Associations Between Mobility, Food Insecurity, and Transactional Sex Among Women in Cohabitating Partnerships: An Analysis From 6 African Countries 2016–2017. (1st August 2022)
- Record Type:
- Journal Article
- Title:
- Associations Between Mobility, Food Insecurity, and Transactional Sex Among Women in Cohabitating Partnerships: An Analysis From 6 African Countries 2016–2017. (1st August 2022)
- Main Title:
- Associations Between Mobility, Food Insecurity, and Transactional Sex Among Women in Cohabitating Partnerships: An Analysis From 6 African Countries 2016–2017
- Authors:
- Khalifa, Aleya
Findley, Sally
Gummerson, Elizabeth
Mantell, Joanne E.
Hakim, Avi J.
Philip, Neena M.
Ginindza, Choice
Hassani, Ahmed Saadani
Hong, Steven Y.
Jalloh, Mohamed F.
Kirungi, Wilford L.
Maile, Limpho
Mgomella, George S.
Miller, Leigh Ann
Minchella, Peter
Mutenda, Nicholus
Njau, Prosper
Schwitters, Amee
Ward, Jennifer
Low, Andrea - Abstract:
- Abstract : Supplemental Digital Content is Available in the Text. Abstract : Background: Mobile women are at risk of HIV infection in sub-Saharan Africa, although we lack evidence for HIV risk among women in mobile partnerships, especially in the context of household food insecurity, a growing concern in the region. Setting: Women aged 15–59 years with a cohabitating male partner who participated in population-based HIV impact assessment surveys in Eswatini, Lesotho, Namibia, Tanzania, Uganda, and Zambia. Methods: We evaluated the association between women's and their partner's mobility (being away from home for more than 1 month or staying elsewhere) and transactional sex (selling sex or receiving money or goods in exchange for sex). We examined associations for effect measure modification by food insecurity level in the household in the past month. We used survey-weighted logistic regression, pooled and by country, adjusting for individual, partner, and household-level variables. Results: Among women with a cohabitating male partner, 8.0% reported transactional sex, ranging from 2.7% in Lesotho to 13.4% in Uganda. Women's mobility [aOR 1.35 (95% CI: 1.08 to 1.68)], but not their partner's mobility [aOR 0.91 (0.74–1.12)], was associated with transactional sex. Food insecurity was associated with transactional sex independent of mobility [aOR 1.29 (1.10–1.52)]. Among those who were food insecure, mobility was not associated with increased odds of transactional sex.Abstract : Supplemental Digital Content is Available in the Text. Abstract : Background: Mobile women are at risk of HIV infection in sub-Saharan Africa, although we lack evidence for HIV risk among women in mobile partnerships, especially in the context of household food insecurity, a growing concern in the region. Setting: Women aged 15–59 years with a cohabitating male partner who participated in population-based HIV impact assessment surveys in Eswatini, Lesotho, Namibia, Tanzania, Uganda, and Zambia. Methods: We evaluated the association between women's and their partner's mobility (being away from home for more than 1 month or staying elsewhere) and transactional sex (selling sex or receiving money or goods in exchange for sex). We examined associations for effect measure modification by food insecurity level in the household in the past month. We used survey-weighted logistic regression, pooled and by country, adjusting for individual, partner, and household-level variables. Results: Among women with a cohabitating male partner, 8.0% reported transactional sex, ranging from 2.7% in Lesotho to 13.4% in Uganda. Women's mobility [aOR 1.35 (95% CI: 1.08 to 1.68)], but not their partner's mobility [aOR 0.91 (0.74–1.12)], was associated with transactional sex. Food insecurity was associated with transactional sex independent of mobility [aOR 1.29 (1.10–1.52)]. Among those who were food insecure, mobility was not associated with increased odds of transactional sex. Conclusion: Food insecurity and women's mobility each increased the odds of transactional sex. Because transactional sex is associated with HIV risk, prevention programs can address the needs of mobile and food-insecure women, including those in cohabitating relationships. … (more)
- Is Part Of:
- Journal of acquired immune deficiency syndromes. Volume 90:Number 4(2022)
- Journal:
- Journal of acquired immune deficiency syndromes
- Issue:
- Volume 90:Number 4(2022)
- Issue Display:
- Volume 90, Issue 4 (2022)
- Year:
- 2022
- Volume:
- 90
- Issue:
- 4
- Issue Sort Value:
- 2022-0090-0004-0000
- Page Start:
- 388
- Page End:
- 398
- Publication Date:
- 2022-08-01
- Subjects:
- HIV -- sexual behavior -- sex work -- transients and migrants -- emigration and immigration -- food insecurity
AIDS (Disease) -- Periodicals
Acquired Immunodeficiency Syndrome -- Periodicals
AIDS (Disease)
Periodicals
616.9792005 - Journal URLs:
- http://journals.lww.com/jaids/pages/default.aspx ↗
http://www.jaids.com ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/QAI.0000000000002995 ↗
- Languages:
- English
- ISSNs:
- 1525-4135
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4644.422000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 22571.xml