Andrew A. Adjei, James Brandful, Mark Lurie, Margaret Lartey, Francis Krampa, Awewura Kwara, Theophilus K. Adiku, Yao Tettey, Richard K. Gyasi, Aaron L. Lawson, Timothy Flanigan

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University of Ghana Medical School, College of Health Sciences, Accra, Ghana.
Noguchi Memorial Institute for Medical Research, Legon, Ghana.
Brown University School of Medicine, Rhode Island, USA.
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Abstract: Migrant workers, particularly gold mining workers, have been identified as a group at risk for HIV and sexually transmitted infections (STI). A cross-sectional study was undertaken on the correlates of human immunodeficiency virus (HIV) and syphilis infections in a sample of migrants (Ghanaian citizens [156] and non-Ghanaian citizens [8]) working in a gold mining centres in Konongo, Ghana. The study was conducted between the months of January 2013 to December 2013. Of a total of 600 eligible migrant workers, only 164 (27.33%; males 114, females 50) of the eligible migrants took part in the study. Subjects voluntarily completed a risk-factor questionnaire and provided blood specimen for testing for the presence of antibodies to HIV and Treponema pallidum, the causative agent of syphilis. These data were analyzed using both univariate and multivariate techniques. The median age of the participants was 29.0 years (range 18 - 62 years). Of the 164 migrant workers tested, HIV and syphilis seroprevalence were 6.7% and 3.7% respectively. On multivariate analysis, the independent determinants for HIV infection were being female [odds ratio (OR) 2.94; 95% confidence interval (95% CI 0.86 - 10.0); unmarried (OR 10.13; 95% CI 1.2 - 81.09); drug use (OR 3.76; 95% CI 0.38 - 36.3); and blood transfusion (OR 2.45; 95% CI 0.27 - 22.37). Similarly, on multivariate analysis, the independent determinants for syphilis infection were having concurrent sexual partners (OR 2.16; 95% CI 0.38 - 12.12); and blood transfusion (OR 5.07; 95% CI 0.51 - 50.37). Consistent with similar studies worldwide, our results suggest high prevalence of HIV and syphilis infections among migrant workers who work in gold mining centres in Ghana.

Keywords: HIV Seropositivity, Syphilis Seropositivity, Migrant Workers, Gold Mining Centres, Risk Factors

Cite this paper: Adjei, A. , Brandful, J. , Lurie, M. , Lartey, M. , Krampa, F. , Kwara, A. , Adiku, T. , Tettey, Y. , Gyasi, R. , Lawson, A. and Flanigan, T. (2014) Human Immunodeficiency Virus, Syphilis Prevalence and Risk Factors among Migrant Workers in Konongo, Ghana. Advances in Infectious Diseases, 4, 132-141. doi: 10.4236/aid.2014.43020.

References

[1]   Brummer, D. (2002) Labour Migration and HIV/AIDS in Southern Africa. International Organisation for Migration Regional Office for Southern Africa. www.aidsmark.org/ipc_en/pdf/sm/hr/mwmp/Labor%20
Migration%20and%20HIV-AIDS%20in%20Southern%20Africa.pdf

[2]   Richens, J. (2006) Sexually Transmitted Infections and HIV among Travelers: A Review. Travel Medicine and Infectious Disease, 4, 184-195.

[3]   Giami, A. and Le Bail, J. (2011) HIV Infection and STI in the Trans Population: A Critical Review. Revue d’épidémiologie et de Santé Publique, 59, 259-268. http://dx.doi.org/10.1016/j.respe.2011.02.102

[4]   Nahmias, S.B. and Nahmias, D. (2011) Society, Sex, STIs: Human Behavior and the Evolution of Sexually Transmitted Diseases and Their Agents. Annals of the New York Academy of Sciences, 1230, 59-83. http://dx.doi.org/10.1111/j.1749-6632.2011.06079.x

[5]   Wolffers, I., Fernandez, I., Verghis, S. and Vink, M. (2002) Sexual Behavior and Vulnerability of Migrant Workers for HIV Infection. Culture, Health & Sexuality, 4, 459-473.
http://dx.doi.org/10.1080/13691050110143356

[6]   Brockerhoff, M. and Biddlecom, A.F. (1999) Migration, Sexual Behavior and the Risk of HIV Infection in Kenya. International Migration Review, 33, 833-856. http://dx.doi.org/10.2307/2547354

[7]   Lurie, M., Harrison, A., Wilkinson, D. and Abdool-Karim, S.S. (1997) Circular Migration and Sexual Networking in Rural KwaZulu/Natal: Implications for the Spread of HIV and Other Sexually Transmitted Diseases. Health Transition Review, 7, 17-27.

