TY - JOUR
T1 - Mobility among youth in Rakai, Uganda
T2 - Trends, characteristics, and associations with behavioural risk factors for HIV
AU - Schuyler, Ashley C.
AU - Edelstein, Zoe R.
AU - Mathur, Sanyukta
AU - Sekasanvu, Joseph
AU - Nalugoda, Fred
AU - Gray, Ronald
AU - Wawer, Maria J.
AU - Serwadda, David M.
AU - Santelli, John S.
N1 - Funding Information:
This research is supported by the National Institutes of Health/National Institutes of Child Health and Human Development [grant number 5R01HD061092-05]; and a National Institutes of Health/National Institutes of Mental Health training grant for Z.R. Edelstein [grant number T32-MH19139].
Publisher Copyright:
© 2015 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2017/8/3
Y1 - 2017/8/3
N2 - Mobility, including migration and travel, influences risk of HIV. This study examined time trends and characteristics among mobile youth (15–24 years) in rural Uganda, and the relationship between mobility and risk factors for HIV. We used data from an annual household census and population-based cohort study in the Rakai district, Uganda. Data on in-migration and out-migration were collected among youth (15–24 years) from 43 communities from 1999 to 2011 (N = 112,117 observations) and travel among youth residents from 2003 to 2008 (N = 18,318 observations). Migration and travel were more common among young women than young men. One in five youth reported out-migration. Over time, out-migration increased among youth and in-migration remained largely stable. Primary reasons for migration included work, living with friends or family, and marriage. Recent travel within Uganda was common and increased slightly over time in teen women (15–19 years old), and young adult men and women (20–24 years old). Mobile youth were more likely to report HIV-risk behaviours including: alcohol use, sexual experience, multiple partners, and inconsistent condom use. Our findings suggest that among rural Ugandan youth, mobility is increasingly common and associated with HIV-risk factors. Knowledge of patterns and characteristics of a young, high-risk mobile population has important implications for HIV interventions.
AB - Mobility, including migration and travel, influences risk of HIV. This study examined time trends and characteristics among mobile youth (15–24 years) in rural Uganda, and the relationship between mobility and risk factors for HIV. We used data from an annual household census and population-based cohort study in the Rakai district, Uganda. Data on in-migration and out-migration were collected among youth (15–24 years) from 43 communities from 1999 to 2011 (N = 112,117 observations) and travel among youth residents from 2003 to 2008 (N = 18,318 observations). Migration and travel were more common among young women than young men. One in five youth reported out-migration. Over time, out-migration increased among youth and in-migration remained largely stable. Primary reasons for migration included work, living with friends or family, and marriage. Recent travel within Uganda was common and increased slightly over time in teen women (15–19 years old), and young adult men and women (20–24 years old). Mobile youth were more likely to report HIV-risk behaviours including: alcohol use, sexual experience, multiple partners, and inconsistent condom use. Our findings suggest that among rural Ugandan youth, mobility is increasingly common and associated with HIV-risk factors. Knowledge of patterns and characteristics of a young, high-risk mobile population has important implications for HIV interventions.
KW - Migration
KW - Uganda
KW - mobility
KW - sub-Saharan Africa
KW - youth
UR - http://www.scopus.com/inward/record.url?scp=84941330947&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84941330947&partnerID=8YFLogxK
U2 - 10.1080/17441692.2015.1074715
DO - 10.1080/17441692.2015.1074715
M3 - Article
C2 - 26313708
AN - SCOPUS:84941330947
SN - 1744-1692
VL - 12
SP - 1033
EP - 1050
JO - Global public health
JF - Global public health
IS - 8
ER -