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Women, Migration, Conflict and Risk for HIV

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Women, Migration, and Conflict

Abstract

Women now constitute the majority of those living with HIV/AIDS globally, even if only by a small margin (UNAIDS, 2007). While the lower status of women has been recognized as increasing their HIV risk, issues of migration and conflict combined with this lower status are believed to propel women’s risk for infection further, particularly in high infection areas such as Sub-Saharan Africa. Recommendations to address women’s risk for HIV in the context of migration and conflict are needed. However, such recommendations must be built upon our understanding of the global HIV epidemic among women as well as the needs of women facing conflict and migration.

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References

  • Agadjanian, V. (July 2005). War, migration, and HIV/AIDS risk in Angola. Poster Presented at the XXV IUSSP International Population Conference: Tours, France.

    Google Scholar 

  • Amnesty International. (2004, July). Darfur: Rape as a weapon of war: sexual violence and its consequences. AI INDEX: AFR54/076/2004. http://web.amnesty.org/library/index/engafr540762004. Accessed June 20, 2008.

  • Bouree, P., Lamour, P., Bisaro, F., and Didier, E. (1995). Study of an HIV positive, tropical origin population in a refugee center in France. Bulletin of the Exotic Pathology Society, 88(1), 24–28. French.

    Google Scholar 

  • Brewers, T.H., Hasbun, J., Ryan, C.A., Hawes, S.E., Martinez, S., Sanchez, J., Butler De Lister, M., Constanzo, J., Lopez, J., and Holmes, K.K. (1998). “Migration, ethnicity and environment: HIV risk factors for women on the sugar cane plantations of the Dominican Republic.” AIDS, 12(14), 1879–1887.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention. (2006). “Cases of HIV infection and AIDS in the United States and dependent areas, 2005.” HIV/AIDS Surveillance Report, 17. Atlanta, GA.

    Google Scholar 

  • Chamla, D.D., Olu, O., Wanyana, J., Natseri, N., Mukooyo, E., Okware, S., Alisalad, A., and George, M. (2007). “Geographical information system and access to HIV testing, treatment and prevention of mother-to-child transmission in conflict affected Northern Uganda.” Conflict and Health, 3, 1–12.

    Google Scholar 

  • Coffee, M., Lurie, M.N., and Garnett, G.P. (2007). “Modeling the impact of migration on the HIV epidemic in South Africa.” AIDS, 21(18), 2560–2561.

    Article  Google Scholar 

  • Connolly, M. and Heymann, D. (2002). “Deadly comrades: War and infectious diseases.” The Lancet, 360, suppl. 1, (21), 23–24.

    Article  Google Scholar 

  • Cossa, H.A., Gloyd, S., Vaz, R.G., Folgosa, E., Simbine, E., Diniz, M., and Kreiss, J.K. (1994). “Syphilis and HIV infection among displaced pregnant women in rural Mozambique.” International Journal of STD and AIDS, 5(2), 117–123.

    Google Scholar 

  • Decossas, J., Kane, F., Anafi, J.K., Sodji K.D., and Wagna, H.U. (1995). “Migration and AIDS.” The Lancet, 346, 826–828.

    Article  Google Scholar 

  • De Jong, E. and Spiegel, P. (2003). “HIV/AIDS and refugees/returnees: Missions to Angola Luanda. Office of the United Nations High Commissioner for Refugees.” Available at: http://www.unhcr.org/protect/PROTECTION/4045aa195.pdf. Accessed April 20, 2007.

  • Donovan, P. (2002). “Rape and HIV/AIDS in Rwanda.” The Lancet, 360, suppl. 1(21), 21.

    Google Scholar 

  • Dunkle, K.L., Jewkes, R.K., Nduna, M., Jama, P.N., Levin, J.B., Sikweyiya, Y., and Koss, M.P. (2007). “Transactional sex with casual and main partners among young South African men in the rural Eastern Cape: prevalence, predictors, and associations with gender-based violence.” Social Science and Medicine, 65, 1235–1248.

    Article  Google Scholar 

  • Elbe, S. (2003). “Strategic implication of HIV/AIDS.” (Paper 357). Institute for International Strategic Studies, Adelphi. Oxford: Oxford University Press.

    Google Scholar 

  • Forced Migration On-Line. (2006). “What is forced migration?” Available at: http://www.forcedmigration.org/whatisfm.htm. Accessed December 17, 2007.

