This exploratory project will help to better understand the links between married men's migration from rural areas and the exposure of their wives to HIV/AIDS risks in sub-Saharan Africa. Migration is commonly implicated as an important factor in the spread of HIV/AIDS, but most attention has been focused on the HIV/AIDS risks of migrants, primarily men, in cities and other destination areas. Relatively little systematic information exists about migrants' wives remaining in rural areas and their exposure to both infection risks and information on prevention relative to women whose husbands do not migrate. Migration may affect women's HIV/AIDS views and risks directly-through their relationships with their migrant husbands. Yet, migration may also affect women's HIV/AIDS knowledge and risk exposure indirectly-by transforming their marital unions, altering their social and economic constraints and opportunities, and reconfiguring their social and sexual networks. These changes may encourage and/or facilitate women's extramarital partnerships, but at the same time, may give them greater ability to avoid risky sex with both their marital and extramarital partners. In exploring these complex direct and indirect effects, the proposed project will test a novel conceptual model of rural women's HIV/AIDS risks and prevention and assess the feasibility of a study design involving collection and analysis of mutually complementary quantitative and qualitative data. The project will be conducted in the south of Mozambique, an area with high levels of labor out-migration and rising HIV prevalence. Specifically, the project will: investigate the effects of men's migration on their marital unions and on their wives' economic security, social autonomy, and social networks; compare wives of migrant and non-migrant men with respect to HIV/AIDS awareness and risk perceptions; and compare wives of migrant and non-migrant men with respect to exposure to HIV infection risks and practice of prevention. To achieve its aims, the project will include a complementary mix of quantitative and qualitative methods: a representative survey of married and women in four rural districts and a series of in-depth interviews with a subsample of survey respondents. The results of this research will advance our knowledge of the social factors shaping the HIV/AIDS epidemic in sub-Saharan Africa. They will also provide invaluable information for interventions aimed at reducing HIV/AIDS risks among rural African women. ? ? ?

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21HD048257-02
Application #
7244075
Study Section
Behavioral and Social Consequences of HIV/AIDS Study Section (BSCH)
Program Officer
Clark, Rebecca L
Project Start
2006-05-15
Project End
2009-04-30
Budget Start
2007-05-01
Budget End
2009-04-30
Support Year
2
Fiscal Year
2007
Total Cost
$87,668
Indirect Cost
Name
Arizona State University-Tempe Campus
Department
Social Sciences
Type
Schools of Arts and Sciences
DUNS #
943360412
City
Tempe
State
AZ
Country
United States
Zip Code
85287
Hayford, Sarah R; Agadjanian, Victor (2017) Determined to stop? Longitudinal analysis of the desire to have no more children in rural Mozambique. Popul Stud (Camb) 71:329-344
Yabiku, Scott T; Agadjanian, Victor (2017) Father's Labour Migration and Children's School Discontinuation in Rural Mozambique. Int Migr 55:188-202
Dodson, Zan M; Agadjanian, Victor; Driessen, Julia (2017) How to allocate limited healthcare resources: Lessons from the introduction of antiretroviral therapy in rural Mozambique. Appl Geogr 78:45-54
Agadjanian, Victor; Yao, Jing; Hayford, Sarah R (2016) Place, Time and Experience: Barriers to Universalization Of Institutional Child Delivery in Rural Mozambique. Int Perspect Sex Reprod Health 42:21-31
Martins-Fonteyn, Emilia Maria Vaz; Sommerland, Nina; Meulemans, Herman et al. (2016) Targeting vulnerable populations: a synthetic review on alcohol use and risky sexual behaviour among migrant populations. AIDS Res Ther 13:33
Yao, Jing; Agadjanian, Victor; Murray, Alan T (2014) Spatial and social inequities in HIV testing utilization in the context of rapid scale-up of HIV/AIDS services in rural Mozambique. Health Place 28:133-41
Avogo, Winfred; Agadjanian, Victor (2013) Men's migration, women's personal networks, and responses to HIV/AIDS in Mozambique. Int J Environ Res Public Health 10:892-912
Yao, Jing; Murray, Alan T; Agadjanian, Victor (2013) A geographical perspective on access to sexual and reproductive health care for women in rural Africa. Soc Sci Med 96:60-8
Yabiku, Scott T; Agadjanian, Victor; Cau, Boaventura (2012) Labor migration and child mortality in Mozambique. Soc Sci Med 75:2530-8
Hayford, Sarah R; Agadjanian, Victor (2012) From desires to behavior: Moderating factors in a fertility transition. Demogr Res 26:511-542

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