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Spatial Mobility, Alcohol Use, Sexual Behavior and Sexual Health Among Males in India

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Abstract

This paper examines the linkages of permanent migration, temporary mobility and alcohol consumption with risky sexual behavior and sexually transmitted infections (STIs) including HIV infection among males in India using a nationally representative dataset. The study shows that non-migrant men and migrant men do not differ significantly in any indicator of risky sexual behavior and STIs. Temporary long duration mobile men reported significantly more often than the non-mobile men or short duration mobile men that they had sex with multiple sex partners during their lifetime as well as sex with a high risk partner and had paid sex in the 12 months preceding the survey. Males who drank alcohol almost every day notwithstanding with their migration or mobility status were most prone to lifelong as well as more recent sexual risk behavior. Controlling for sociodemographic characteristics long duration mobile men and men who used alcohol almost daily had higher sexual risk behaviors and STI infections. Further migration and mobility did not show any significant relationship with tested HIV prevalence among males in India, controlling for sociodemographic characteristics. Males who had lifetime multiple sex partners were at the highest risk of tested HIV infection controlling for sociodemographic characteristics, migration, mobility, alcohol use and STI infection. Interventions focusing on HIV prevention in India need to target both non-migrant and migrant men, particularly those who drink alcohol more frequently or daily. Targeted interventions are required for temporary mobile men, particularly for those mobile men who have to stay away from their homes continuously for a longer duration. Long duration mobile men are most prone to regular alcohol use and risky sexual behavior.

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References

  1. Brockerhofff M, Biddlecom AE. Migration, Sexual Behaviour and the Risk of HIV in Kenya. Int Migr Rev. 1999;33(4):833–56.

    Article  Google Scholar 

  2. Sanchez MA, Hernandez MT, Vera A, et al. The effect of migration on HIV high-risk behaviours among Mexican migrants. In International AIDS conference. Mexico City; 2008.

  3. HIV/AIDS prevalence and risk factors among migrant and non-migrant males of Achham District in Far-Western Nepal, vol. 1. Kathmandu: New ERA and STD/AIDS Counseling and Training Service; 2002.

  4. Yang X, Derlega VJ, Luo H. Migration, behaviour change and HIV/STD risks in China. AIDS Care. 2007;19(2):282–8.

    Article  CAS  PubMed  Google Scholar 

  5. Plant M. Risk taker: alcohol, drugs, sex and youth. New York: Rutledge Publication; 1994.

    Google Scholar 

  6. Castilla J. Drug and alcohol consumption and sexual risk behavior among young adults: results from a national survey. Drug Alcohol Depend. 1999;56:47–53.

    Article  CAS  PubMed  Google Scholar 

  7. Thompson JC, Kao TC, Thomas R. The relationship between alcohol use and risk taking sexual behaviors in a large behavioral study. Prev Med. 2005;41:247–52.

    Article  PubMed  Google Scholar 

  8. Sheri DW. A population based study on alcohol and high risk sexual behaviors in Botswana. Am J Public Health. 2006;86:1114–20.

    Google Scholar 

  9. Decosas JF, Kane, Anarfi JK, Sodji KDR, Wagner HU. Migration and AIDS. Lancet. 1995;346:826–8.

    Article  CAS  PubMed  Google Scholar 

  10. Mabey D. Sexually transmitted diseases in developing countries. Trans R Soc Trop Med Hyg. 1996;90:97–9.

    Article  CAS  PubMed  Google Scholar 

  11. Mayaud P. Sexually transmitted diseases in mobile populations. Trans R Soc Trop Med Hyg. 1997;73:18–22.

    Google Scholar 

  12. Gupta K, Singh SK. Social networking, knowledge of HIV/AIDS and risk taking behaviour among migrant workers; 2002. http://www.iussp.org/Bangkok2002/S06Gupta.pdf.

  13. Piot P, et al. Retrospective seroepidemiology of AIDS virus infection in Nairobi populations. J Infect Dis. 1987;155:1108–12.

    CAS  PubMed  Google Scholar 

  14. Allen S, et al. Human immunodeficiency virus infection in urban Rwanda. J Am Med Assoc. 1991;266(12):1657–63.

    Article  CAS  Google Scholar 

  15. Carswell JW, Lloyd G, Howells J. Prevalence of HIV-1 in East African lorry drivers. AIDS. 1989;3:759–61.

    Article  CAS  PubMed  Google Scholar 

  16. Barongo LR, et al. The epidemiology of HIV-1 infection in urban areas, roadside settlements and rural villages in Mwanza Region, Tanzania. AIDS. 1992;6:1521–8.

