Gender, Migration and HIV in Rural KwaZulu-Natal, South Africa 英文参考文献.docVIP

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Gender, Migration and HIV in Rural KwaZulu-Natal, South Africa 英文参考文献.doc

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Gender, Migration and HIV in Rural KwaZulu-Natal, South Africa 英文参考文献

Gender,MigrationandHIVinRuralKwaZulu-Natal, SouthAfrica CarolS.Camlin1*,VictoriaHosegood2,3,Marie-LouiseNewell3,4,NualaMcGrath2,3,TillBa¨rnighausen3,5 , RachelC.Snow6 1Center for AIDS Prevention Studies, University of California San Francisco, San Francisco California, United States of America, 2Department of Epidemiology and PopulationHealth,LondonSchoolofHygieneandTropicalMedicine,London,UnitedKingdom,3AfricaCentreforHealthandPopulationStudies,NelsonR.Mandela SchoolofMedicine,UniversityofKwaZulu-Natal,Somkhele,SouthAfrica,4CentreforPaediatricEpidemiologyandBiostatisticsandInstituteofChildHealth,University College London, London, United Kingdom, 5Department of Global Health and Population, Harvard School of Public Health, Boston, Massachusetts, United States of America,6DepartmentofHealthBehaviorandHealthEducation,UniversityofMichiganSchoolofPublicHealth,AnnArbor,Michigan,UnitedStatesofAmerica Abstract Objectives: Research on migration and HIV has largely focused on male migration, often failing to measure HIV risks associatedwithmigrationforwomen.Weaimedtoestablishwhetherassociations betweenmigrationandHIVinfection differ for women and men, and identify possible mechanisms by which women’s migration contributes to their high infectionrisk. Design: Data on socio-demographiccharacteristics, patterns ofmigration, sexualbehaviorandHIV infectionstatus were obtainedforapopulationof11,677womenaged15–49andmenaged15–54,residentmembersofhouseholdswithina demographicsurveillanceareaparticipatinginHIVsurveillancein2003–04. Methods:Logisticregressionwasconductedtoexaminewhethersexandmigrationwereindependentlyassociatedwith HIV infection in three additive effects models, using measures of recent migration, household presence and migration frequency.MultiplicativeeffectsmodelswerefittedtoexplorewhethertheriskofHIVassociatedwithmigrationdifferedfor malesandfemales.Furthermodelingandsimulationsexploredwhethercompositionorbehavioraldifferencesaccounted forobservedassociation