or sometimes - for miners in the 31-40 age group were three times higher than the odds of condom use in the 51+ age group. Miners with lower education levels were less likely to use condoms. The odds of being HIV positive when the miner reports use of alcohol or drugs (sometimes/always) is 0.32 times lower than the odds for those reporting never use of alcohol or drugs. And finally, the odds of HIV positive status for those using condoms were 2.16 times that of miners who never used condoms, controlling for biological and other proximate determinants.
In Mozambique, behavioural theory emphasising personal behavioural changes is the main strategy to combat HIV among miners. Our findings suggest there is a need to change thinking processes about how to influence safer sexual behaviour. This is viewed to be the result of a person's individual decision, due to of the complexity of social and contextual factors that may also influence sexual behaviours. This only stresses the need for HIV prevention strategies to exclusively transcend individual factors while considering the broader social and contextual phenomena influencing HIV risk among Mozambican miners.
有关在南非矿场工作的莫桑比克移民的社会和行为风险因素及其机制的信息仍然没有记录。本研究旨在了解影响与艾滋病毒相关的风险行为以及导致在南非矿场工作的莫桑比克矿工艾滋病毒阳性的各种因素。这一分析旨在为莫桑比克制定更广泛和更有效的艾滋病毒预防框架提供信息。
本研究依赖于从在南非矿场工作的莫桑比克矿工的首次综合生物和行为调查中获取的数据。它使用定量技术和标准统计工具来证实既定目标。本文应用的主要技术是多变量统计方法，用于制定和应用近因框架。
相对于从事其他类型职业的矿工，穿孔机矿工报告有一个性伴侣的可能性大约高出三倍。同样，31-40 岁年龄组的矿工始终或有时使用避孕套的可能性是 51 岁以上年龄组的三倍。受教育程度较低的矿工不太可能使用避孕套。当矿工报告偶尔/经常使用酒精或毒品时，其艾滋病毒阳性的可能性比从未使用过酒精或毒品的矿工低 0.32 倍。最后，对于那些报告使用避孕套的矿工来说，艾滋病毒阳性的可能性是从未使用过避孕套的矿工的 2.16 倍，同时控制了生物和其他近因。
在莫桑比克，强调个人行为变化的行为理论是在矿工中防治艾滋病毒的主要策略。我们的研究结果表明，需要改变关于如何影响更安全性行为的思维过程。这被认为是个人决定的结果，因为社会和环境因素的复杂性也可能影响性行为。这只是强调需要将艾滋病毒预防策略完全超越个人因素，同时考虑影响莫桑比克矿工艾滋病毒风险的更广泛的社会和环境现象。
