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High Mobility and STIs/HIV among Women Informal Cross Border Traders in Southern Mozambique: Exploring Knowledge, Risk Perception, and Sexual Behaviors.
Int J Environ Res Public Health. 2020 Jun 30; 17(13)IJ

Abstract

High circular mobility creates vulnerability and elevates risk for sexually transmitted infections (STIs) including Human Immunodeficiency Virus (HIV). We aim to explore knowledge, perceptions of risk, and sexual behaviors in relation to STIs/HIV, in Mozambican women involved in an informal cross border trade (ICBT) and residing in South Mozambique. A cross-sectional quantitative study, in 200 women cross border traders (WICBT), affiliated to the Mukhero Association, using a structured, face-to-face questionnaire, was conducted. Descriptive statistics and Pearson's Chi-square test were used. The median age of participants was 37.0 years (interquartile range (IQR): 31.0-43.0), 100% were literate, travelled on average six times a month. WICBT with a high education level were more likely to have awareness of Gonorrhea, Syphilis, and Candidiasis; to self-perceive being at risk of getting HIV, Syphilis, and Human Papilloma Virus (HPV); and to test for HIV and Syphilis. Those with a low education level were more likely to have misconceptions about HIV and ever have sex in exchange for money/goods/services. Married participants were more likely to know how to prevent HIV. Participants with a high income were more likely to know about HPV; to self-perceive being at risk of getting Syphilis; to point sex workers as being at higher risk of getting HPV; and to ever test for HIV. WICBT with a low income were more likely to have sex in exchange for money/goods/services. Low and inconsistent knowledge and misconceptions of STIs/HIV, high sexual risky behavior, low perception of risk of getting STIs/HIV among this neglected and key population suggests their increased vulnerability to the STIs/HIV.

Authors+Show Affiliations

Instituto Superior de Ciências de Saúde-ISCISA, 0101 Maputo, Mozambique. International Public Health and Biostatistics Unit, Institute of Hygiene and Tropical Medicine, NOVA, University of Lisbon, 1349-008 Lisbon, Portugal. Global Health and Tropical Medicine, GHTM, Instituto de Higiene e Medicina Tropical, IHMT, Universidade NOVA de Lisboa, UNL, 1349-008 Lisboa, Portugal.International Public Health and Biostatistics Unit, Institute of Hygiene and Tropical Medicine, NOVA, University of Lisbon, 1349-008 Lisbon, Portugal. Faculty of Medicine, Eduardo Mondlane University, 0101 Maputo, Mozambique.NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa & Comprehensive Health Research Center (CHRC).International Public Health and Biostatistics Unit, Institute of Hygiene and Tropical Medicine, NOVA, University of Lisbon, 1349-008 Lisbon, Portugal. Global Health and Tropical Medicine, GHTM, Instituto de Higiene e Medicina Tropical, IHMT, Universidade NOVA de Lisboa, UNL, 1349-008 Lisboa, Portugal.International Public Health and Biostatistics Unit, Institute of Hygiene and Tropical Medicine, NOVA, University of Lisbon, 1349-008 Lisbon, Portugal. Global Health and Tropical Medicine, GHTM, Instituto de Higiene e Medicina Tropical, IHMT, Universidade NOVA de Lisboa, UNL, 1349-008 Lisboa, Portugal.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32630097

Citation

Salia, Joana G., et al. "High Mobility and STIs/HIV Among Women Informal Cross Border Traders in Southern Mozambique: Exploring Knowledge, Risk Perception, and Sexual Behaviors." International Journal of Environmental Research and Public Health, vol. 17, no. 13, 2020.
Salia JG, Sidat M, Dias SF, et al. High Mobility and STIs/HIV among Women Informal Cross Border Traders in Southern Mozambique: Exploring Knowledge, Risk Perception, and Sexual Behaviors. Int J Environ Res Public Health. 2020;17(13).
Salia, J. G., Sidat, M., Dias, S. F., Martins, M. R. O., & Craveiro, I. (2020). High Mobility and STIs/HIV among Women Informal Cross Border Traders in Southern Mozambique: Exploring Knowledge, Risk Perception, and Sexual Behaviors. International Journal of Environmental Research and Public Health, 17(13). https://doi.org/10.3390/ijerph17134724
Salia JG, et al. High Mobility and STIs/HIV Among Women Informal Cross Border Traders in Southern Mozambique: Exploring Knowledge, Risk Perception, and Sexual Behaviors. Int J Environ Res Public Health. 2020 Jun 30;17(13) PubMed PMID: 32630097.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - High Mobility and STIs/HIV among Women Informal Cross Border Traders in Southern Mozambique: Exploring Knowledge, Risk Perception, and Sexual Behaviors. AU - Salia,Joana G, AU - Sidat,Mohsin, AU - Dias,Sónia F, AU - Martins,Maria R O, AU - Craveiro,Isabel, Y1 - 2020/06/30/ PY - 2020/05/23/received PY - 2020/06/13/revised PY - 2020/06/16/accepted PY - 2020/7/8/entrez PY - 2020/7/8/pubmed PY - 2020/7/8/medline KW - STIs/HIV KW - behaviors KW - circular mobility KW - cross-border KW - informal KW - knowledge KW - traders KW - women JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 17 IS - 13 N2 - High circular mobility creates vulnerability and elevates risk for sexually transmitted infections (STIs) including Human Immunodeficiency Virus (HIV). We aim to explore knowledge, perceptions of risk, and sexual behaviors in relation to STIs/HIV, in Mozambican women involved in an informal cross border trade (ICBT) and residing in South Mozambique. A cross-sectional quantitative study, in 200 women cross border traders (WICBT), affiliated to the Mukhero Association, using a structured, face-to-face questionnaire, was conducted. Descriptive statistics and Pearson's Chi-square test were used. The median age of participants was 37.0 years (interquartile range (IQR): 31.0-43.0), 100% were literate, travelled on average six times a month. WICBT with a high education level were more likely to have awareness of Gonorrhea, Syphilis, and Candidiasis; to self-perceive being at risk of getting HIV, Syphilis, and Human Papilloma Virus (HPV); and to test for HIV and Syphilis. Those with a low education level were more likely to have misconceptions about HIV and ever have sex in exchange for money/goods/services. Married participants were more likely to know how to prevent HIV. Participants with a high income were more likely to know about HPV; to self-perceive being at risk of getting Syphilis; to point sex workers as being at higher risk of getting HPV; and to ever test for HIV. WICBT with a low income were more likely to have sex in exchange for money/goods/services. Low and inconsistent knowledge and misconceptions of STIs/HIV, high sexual risky behavior, low perception of risk of getting STIs/HIV among this neglected and key population suggests their increased vulnerability to the STIs/HIV. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/32630097/High_Mobility_and_STIs/HIV_among_Women_Informal_Cross_Border_Traders_in_Southern_Mozambique:_Exploring_Knowledge,_Risk_Perception,_and_Sexual_Behaviors L2 - https://www.mdpi.com/resolver?pii=ijerph17134724 DB - PRIME DP - Unbound Medicine ER -
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