title: Migration, Multiple Sexual Partnerships, and Sexual Concurrency in the Garífuna Population of Honduras.
abstract: The Garífuna, an ethnic minority group in Honduras, have been disproportionately affected by HIV. Previous research suggests that migration and high rates of multiple sexual partnerships are major drivers of the epidemic. Using data from a 2012 population-based survey, we assessed whether temporary migration was associated with (1) multiple sexual partnerships and (2) sexual concurrency among Garífuna men and women in Honduras. Among both men and women, temporary migration in the last year was associated with an increased likelihood of multiple sexual partnerships and with concurrency, though only the association between migration and multiple sexual partnerships among men was statistically significant (Adjusted Prevalence Ratio 1.7, 95 % CI 1.2-2.4). Migration may contribute to HIV/STI vulnerability among Garífuna men and women via increases in these sexual risk behaviors. Research conducted among men and women at elevated risk of HIV should continue to incorporate measures of mobility, including history of internal migration.
authors.affiliation: HIV Center for Clinical and Behavioral Studies, Columbia University and The New York State Psychiatric Institute, 1051 Riverside Drive, Unit 15, 10032, New York, NY, USA, adg2185@cumc.columbia.edu.
authors.forename: Anisha D
authors.initials: AD
authors.lastname: Gandhi
authors.forename: Audrey
authors.initials: A
authors.lastname: Pettifor
authors.forename: Clare
authors.initials: C
authors.lastname: Barrington
authors.forename: Stephen W
authors.initials: SW
authors.lastname: Marshall
authors.forename: Frieda
authors.initials: F
authors.lastname: Behets
authors.forename: Maria Elena
authors.initials: ME
authors.lastname: Guardado
authors.forename: Nasim
authors.initials: N
authors.lastname: Farach
authors.forename: Elvia
authors.initials: E
authors.lastname: Ardón
authors.forename: Gabriela
authors.initials: G
authors.lastname: Paz-Bailey
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D058872:Epidemics; D005006:Ethnicity; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006721:Honduras / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners; D014171:Transients and Migrants