    Article  CAS  PubMed  Google Scholar 

  17. Serwadda D, et al. HIV risk factors in three geographic strata of rural Rakai District, Uganda. AIDS. 1992;6:983–9.

    Article  CAS  PubMed  Google Scholar 

  18. Pison G, et al. Seasonal migration: a risk factor for HIV infection in rural Senegal. AIDS. 1993;6:196–200.

    CAS  Google Scholar 

  19. Hawkes S, et al. Risk behavior and HIV prevalence in international travelers. AIDS. 1994;8:247–52.

    Article  CAS  PubMed  Google Scholar 

  20. Nunn AJ, et al. Migration and HIV-1 seroprevalence in a rural Ugandan population. AIDS. 1995;9:503–6.

    CAS  PubMed  Google Scholar 

  21. Hope KR. Mobile workers and HIV/AIDS in Botswana. AIDS Anal Afr. 2000;10(4):6–7.

    PubMed  Google Scholar 

  22. Boerma JT, et al. Spread of HIV infection in a rural area in Tanzania. AIDS. 1999;13:1233–40.

    Article  CAS  PubMed  Google Scholar 

  23. Zuma K, et al. Risk factors for HIV infection among women in Carletonville, South Africa migration, demography and sexually transmitted diseases. Int J STD AIDS. 2003;14(12):814–7.

    Article  CAS  PubMed  Google Scholar 

  24. Lurie MN, et al. The impact of migration on HIV-1 transmission in South Africa: a study of migrant and non-migrant Men and their partners. Sex Transm Dis. 2003;30(2):149–56.

    Article  PubMed  Google Scholar 

  25. Lagarde E, et al. Mobility and the spread of human immunodeficiency virus into rural areas of West Africa. Int J Epidemiol. 2003;32:744–52.

    Article  CAS  PubMed  Google Scholar 

  26. Poudel KC, Jimba M, Okumura J, Joshi AB, Susumu W. Migrants’ risky sexual behaviours in India and at home in far Western Nepal. Trop Med Int Health. 2004;9(8):897–903.

    Article  PubMed  Google Scholar 

  27. Lumfwa LA. Migration, sexual behaviour, and human immunodeficiency virus infection in rural South Africa; 2008. http://www.hdl.handle.net/123456789/4646.

  28. Mishra A. Risk of sexually-transmitted infections among migrant men: findings from a survey in Delhi. Asian Pac Migr J. 2004;13:89–105.

    Google Scholar 

  29. Halli SS, Blanchard J, Satihal DG, Moses S. Migration and HIV transmission in rural south India: an ethnographic study. Cult Health Sex. 2007;9(1):85–94. doi:10.1080/13691050600963898.

  30. Population Council. Patterns and implications of male migration for HIV prevention strategies in Karnataka, India. Population Council India; June 2008.

  31. Saggurti N, Verma RK, Jain A, RamaRao S, Kumar KA, Subbiah A. HIV risk behaviors among contracted and non-contracted male migrant workers in India: potential role of labor contractors and contractual systems in HIV prevention. AIDS. 2008;22(Suppl 5), S1–S10.

    Google Scholar 

  32. Deering KN, Vickerman P, Moses S, Ramesh BM, Blanchard JF, Boily MC. The impact of out migrants and out migration on the HIV/AIDS epidemic: a case study from South-West India. Vancouver: School of Population and Public Health, University of British Columbia; 2004.

  33. Saggurti N, Schensul SL, Verma RK. Migration, mobility and sexual risk behavior in Mumbai, India: mobile men with non-residential wife show increased risk. Published Online: 25 April 2009. Springer Science + Business Media, LLC; 2009.

  34. National Family Health Survey (NFHS-3), 2005–2006. Mumbai: International Institute for Population Sciences and Macro International; 2007.

  35. Pelto PJ. Sexuality and sexual behaviour in India: the current discourse. In: Pachauri S, Sokhi S, Almroth S, editors. Implementing a reproductive health agenda in India: the beginning. New Delhi: Population Council, South & East Asia-Regional Office; 1999.

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Authors and Affiliations

  1. Department of Migration and Urban Studies, International Institute for Population Sciences, Govandi Station Road, Mumbai, 400 703, India

    Kamla Gupta, Y. Vaidehi & Nabanita Majumder

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  1. Kamla Gupta
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  2. Y. Vaidehi
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  3. Nabanita Majumder
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Correspondence to Kamla Gupta.

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Gupta, K., Vaidehi, Y. & Majumder, N. Spatial Mobility, Alcohol Use, Sexual Behavior and Sexual Health Among Males in India. AIDS Behav 14 (Suppl 1), 18–30 (2010). https://doi.org/10.1007/s10461-010-9738-4

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