  • Foreit, K.F., Barreto, A.T., Noya, P.A., and Nhatave, I. (2001). “Population movements and the spread of HIV/AIDS in Mozambique.” Journal of Health & Human Services Administration. 24(3), 279–294.

    Google Scholar 

  • Green, B. (2003). “Post-traumatic stress disorder: Symptoms profiles in men and women.” Current Medical Research and Opinion, 19(3), 200–204.

    Article  Google Scholar 

  • Gupta, J., Acevedo-Garcia, D., Hemenway, D., Decker, M.R., Raj, A., and Silverman, J.G. (2008). “Premigration exposure to political violence and perpetration of intimate partner violence among immigrant men in Boston.” AJPH, 2008 Aug 13 [Epub ahead of print].

    Google Scholar 

  • Hankins, C.A., Friedman, S.R., Zafar, T., and Strathdee, S A. (2002). “Transmission and prevention of HIV and sexually transmitted infections in war settings: Implications for current and future armed conflicts.” AIDS, 16(17), 2245–2252.

    Article  Google Scholar 

  • Holmes, W. (2001). “HIV and human rights in refugee settings.” The Lancet, 358, 144–146.

    Article  Google Scholar 

  • Human Rights Watch. (2003) “Trapped by inequality: Bhutanese refugee women in Nepal.” Available at: http://www.hrw.org/reports/2003/nepal0903/nepal0903full.pdf. Accessed September 18, 2008.

  • Hynes, M., Shek, M., Wilson, H., and Spiegel, P. (2002). “Reproductive health indicators and outcomes among refugee and internally displaced persons in post-emergency phase camps.” JAMA, 288(5), 595–603.

    Article  Google Scholar 

  • International Association for the Study of Forced Migration (IASFM). “Mission of the IASFM,” Available at: http://www.efms.uni-bamberg.de/iasfm/mission.htm. Accessed June 20, 2008.

  • International Rescue Committee. (1999, April). “Kakuma Refugee Camp: Reproductive Health. Survey Results.” New York.

    Google Scholar 

  • Jacobsen, K. and Landau, L.B. (2003). “The dual imperative in refugee research: some methodological and ethical considerations in social science research on forced migration.” Disasters. 27(3), 185–206.

    Article  Google Scholar 

  • Kaiser, R., Spiegel, P., Salama, P., Brady, W., Bell, E., Bond, K., and Downer, M. (2003, April). “HIV/AIDS seroprevalence and behavioral risk factor survey in Sierra Leone, April 2002.” Report from Centers for Disease Control and Prevention, Atlanta, GA.

    Google Scholar 

  • Kerimova, J., Posner, S.F., Brown, Y.T., Hillis, S., Meikle, S., and Duerr, A. (2003). “High prevalence of self-reported forced sexual intercourse among internally displaced women in Azerbaijan.” American Journal of Public Health, 93, 1067–1070.

    Article  Google Scholar 

  • Khawaja, M., and Hammoury, N. (2008). “Coerced sexual intercourse within marriage: a clinic based study of pregnant Palestinian refugees in Lebanon.” Journal of Midwifery and Women’s Health, 53, 150–154.

    Article  Google Scholar 

  • King, P.A., Duthie, S.J., and Ma, H.K. (1990). “Sexually transmitted diseases amongst pregnant Vietnamese refugees in Hong Kong.” Genitourinary Medicine, 66(4), 257–258.

    Google Scholar 

  • Krug, E.G., Dahlberg, L.L., Mercy, J.A., Zwi, A.B., and Lozano, R. (eds) (2002). “World Report on Violence and Health.” Geneva, Switzerland: World Health Organization.

    Google Scholar 

  • Lawday, A. and Webb, D. (2002). “HIV and conflict: A double emergency.” Save the Children. Available at: http://www.savethechildren.org.nz/alliance/resources/hiv_con.pdf. Accessed June 20, 2008.

  • Leaning, J., Briggs, S.M., and Chen, L.C. (eds.) (1999). Humanitarian Crisis: The Medical and Public Health Response. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Levy, B. and Sidel, V. (eds.) (1997). War and Public Health. Oxford: Oxford University Press.

    Google Scholar 

  • Longombe, A.O., Claude, K.M., and Ruminjo, J. (2008). “Fistula and traumatic genital injury from sexual violence in a conflict setting in Eastern Congo: case studies.” Reproductive Health Matters, 16, 132–141.

