AIDS and Behavior

, Volume 12, Issue 2, pp 202–212

Mobility and HIV-Related Sexual Behavior in Burkina Faso

  • Maria R. Khan
  • Padmaja Patnaik
  • Lisanne Brown
  • Nicolas Nagot
  • Souleymane Salouka
  • Sharon S. Weir
Original Paper

Abstract

This study compared HIV-related sexual behavior among mobile and non-mobile populations in Burkina Faso and identified venues where HIV/AIDS interventions targeting mobile individuals should be implemented. Men (N = 940) and women (N = 430) responded to a sexual behavior survey while socializing at venues where people meet sexual partners in eight Burkina Faso villages. Mobile women were more likely than non-mobile women to report new sexual partnerships (adjusted prevalence odds ratio (POR): 2.07, 95% confidence interval (CI): 1.19–3.59) and transactional sex (adjusted POR: 2.30, 95% CI: 1.55–3.42) in the past month. Mobility was most common and associations between mobility and sexual partnership levels were particularly strong among women interviewed in urban commercial towns situated near international borders. Mobile women were most likely to be interviewed at venues such as bars and clubs, making these appropriate locations for HIV/AIDS interventions. Mobility was not associated with HIV-related sexual behaviors among men.

Keywords

Burkina Faso HIV Sexual behavior Mobility Migration 

References

  1. Barongo, L. R., Borgdorff, M. W., Mosha, F. F., Nicoll, A., Grosskurth, H., Senkoro, K. P., et al. (1992). The epidemiology of HIV-1 infection in urban areas, roadside settlements and rural villages in Mwanza Region, Tanzania. AIDS, 6, 1521–1528.PubMedCrossRefGoogle Scholar
  2. Bloom, S. S., Urassa, M., Isingo, R., Ng’weshemi, J., & Boerma, J. T. (2002). Community effects on the risk of HIV infection in rural Tanzania. Sexually Transmitted Infections, 78, 261–266.PubMedCrossRefGoogle Scholar
  3. Boerma, J. T., Urassa, M., Nnko, S., Ng’weshemi, J., Isingo, R., Zaba, B., et al. (2002). Sociodemographic context of the AIDS epidemic in a rural area in Tanzania with a focus on people’s mobility and marriage. Sexually Transmitted Infections, 78(Suppl 1), i97–i105.PubMedCrossRefGoogle Scholar
  4. Caram Asia (2006). State of health of migrants 2005: Access to health. Kuala Lumpur: CARAM.Google Scholar
  5. CARE (2004). Community engagement to combat HIV/AIDS in vulnerable populations: OK TATA: Orienting key transporters, associates and truckers on AIDS. Raipur, India. Accessed September 2007 at: http://www.care.org/newsroom/specialreports/aids/pdfs/200608/India.pdf.
  6. CARE (2006). An innovative program to battle HIV and AIDS along West Africa’s Railroads: Rail link. Accessed September 2007 at: http://www.care.org/newsroom/specialreports/aids/pdfs/200608/WestAfrica.pdf.
  7. Catania, J. A., Gibson, D. R., Chitwood, D. D., & Coates, T. J. (1990). Methodological problems in AIDS behavioral research: Influences on measurement error and participation bias in studies of sexual behavior. Psychological Bulletin, 108, 339–362.PubMedCrossRefGoogle Scholar
  8. Changalucha, J., Gavyole, A., Grosskurth, H., Hayes, R., & Mabey, D. (2002). STD/HIV intervention and research programme Mwanza Region, NW Tanzania. Sexually Transmitted Infections, 78(Suppl 1), i91–i96.PubMedGoogle Scholar
  9. Coffee, M. P., Garnett, G. P., Mlilo, M., Voeten, H. A., Chandiwana, S., & Gregson, S. (2005). Patterns of movement and risk of HIV infection in rural Zimbabwe. The Journal of Infectious Diseases, 191(Suppl 1), S159–S167.PubMedCrossRefGoogle Scholar
  10. Decosas, J., Kane, F., Anarfi, J. K., Sodji, K. D., & Wagner, H. U. (1995). Migration and AIDS. Lancet, 346, 826–828.PubMedCrossRefGoogle Scholar
