title: The Relationship Between Social Support, HIV Serostatus, and Perceived Likelihood of Being HIV Positive Among Self-Settled Female, Foreign Migrants in Cape Town, South Africa.
abstract: Female cross-border migrants experience elevated risks for HIV, and migrants in South Africa may face additional risks due to the country's underlying HIV prevalence. These risks may be mitigated by the receipt of social support. A behavioral risk-factor survey was administered using respondent-driven sampling. Multivariable regression models assessed the relationships between social support and two HIV outcomes: HIV serostatus and perceived HIV status. Low social support was not significantly associated with HIV status (aOR = 1.03, 95 % CI 0.43-2.46), but was significantly related to a perception of being HIV positive (aPR = 1.36, 95 % CI 1.04-1.78). Age, marital status, and education level were significantly associated with HIV serostatus. Illegal border-crossing, length of time in South Africa, anal sex, and transactional sex were significantly associated with aperception of being HIV positive. Future research should investigate how HIV risks and the receipt of social support change throughout the migration process.
authors.affiliation: College of Global Public Health, New York University, 411 Lafayette Street, 5th Floor, New York, NY, 10003, USA. mmg362@nyu.edu.
authors.forename: Margaret
authors.initials: M
authors.lastname: Giorgio
authors.affiliation: Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.
authors.forename: Loraine
authors.initials: L
authors.lastname: Townsend
authors.affiliation: Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.
authors.forename: Yanga
authors.initials: Y
authors.lastname: Zembe
authors.affiliation: Centers for Disease Control and Prevention, Pretoria, South Africa.
authors.forename: Mireille
authors.initials: M
authors.lastname: Cheyip
authors.affiliation: College of Global Public Health, New York University, 411 Lafayette Street, 5th Floor, New York, NY, 10003, USA.
authors.forename: Sally
authors.initials: S
authors.lastname: Guttmacher
authors.affiliation: College of Global Public Health, New York University, 411 Lafayette Street, 5th Floor, New York, NY, 10003, USA.
authors.forename: Farzana
authors.initials: F
authors.lastname: Kapadia
authors.affiliation: Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.|School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
authors.forename: Cathy
authors.initials: C
authors.lastname: Mathews
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000208:ethnology*; D000073599:Health Risk Behaviors; D006801:Humans; D010465:Perception; D012307:Risk Factors; D012725:Sexual Behavior; D012931:Social Environment; D012944:Social Support; D012959:Socioeconomic Factors; D013019:South Africa / Q000453:epidemiology; D000069756:Undocumented Immigrants / Q000523:psychology; D055815:Young Adult
keywords: Gender; HIV; Migration; Social support