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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/25781

Title: Factors influencing risky sexual behaviour among Mozambican miners: a socio-epidemiological contribution for HIV prevention framework in Mozambique
Authors: Martins-Fonteyn, Emilia
Loquiha, Osvaldo
Baltazar, Cynthia
Thapa, Subash
Boothe, Makini
Raimundo, Ines
Hens, Niel
Aerts, Marc
Meulemans, Herman
Degomme, Olivier
Wouters, Edwin
Issue Date: 2017
Abstract: Background: Information dealing with social and behavioural risk factors as well as their mechanisms among Mozambican migrants working in South African mines remains undocumented. This study aims to understand the various factors influencing HIV-related risk behaviours and the resulting HIV positive status of Mozambican miners employed by South African mines. This analysis was undertaken in order to inform a broader and more effective HIV preventive framework in Mozambique. Method: This study relied upon data sourced from the first Integrated Biological and Behavioural Survey among Mozambican miners earning their living in South African mines. It employs quantitative techniques using standard statistical tools to substantiate the laid-down objectives. The primary technique applied in this paper is the multivariable statistical method used in the formulation and application of a proximate determinants framework. Results: The odds of reporting one sexual partner were roughly three times higher for miners working as perforators as opposed to other types of occupation. As well, the odds of condom use - always or sometimes - for miners in the 31-40 age group were three times higher than the odds of condom use in the 51+ age group. Miners with lower education levels were less likely to use condoms. The odds of being HIV positive when the miner reports use of alcohol or drugs (sometimes/always) is 0.32 times lower than the odds for those reporting never use of alcohol or drugs. And finally, the odds of HIV positive status for those using condoms were 2.16 times that of miners who never used condoms, controlling for biological and other proximate determinants. Conclusion: In Mozambique, behavioural theory emphasising personal behavioural changes is the main strategy to combat HIV among miners. Our findings suggest there is a need to change thinking processes about how to influence safer sexual behaviour. This is viewed to be the result of a person's individual decision, due to of the complexity of social and contextual factors that may also influence sexual behaviours. This only stresses the need for HIV prevention strategies to exclusively transcend individual factors while considering the broader social and contextual phenomena influencing HIV risk among Mozambican miners.
Notes: [Martins-Fonteyn, Emilia; Meulemans, Herman; Wouters, Edwin] Univ Antwerp, Res Ctr Longitudinal & Life Course Studies, City Campus,Prinsstr 13, BE-2000 Antwerp, Belgium. [Martins-Fonteyn, Emilia; Meulemans, Herman; Wouters, Edwin] Univ Antwerp, Dept Sociol, City Campus,Prinsstr 13, BE-2000 Antwerp, Belgium. [Loquiha, Osvaldo; Hens, Niel; Aerts, Marc] Univ Hasselt, Interuniv Inst Biostat & Stat Bioinformat, Hasselt, Belgium. [Loquiha, Osvaldo] Univ Eduardo Mondlane, Dept Math & Informat, Maputo, Mozambique. [Baltazar, Cynthia] Minist Hlth, Natl Inst Hlth, Surveillance Dept, Maputo, Mozambique. [Thapa, Subash] Katholieke Univ Leuven, Dept Publ Hlth, Leuven, Belgium. [Thapa, Subash] Inst Trop Med, Dept Publ Hlth, Antwerp, Belgium. [Boothe, Makini] Global Hlth Sci, Univ Calif San Francisco USA, Maputo, Mozambique. [Raimundo, Ines] Univ Eduardo Mondlane, Fac Social Sci, Maputo, Mozambique. [Hens, Niel] Univ Antwerp, Vaccine & Infect Dis Inst, Ctr Hlth Econ Res & Modelling Infect Dis, Antwerp, Belgium. [Degomme, Olivier] Univ Ghent, Int Ctr Reprod Hlth, Ghent, Belgium.
URI: http://hdl.handle.net/1942/25781
DOI: 10.1186/s12939-017-0674-z
ISI #: 000412659000001
ISSN: 1475-9276
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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