  11. EDSBF-II: Institut National de la Statistique et de la Demographique, et Macro International Inc. (2000). Enquete Demographique et de Sante, Burkina Faso 1998–1999. Calverton, Maryland (USA): Macro International.Google Scholar
  12. Egger, M., Pauw, J., Lopatatzidis, A., Medrano, D., Paccaud, F., & Smith, G. D. (2000). Promotion of condom use in a high-risk setting in Nicaragua: A randomised controlled trial. Lancet, 355, 2101–2105.PubMedCrossRefGoogle Scholar
  13. INSD - Institut National de la Statistique et de la Demographique, et Macro International Inc. (2003). Enquete Demographique et de Sante, Burkina Faso 2003. Calverton: Macro International.Google Scholar
  14. Jackson, D. J., Rakwar, J. P., Richardson, B. A., Mandaliya, K., Chohan, B. H., Bwayo, J. J., et al. (1997). Decreased incidence of sexually transmitted diseases among trucking company workers in Kenya: Results of a behavioural risk-reduction programme. AIDS, 11, 903–909.PubMedCrossRefGoogle Scholar
  15. Kane, F., Alary, M., Ndoye, I., Coll, A. M., M’Boup, S., Gueye, A., et al. (1993). Temporary expatriation is related to HIV-1 infection in rural Senegal. AIDS, 7, 1261–1265.PubMedCrossRefGoogle Scholar
  16. Kengeya-Kayondo, J. F., Kamali, A., Nunn, A. J., Ruberantwari, A., Wagner, H. U., & Mulder, D. W. (1996). Incidence of HIV-1 infection in adults and socio-demographic characteristics of seroconverters in a rural population in Uganda: 1990–1994. International Journal of Epidemiology, 25, 1077–1082.PubMedCrossRefGoogle Scholar
  17. Khan, M., & Burkina Faso PLACE Study Group (2003). Combating the epidemic at the level of the Health District: A rapid assessment of AIDS prevention in Banfora and Tenkodogo Health Districts of Burkina Faso using the PLACE method. Chapel Hill: MEASURE Evaluation Project.Google Scholar
  18. Lagarde, E., Pison, G., & Enel, C. (1996). A study of sexual behavior change in rural Senegal. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 11, 282–287.PubMedGoogle Scholar
  19. Lagarde, E., Schim van der Loeff, M., Enel, C., Holmgren, B., Dray-Spira, R., Pison, G., et al. (2003). Mobility and the spread of human immunodeficiency virus into rural areas of West Africa. International Journal of Epidemiology, 32, 744–752.PubMedCrossRefGoogle Scholar
  20. Laukamm-Josten, U., Mwizarubi, B. K., Outwater, A., Mwaijonga, C. L., Valadez, J. J., Nyamwaya, D., et al. (2000). Preventing HIV infection through peer education and condom promotion among truck drivers and their sexual partners in Tanzania, 1990–1993. AIDS Care, 12, 27–40.PubMedCrossRefGoogle Scholar
  21. Lurie, M. N., Williams, B. G., Zuma, K., Mkaya-Mwamburi, D., Garnett, G. P., Sweat, M. D., et al. (2003). Who infects whom? HIV-1 concordance and discordance among migrant and non-migrant couples in South Africa. AIDS, 17, 2245–2252.PubMedCrossRefGoogle Scholar
  22. Lydie, N., & Robinson, N. J. (1998). West and central Africa. International Migration, 36, 469–511.PubMedCrossRefGoogle Scholar
  23. Lydie, N., Robinson, N. J., Ferry, B., Akam, E., De Loenzien, M., & Abega, S. (2004). Mobility, sexual behavior, and HIV infection in an urban population in Cameroon. Journal of Acquired Immune Deficiency Syndromes, 35, 67–74.PubMedCrossRefGoogle Scholar
  24. Meda, N., Cartoux, M., Dabis, F., Bazie, B., Hetherington, J., Dahourou, H., et al. (2001). Stabilization of HIV infection rates in urban Burkina Faso, 1995–1999. International Journal of STD and AIDS, 12, 460–462.PubMedCrossRefGoogle Scholar
  25. Mnyika, K. S., Klepp, K. I., Kvale, G., & Ole-Kingori, N. (1997). Determinants of high-risk sexual behaviour and condom use among adults in the Arusha region, Tanzania. International Journal of STD and AIDS, 8, 176–183.PubMedCrossRefGoogle Scholar
