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Mobility and HIV-Related Sexual Behavior in Burkina Faso

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Abstract

This study compared HIV-related sexual behavior among mobile and non-mobile populations in Burkina Faso and identified venues where HIV/AIDS interventions targeting mobile individuals should be implemented. Men (N = 940) and women (N = 430) responded to a sexual behavior survey while socializing at venues where people meet sexual partners in eight Burkina Faso villages. Mobile women were more likely than non-mobile women to report new sexual partnerships (adjusted prevalence odds ratio (POR): 2.07, 95% confidence interval (CI): 1.19–3.59) and transactional sex (adjusted POR: 2.30, 95% CI: 1.55–3.42) in the past month. Mobility was most common and associations between mobility and sexual partnership levels were particularly strong among women interviewed in urban commercial towns situated near international borders. Mobile women were most likely to be interviewed at venues such as bars and clubs, making these appropriate locations for HIV/AIDS interventions. Mobility was not associated with HIV-related sexual behaviors among men.

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Notes

  1. Venue verification interviews supported community informants’ reports that sexual risk behavior clustered at the most frequently cited venues that were selected for the individual interviews. Representatives of these venues were more likely to report that at their venues, men find women sex partners, women find men sex partners and sex workers solicit clients (92.0, 88.0 and 26.7%, respectively) than representatives of all other venues (72.6, 65.7 and 8.7%, respectively). Individual interviews also confirmed that on-site sex partnership was common, though it differed greatly by setting; only 15% of men and women in rural villages had ever met a partner on site, compared with 60% of men and women in the border area of Banfora and over 70% in urban Tenkodogo.

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Acknowledgments

We would like to thank the Banfora and Tenkodoko Health District’s PLACE research teams for performing the field work not only with diligence and excellence, but with enthusiasm. In addition, we wish to thank William C. Miller for his insightful comments. This study was made possible by support from the World Bank and USAID under terms of Cooperative Agreement HRN-A-00-97-00018-00.

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Authors and Affiliations

  1. Department of Epidemiology and the MEASURE Evaluation Project at the Carolina Population Center, University of North Carolina, Chapel Hill, NC, USA

    Maria R. Khan, Padmaja Patnaik & Sharon S. Weir

  2. National Development and Research Institutes, 71 West 23d Street, 7th floor, New York, NY, 10010, USA

    Maria R. Khan

  3. MEASURE Evaluation Project, Department of International Health, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA

    Lisanne Brown

  4. Centre Muraz, Bobo-Dioulasso, Burkina Faso

    Nicolas Nagot & Souleymane Salouka

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  1. Maria R. Khan
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  2. Padmaja Patnaik
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Correspondence to Maria R. Khan.

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Khan, M.R., Patnaik, P., Brown, L. et al. Mobility and HIV-Related Sexual Behavior in Burkina Faso. AIDS Behav 12, 202–212 (2008). https://doi.org/10.1007/s10461-007-9314-8

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