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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
Authors:Margaret Giorgio  Loraine Townsend  Yanga Zembe  Mireille Cheyip  Sally Guttmacher  Farzana Kapadia  Cathy Mathews
Institution:1.College of Global Public Health,New York University,New York,USA;2.Health Systems Research Unit,South African Medical Research Council,Cape Town,South Africa;3.Centers for Disease Control and Prevention,Pretoria,South Africa;4.School of Public Health and Family Medicine,University of Cape Town,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.
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