    Article  Google Scholar 

  • Lurie, M.N., Williams, B.G., Khangelani, Z., Mkaya-Mwamburi, D., Garnett, G., Sturm, A.W., Seat, M.D., Gittelsohn, J., Abdool, K., and Salim, S. (2003). “The impact of migration on HIV-1 transmission in South Africa: A study of migrant and nonmigrant men and their partners.” Sexually Transmitted Diseases, 30(2), 149–156.

    Article  Google Scholar 

  • Mayaud, P., Msuya, W., Todd, J., Kaatano, G., West, B., Begkoyian, G., Grosskurth, H., and Mabey, D. (1997). “STD rapid assessment in Rwandan refugee camps in Tanzania.” Genitourinary Medicine, 73(1), 33–38.

    Google Scholar 

  • McGinn, T., Purdin, S.J., and Krause, S. (2001, November). “Forced migration and transmission of HIV and other sexually transmitted infections: policy and programmatic responses.” HIV InSite Knowledge Base Chapter. Available at: http://hivinsite.ucsf.edu/InSite?page=kb-08-01-08#S4X. Accessed June 20, 2008.

  • Minas, H. (2001). “Migration, equity, and health.” In McKee, M., Garner, P., and Stott, R. (eds.). International Co-operation in Health. Oxford: Oxford University Press.

    Google Scholar 

  • Ministry of Health, Sudan. (1995). “HIV statistics among pregnant women.” (Cited in Roberts, 2004).

    Google Scholar 

  • Mock, N.B., Duale, S., Brown, L.F., Mathys, E., O’Maonaigh, H.C., Abul-Husn, N.K.L., and Elliot, S. (2004). “Conflict and HIV: A framework for risk assessment to prevent HIV in conflict-affected settings in Africa.” Emerging Themes in Epidemiology, 1, 6.

    Article  Google Scholar 

  • Mundandi, C., Vissers, D., Voeten, H., Habbema, D., and Gregson, S. (2006). “No difference in HIV incidence and sexual behavior between out-migrants and residents in rural Manicaland, Zimbabwe.” Tropical Medicine & International Health, 11(5), 705–711.

    Article  Google Scholar 

  • Murray, C.J.L., King, G., Lopez, A.D., Tomijima, N., and Krug, E.G. (2002). “Armed conflict as a public health problem.” British Medical Journal, 324, 346–349.

    Article  Google Scholar 

  • Noji, E. (1997). The Public Health Consequences of Disasters. Oxford: Oxford University Press.

    Google Scholar 

  • Nunn, A.J., Wagner, H.U., Kamali, A., Kengeya-Kayondo, J.F., and Mulder, D.W. (1995). “Migration and HIV-1 seroprevalence in a rural Ugandan population.” AIDS, 9(5), 503–506.

    Google Scholar 

  • Poudel, K.C., Poudel-Tandukar, K., and Jimba, M. (2006). “HIV/AIDS vulnerability of Nepali migrants to India: whose concern?[comment].” The Lancet, 368(9548), 1648.

    Article  Google Scholar 

  • Raj, A., Santana, M.C., LaMarche, A., Amaro, H., Cranston, K., Silverman, J.G., (2006). “Perpetration of intimate partner violence associated with sexual risk behaviors among young adult men.” American Journal of Public Health, 96(10), 1873–1878.

    Article  Google Scholar 

  • Renaud, T. (2001). “HIV/AIDS and children affected by armed conflict.” New York UNICEF Report.

    Google Scholar 

  • Reproductive Health Response in Conflict Consortium (2004). “Guidelines for the Care of Sexually Transmitted Infections in Conflict-Affected Settings.” Available: http://www.rhrc.org/pdf/sti_guidelines.zip. Accessed: October 6, 2008.

  • Rey, J.L.,Cavallo, J.D., Milleliri, J.M., L'Hoest, S., Soares, J.L., Piny, N., Coue, J.C., and Jouan, A. (1996). “Fever of unknown origin (FUO) in the camps of Rwandan refugees in the Goma region of in Zaire (September 1994).” Bulletin of the Exotic Pathology Society, 89(3), 204–208. French.

    Google Scholar 

  • Rey, J.L., Milleliri, J.M., Soares, J.L., Boutin, J.P., Desfontaine, M., Merouze, F., and Van de Perre, P. (1995, October). “HIV seropositivity and cholera in refugee children from Rwanda.” AIDS, 9(10), 1203–1204.

