| Titre : | Local understandings of, and responses to, HIV : Rural-urban migrants in Tanzania. (2006) |
| Auteurs : | COAST (Ernestina) : GBR. London School of Economics. London. |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 63, n° 4, 2006) |
| Pagination : | 1000-1010 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; VIH ; Rétrovirus ; Virus ; Milieu rural ; Milieu urbain ; Homme ; Tanzanie ; Afrique ; Migration ; Comportement sexuel ; Epidémiologie ; Immunopathologie ; Migrant |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xF7dFc. Diffusion soumise à autorisation]. Migration is an important process of change for rural populations in developing countries. Migration is a primary cause of behaviour change-by their very act of migrating, migrants are different from those who do not migrate. The focus of the current study is male rural-urban migration in Tanzania and its interaction with sexual behaviour. The analysis presents results from a comparison with individual-level analyses of two populations, one (composed of recent rural-urban migrants) in an urban area and one made up of residents in a rural area. Detailed migration histories (n=96 rural-urban migrants) and in-depth interviews form the basis of the analysis. Three key research questions are addressed : How does the sexual behaviour of migrants differ from that of rural residents ? How do HIV knowledge levels vary between rural-urban migrants and rural residents ? What factors are associated with either intentions of behaviour change or reported behaviour ? The results are counter-intuitive : rural-urban migrants-both married and unmarried-are not having sex in town. Despite limited understanding of the nature of HIV, the migrant population studied here regulates its behaviour in a way that reflects local understandings of the disease. This finding is important, not least because it challenges the view that HIV in sub-Saharan Africa is largely transmitted to rural areas by return migrants. Maasai rural-urban migrants in Tanzania-both married and unmarried-are not having sex in town. The policy and service provision implications of the results are explored. |
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