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Migration, sexual networks, and HIV in Agbogbloshie, Ghana

Author

Listed:
  • Susan Cassels

    (University of California, Santa Barbara)

  • Samuel M. Jenness

    (University of Washington)

  • Adriana A. E. Biney

    (University of Ghana)

  • William Kwabena Ampofo

    (University of Ghana)

  • F. Nii-Amoo Dodoo

    (Pennsylvania State University)

Abstract

Background: HIV is spread through structured sexual networks, which are influenced by migration patterns, but network-oriented studies of mobility and HIV risk behavior have been limited. Objective: We present a comprehensive description and initial results from our Migration & HIV in Ghana (MHG) study in Agbogbloshie, an urban slum area within Accra, Ghana. Methods: The MHG study was a population-based cross-sectional study of adults aged 18-49 in Agbogbloshie in 2012. We used a one-year retrospective relationship history calendar to collect egocentric network data on sexual partners as well as migration and shortterm mobility, and tested for prevalent HIV-1/2 infection. Results: HIV prevalence was 5.5%, with prevalence among women (7.2%) over twice that of men (2.8%). Three-quarters of residents were born outside the Greater Accra region, but had lived in Agbogbloshie an average of 10.7 years. Only 7% had moved housing structures within the past year. However, short-term mobility was common. Residents had an average of 7.3 overnight trips in the last year, with women reporting more travel than men. Thirty-seven percent of men and 9% of women reported more than one sexual partner in the last year. Conclusions: Population-based surveys of migration and sexual risk behavior using relationship history calendars in low-resource settings can produce high quality data. Residents in Agbogbloshie are disproportionately affected by HIV, and have high levels of shortterm mobility. HIV prevention interventions targeted to highly mobile populations in high prevalence settings may have far-reaching and long-term implications. Comments: old title: Migration, Sexual Networks, and HIV in Ghana

Suggested Citation

  • Susan Cassels & Samuel M. Jenness & Adriana A. E. Biney & William Kwabena Ampofo & F. Nii-Amoo Dodoo, 2014. "Migration, sexual networks, and HIV in Agbogbloshie, Ghana," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 31(28), pages 861-888.
    • Handle: RePEc:dem:demres:v:31:y:2014:i:28
    DOI: 10.4054/DemRes.2014.31.28
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    References listed on IDEAS

    as
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    3. Camlin, Carol S. & Kwena, Zachary A. & Dworkin, Shari L. & Cohen, Craig R. & Bukusi, Elizabeth A., 2014. "“She mixes her business”: HIV transmission and acquisition risks among female migrants in western Kenya," Social Science & Medicine, Elsevier, vol. 102(C), pages 146-156.
    4. Michael White & Salut Muhidin & Catherine Andrzejewski & Eva Tagoe & Rodney Knight & Holly Reed, 2008. "Urbanization and fertility: An event-history analysis of Coastal Ghana," Demography, Springer;Population Association of America (PAA), vol. 45(4), pages 803-816, November.
    5. Nancy Luke & Shelley Clark & Eliya Zulu, 2011. "The Relationship History Calendar: Improving the Scope and Quality of Data on Youth Sexual Behavior," Demography, Springer;Population Association of America (PAA), vol. 48(3), pages 1151-1176, August.
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    Cited by:

    1. Cassels, Susan & Jenness, Samuel M. & Biney, Adriana A.E. & Dodoo, F. Nii-Amoo, 2017. "Geographic mobility and potential bridging for sexually transmitted infections in Agbogbloshie, Ghana," Social Science & Medicine, Elsevier, vol. 184(C), pages 27-39.

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    More about this item

    Keywords

    partnerships; short-term mobility; sexual risk behavior; Ghana;
    All these keywords.

    JEL classification:

    • J1 - Labor and Demographic Economics - - Demographic Economics
    • Z0 - Other Special Topics - - General

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