    Article  Google Scholar 

  • Rhodes, T., and Simic, M. (2005). “Transition and the HIV risk environment.” British Medical Journal, 331(7510), 220–223.

    Article  Google Scholar 

  • Richard, P., Ugalde, A., and Zwi, A. (1999). “Health consequences of war and political violence.” Encyclopedia of Violence, Peace, and Conflict, 2, 103–121. London: Elsevier.

    Google Scholar 

  • Roberts, B. (2004, November). “HIV/AIDS, conflict and forced migration.” Available at: http://www.forcedmigration.org/guides/fmo036/. Accessed June 20, 2008.

  • Salama, P., and Dondero, T. (2001). “HIV surveillance in complex emergencies.” AIDS, 15(suppl.3), S4–12.

    Article  Google Scholar 

  • Santos-Ferreira, M.O., Cohen, T., Lourenco, M.H., Almeida, M.J., Chamaret, S., and Montagnier, L. (1990). “A study of seroprevalence of HIV-1 and HIV-2 in six provinces of People's Republic of Angola: Clues to the spread of HIV infection.” JAIDS, 3(8), 780–786.

    Google Scholar 

  • Save the Children. (2001). “Study on the HIV/AIDS Prevalence in the Health Zone of Kalemie in the Region of North Katanga, DRC.” Goma: Save the Children.

    Google Scholar 

  • Schreck, L. (2000). “Turning point: A special report on the refugee reproductive health field.” International Family Planning Perspectives 26(4), 162–166.

    Article  Google Scholar 

  • Silverman, J.G., Decker, M.R., Gupta, J., Maheshwari, A., Willis, B.M., and Raj, A. (2007a). “HIV prevalence and predictors of infection in sex-trafficked Nepalese girls and women.” JAMA, 298, 536–542.

    Article  Google Scholar 

  • Silverman, J.G., Decker, M.R., Kapur, N.A., Gupta, J., and Raj, A. (2007b). “Violence against wives, sexual risk and sexually transmitted infection among Bangladeshi men.” Sexually Transmitted Infections, 83, 211–215.

    Article  Google Scholar 

  • Singh, G.K., and Miller, B.A. (2004). “Health, life expectancy, and mortality patterns among immigrant populations in the United States.” Canadian Journal of Public Health. Revue, 95(3), I14–21. Canadienne de Sante Publique.

    Google Scholar 

  • Singh, S., Mills, E., Honeyman, S., Suvedi, B.K., and Pant, N.P. (2005). “HIV in Nepal: is the violent conflict fuelling the epidemic?” PLoS Med, 2, e216.

    Article  Google Scholar 

  • Smallman-Raynor, M.R. and Cliff, A.D. (1991). “Civil war and the spread of AIDS in Central Africa.” Epidemiology and Infection, 107(1), 69–80.

    Article  Google Scholar 

  • Smith, A. (2002). “HIV/AIDS and emergencies: Analysis and recommendations for practice.” Humanitarian Practice Network. Overseas Development Institute. Available at: http://www.odihpn.org/documents/networkpaper038.pdf. Accessed June 20, 2008.

  • Spiegel, P. (2002). “Mission report: HIV/AIDS in refugee camps: Kenya and Tanzania.” p.15. Available at: http://www.unhcr.org/cgi-bin/texis/vtx/home?page=search. Accessed April 14, 2007.

  • Spiegel, P. and Qassim M. (2003). “Forgotten refugees and other displaced populations.” The Lancet, 362(9377), 72–74.

    Article  Google Scholar 

  • Spiegel, P. (2004a). “HIV/AIDS among conflict-affected and displaced populations: Dispelling myths and taking action.” Disasters, 28(3), 322–339.

    Article  Google Scholar 

  • Spiegel, P. and Nankoe, A. (2004, January). “HIV/AIDS and refugees: Lessons learned.” Forced Migration Review, 19. Office of the United Nations High Commissioner for Refugees.

    Google Scholar 

  • Spiegel, P., Shek, M., Woodruff, B.A., and Burnham, G. (2001). “The accuracy of mortality reporting in displaced persons camps during the post-emergency phase.” Disasters, 25(2), 172–180.

    Article  Google Scholar 

  • Spiegel, P. (2007). “Who should be undertaking population-based surveys in humanitarian emergencies?” Emerging Themes in Epidemiology, 4, 12.

    Article  Google Scholar 

  • Van Landingham, M.J., Suprasert, S., Sittitrai, W., Vaddhanaphuti, C., and Grandjean, N. (1993). “Sexual activity among never-married men in northern Thailand.” Demography, 30(3), 297–313.

