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Migration and HIV prevention programmes: linking structural factors, culture, and individual behaviour--an Israeli experience

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  • Soskolne, Varda
  • Shtarkshall, Ronny A.

Abstract

Migration is one of the structural factors associated with HIV infections, but the dynamic and complex role of migrant situations as determinants of HIV-related vulnerability is still a major issue for social science research. Moreover, interventions to address the specific structural and contextual factors inherent in this association are limited and many do not take into account the cultural components. This paper presents a multi-level framework for analysis of the links between migration and HIV. It includes the association of migration with structural macro factors--lower socio-economic status and limited power in the new society; intermediate structural factors--limited social capital and bi-directional interaction of cultural norms; and individual-level factors--stressors unique to the migration context, depleted psychosocial resources, loss of cultural beliefs and low use of health services. All these factors affect risky sexual behaviour and transmission of HIV. The paper utilises those elements of the framework that are relevant to the specific needs of immigrant populations from the former Soviet Union and from Ethiopia in Israel. We demonstrate their application to integrated, multi-level HIV prevention interventions and propose several special principles for development of migration-related HIV prevention programmes.

Suggested Citation

  • Soskolne, Varda & Shtarkshall, Ronny A., 2002. "Migration and HIV prevention programmes: linking structural factors, culture, and individual behaviour--an Israeli experience," Social Science & Medicine, Elsevier, vol. 55(8), pages 1297-1307, October.
    • Handle: RePEc:eee:socmed:v:55:y:2002:i:8:p:1297-1307
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    Cited by:

    1. Martin Karlsson & Stefan Pichler, 2015. "Demographic consequences of HIV," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(4), pages 1097-1135, October.
    2. Peigang Wang & Xinguang Chen & Jie Gong & Angela Jacques-Tiura, 2014. "Reliability and Validity of the Personal Social Capital Scale 16 and Personal Social Capital Scale 8: Two Short Instruments for Survey Studies," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 119(2), pages 1133-1148, November.
    3. World Bank, 2003. "Averting AIDS Crises in Eastern Europe and Central Asia : A Regional Support Strategy," World Bank Publications - Books, The World Bank Group, number 15114.
    4. Coast, Ernestina, 2006. "Local understandings of, and responses to, HIV: Rural-urban migrants in Tanzania," Social Science & Medicine, Elsevier, vol. 63(4), pages 1000-1010, August.
    5. Lippman, Sheri A & Kerrigan, Deanna & Chinaglia, Magda & Díaz, Juan, 2007. "Chaos, co-existence, and the potential for collective action: HIV-related vulnerability in Brazil's international borders," Social Science & Medicine, Elsevier, vol. 64(12), pages 2464-2475, June.
    6. Rhodes, Tim & Singer, Merrill & Bourgois, Philippe & Friedman, Samuel R. & Strathdee, Steffanie A., 2005. "The social structural production of HIV risk among injecting drug users," Social Science & Medicine, Elsevier, vol. 61(5), pages 1026-1044, September.

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