Amsterdam 2015
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| Abstract #3437 - Time to talk? Disclosure and HIV | ||||
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Session: 29.6: Time to talk? Disclosure and HIV (Parallel) on Thursday @ 11.30-13.00 in C202 Chaired by Bouko Bakker, Philippe Adam Authors: Presenting Author: Mr Subash Thapa - KU Leuven, Belgium |
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| Additional Authors: | ||||
| Aim: The aim of the study was to assess the risk factors and vulnerability of the wives of Nepalese labor migrants to HIV infection. | ||||
| Method / Issue: We conducted a mixed-methods study in which a descriptive case study was embedded within a case-control study. A total of 224 wives of labor migrants were interviewed in the case-control study, and two focus group discussions were conducted in the descriptive case study. | ||||
| Results / Comments: We found that illiteracy, low socio-economic status and gender inequality contributed to poor knowledge and poor sexual negotiation among the wives of labor migrants and increased their risk of HIV through unprotected sex. Among male labor migrants, illiteracy, low socio-economic status, migration to India before marriage and alcohol consumption contributed to liaise with female sex workers and increased the risk of HIV in their wives through unprotected sex. Both labor migrants and their wives feared disclosure of positive HIV status due to HIV stigma and thus were less likely to be tested for HIV. | ||||
| Discussion: HIV prevention programs should consider the interaction among these risk factors when targeting labor migrants and their wives. | ||||
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