    Article  Google Scholar 

  • Van Rensburg, E.J., Lemmer, H.R., and Joubert, J.J. (1995, September). “Prevalence of viral infections in Mozambican refugees in Swaziland.” East Africa Medical Journal, 72(9), 588–590.

    Google Scholar 

  • UNAIDS and WHO. (1998, December). “AIDS Epidemic Update.” Geneva.

    Google Scholar 

  • UNAIDS. (2007). “2007 AIDS Epidemic Update.” http://data.unaids.org/pub/EPISlides/2007/2007_epiupdate_en.pdf. Accessed June 20, 2008.

  • UNAIDS. (1998, May). “AIDS and the military: Point of view.” Geneva. Available at: http://data.unaids.org/Publications/IRC-pub05/militarypv_en.pdf. Accessed June 20, 2008.

  • UNDP. (2004, November). “No safety signs here: Research study on migration and HIV vulnerability from seven south and northeast Asian countries.” Asia Pacific Migration Research Network. Available at: http://www.youandaids.org/unfiles/NoSSHere.pdf (910) Accessed June 20, 2008

  • UNESCO. (2002). “Migration and HIV/AIDS.” Available at: URL_ID=23467&URL_DO =DO_TOPIC&URL_SECTION=201.html. Accessed December 18. 2007.

    Google Scholar 

  • UNESCO/UNAIDS. (2004). “Women Migrants and HIV/AIDS: An Anthropological Approach,” Available at: http://unesdoc.unesco.org/images/0014/001400/140007e.pdf. Accessed June 20, 2008.

  • UN General Assembly/UNAIDS. (2006). “2006 High-Level Meeting on AIDS: Uniting the world against AIDS.” Available at: http://www.un.org/ga/aidsmeeting2006/declaration.htm. Accessed June 20, 2008.

  • UNHCR. (2006). “2006 UNHCR Statistical Yearbook.” Available at: http://www.unhcr.org/cgi- bin/texis/vtx/home/opendoc.pdf?id=478ce3052&tbl=STATISTICS. Accessed June 20, 2008.

  • UNHCR Statistics. “The refugee story in statistics.” Available at: (http://www.unhcr.org/cgi-bin/texis/vtx/statistics). Accessed April 25, 2007.

  • UNHCR (1999). “This Inter-agency Field Manual on Reproductive Health in Refugee Situations.” Available at: http://www.unfpa.org/emergencies/manual/. Accessed September 23, 2008.

  • Webb, D. (2002) “HIV/AIDS war zone.” Developments, 20. Available at: http://www.developments.org.uk/articles/hiv-aids-war-zone/. Accessed April 24, 2007.

  • World Health Organization (2003a). “Inter-Agency Standing Committee for HIV/AIDS Interventions in Emergency Settings.” Available at: http://www.who.int/3by5/publications/documents/en/iasc_guidelines.pdf. Accessed October 6, 2008.

  • World Health Organization and Joint United Nations Programme on HIV/AIDS (1999). “Guidelines for Sexually Transmitted Infections Surveillance.” UNAIDS/WHO Working Group on Global HIV/AIDS/STI Surveillance World Health Organization. “Communicable Disease Surveillance and Response.” WHO/CDS/CSR/EDC/99.3 http://202.54.104.236/intranet/eha/iascguidelines/documentscd/14.pdf. Accessed October 6, 2008.

  • World Health Organization (2003b). “Guidelines for the Management of Sexually Transmitted Infections,” http://202.54.104.236/intranet/eha/iascguidelines/documentscd/15.pdf. Accessed October 6, 2008.

  • Zuma, K., Gouws, E., Williams, B., and Lurie, M. (2003). “Risk factors for HIV infection among women in Carletonville, South Africa: Migration, demography and sexually transmitted diseases.” International Journal of STD & AIDS, 14(12), 814–817.

    Article  Google Scholar 

  • Zwi, A.B., and Cabral, A.J. (1991). “Identifying ‘high risk situations’ for preventing AIDS.” British Medical Journal, 303(6816), 1527–1529.

    Article  Google Scholar 

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Raj, A., Gupta, J., Silverman, J.G. (2009). Women, Migration, Conflict and Risk for HIV. In: Forbes Martin, S., Tirman, J. (eds) Women, Migration, and Conflict. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-2825-9_6

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