  26. Morris, M., Wawer, M. J., Makumbi, F., Zavisca, J. R., & Sewankambo, N. (2000). Condom acceptance is higher among travelers in Uganda. AIDS, 14, 733–741.PubMedCrossRefGoogle Scholar
  27. Mupemba, K. (1999). The Zimbabwe HIV prevention program for truck drivers and commercial sex workers: A behaviour change intervention. In J. C. Caldwell (Ed.), Resistances to behavioural change to reduce HIV/AIDS infection (pp. 133–137). Canberra, Australia: Health Transition Centre, National Centre for Epidemiology and Population Health, Australian National University.Google Scholar
  28. Nagot, N., Meda, N., Ouangre, A., Ouedraogo, A., Yaro, S., Sombie, I., et al. (2004). Review of STI and HIV epidemiological data from 1990 to 2001 in urban Burkina Faso: Implications for STI and HIV control. Sexually Transmitted Infections, 80, 124–129.PubMedCrossRefGoogle Scholar
  29. Nunn, A. J., Wagner, H. U., Kamali, A., Kengeya-Kayondo, J. F., & Mulder, D. W. (1995). Migration and HIV-1 seroprevalence in a rural Ugandan population. AIDS, 9, 503–506.PubMedCrossRefGoogle Scholar
  30. Pison, G., Le Guenno, B., Lagarde, E., Enel, C., & Seck, C. (1993). Seasonal migration: a risk factor for HIV infection in rural Senegal. Journal of Acquired Immune Deficiency Syndromes, 6, 196–200.PubMedGoogle Scholar
  31. Quigley, M., Munguti, K., Grosskurth, H., Todd, J., Mosha, F., Senkoro, K., et al. (1997). Sexual behaviour patterns and other risk factors for HIV infection in rural Tanzania: a case-control study. AIDS, 11, 237–248.PubMedCrossRefGoogle Scholar
  32. Rojanapithayakorn, W., & Hanenberg, R. (1996). The 100% condom program in Thailand. AIDS, 10, 1–7.PubMedCrossRefGoogle Scholar
  33. Tambashe, B. O., Speizer, I. S., Amouzou, A., & Djangone, A. M. (2003). Evaluation of the PSAMAO “Roulez Protege” mass media campaign in Burkina Faso. Prevention du SIDA sur les Axes Migratoires de l’Afrique de l’Ouest. AIDS Education and Prevention, 15, 33–48.PubMedCrossRefGoogle Scholar
  34. UNAIDS (2005a). Factsheet on HIV/AIDS Burkina Faso. Geneva: UNAIDS. Accessed Sept 2007 at: http://www.unaids.org/en/Regions_Countries/Countries/burkinafaso.asp.
  35. UNAIDS (2005b). Factsheet on HIV/AIDS Côte d`Ivoire. Geneva: UNAIDS. Accessed Sept 2007 at: http://www.unaids.org/en/Regions_Countries/Countries/c%C3%B4te_d_ivoire.asp.
  36. UNAIDS/IOM (1998). Migration and AIDS. International Migration, 36, 445–468.CrossRefGoogle Scholar
  37. UNAIDS/IOM (2001). Population mobility and AIDS. Geneva: UNAIDS.Google Scholar
  38. UNAIDS/WHO (2006). AIDS epidemic update 2006. Geneva: UNAIDS.Google Scholar
  39. Weir, S. S. (2006). Fact sheet: PLACE: Innovation in identifying places for AIDS prevention. Chapel Hill: MEASURE Evaluation Project.Google Scholar
  40. Weir, S. S., Pailman, C., Mahlalela, X., Coetzee, N., Meidany, F., & Boerma, J. T. (2003). From people to places: Focusing AIDS prevention efforts where it matters most. AIDS, 17, 895–903.PubMedCrossRefGoogle Scholar
  41. White, R. G. (2003). What can we make of an association between human immunodeficiency virus prevalence and population mobility? International Journal of Epidemiology, 32, 753–754.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Maria R. Khan
    • 1
    • 2
  • Padmaja Patnaik
    • 1
  • Lisanne Brown
    • 3
  • Nicolas Nagot
    • 4
  • Souleymane Salouka
    • 4
  • Sharon S. Weir
    • 1
  1. 1.Department of Epidemiology and the MEASURE Evaluation Project at the Carolina Population CenterUniversity of North CarolinaChapel HillUSA
  2. 2.National Development and Research InstitutesNew YorkUSA
  3. 3.MEASURE Evaluation Project, Department of International Health, School of Public Health and Tropical MedicineTulane UniversityNew OrleansUSA
  4. 4.Centre MurazBobo-DioulassoBurkina Faso

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