[8]   Owoaje, E.T., Adebiyi, A.O. and Adebayo, M.A. (2011) Sexual Risk Behaviours and HIV Knowledge of Migrant Farm Workers in a Rural Community in Nigeria. African Journal of Medicine and Medical Sciences, 40, 75-84.

[9]   Mantell, J.E., Kelvin, E.A., Sun, X., Zhou, J., Exner, T.M., Hoffman, S., Zhou, F., Sandfort, T.G. and Leu, C.S. (2011) HIV/STI Risk by Migrant Status among Workers in an Urban High-End Entertainment Centre in Eastern China. Health Education Research, 26, 283-295.
http://dx.doi.org/10.1093/her/cyr002

[10]   Setiawan, I.M. and Patten, J.H. (2010) The Organization of STI/HIV Risk-Taking among Long-Line Fishermen in Bali, Indonesia. International Maritime Health, 62, 201-208.

[11]   Grayman, J.H., Nhan, D.T., Huong, P.T., Jenkins, R.A., Carey, J.W., West, G.R. and Minh, T.T. (2005) Factors Associated with HIV Testing, Condom Use and Sexually Transmitted Infections among Female Sex Workers in Nha Trang, Vietnam. AIDS and Behavior, 9, 41-51. http://dx.doi.org/10.1007/s10461-005-1680-5

[12]   Pison, G., Guenno, B.L., Lagarde, E. and Seck, C. (1993) Seasonal Migration: A Risk Factor for HIV Infection in Rural Senegal. Journal of Acquired Immune Deficiency Syndromes, 6, 196-200.

[13]   Gangakhedkar, R.R., Bentley, M., Divekar, A., Gadkari, D., Monhendal, S.M. and Shepherd, M.E. (1997) Spread of HIV Infection in Married Monogamous Women in India. JAMA, 278, 2090-2092. http://dx.doi.org/10.1001/jama.1997.03550230066039

[14]   Morris, M., Podhista, C., Wawer, M.I. and Handrock, M.S. (1996) Bridge Populations in the Spread of HIV/AIDS in Thailand. AIDS, 10, 1265-1271. http://dx.doi.org/10.1001/jama.1997.03550230066039

[15]   Entz, A.T., Ruffolon, V.P., Chinveschakitvanich, V., Soskoline, V. and van Griensven, G.J.P. (2000) HIV-1 Prevalence, HIV-1 Subtypes and Risk Factors among Fishermen in the Gulf of Thailand and the Andaman Sea. AIDS, 14, 1027-1034. http://dx.doi.org/10.1097/00002030-200005260-00015

[16]   Chandrasekaran, P., Dallabetta, G., Loo, V., Rao, S., Gayle, H. and Alexander, A. (2005) Containing HIV/AIDS in India: The Unfinished Agenda. The Lancet Infectious Diseases, 6, 508-521. http://dx.doi.org/10.1016/S1473-3099(06)70551-5

[17]   Decosas, J., Kane, F., Anarfi, J.K., Sodji, K.D.R. and Wagner, H.U. (1995) Migration and AIDS. The Lancet, 346, 826-828. http://dx.doi.org/10.1016/S0140-6736(95)91631-8

[18]   Pezzoli, M.C., Hamad, I.E., Scarcella, C., Vassallo, F., Speziani, F., Cristini, G., Scolari, C., Suligol, B., Luzi, A.M., Bernasconi, D., Litchner, M., Cassara, G., Manca, N., Carosi, G., Castelli, F. and Cassara, G., The PRISHMA Study Group (2009) HIV Infection among Illegal Migrants, Italy, 2004-2007. Emerging Infectious Diseases, 15, 1802-1804. http://dx.doi.org/10.3201/eid1511.090908

[19]   Gil, V.E., Wang, M.S. and Anderson, A.F. (1996) Prostitutes, Prostitution and STD/HIV Transmission in Mainland China. Social Science Medicine, 42, 141-152.
http://dx.doi.org/10.1016/0277-9536(95)00064-X

[20]   Fosados, R., Caballero-Hoyos, R., Torres-López, T. and Valente, T.W. (2006) Condom Use and Migration in a Sample of Mexican Migrants: Potential for HIV/STI Transmission. Salud Pública de México, 48, 57-61. http://dx.doi.org/10.1590/S0036-36342006000100009

[21]   Burns, F.M., Evans, A.R., Mercer, C.H., Parutis, V., Gerry, C.J., Mole, R.C.M., French, R.S., Imri, J. and Hart, G.J. (2011) Sexual and HIV Risk Behavior in Central and Eastern European Migrants in London. Sexually Transmitted Infections, 87, 318-324. http://dx.doi.org/10.1136/sti.2010.047209

[22]   Memish, Z.A. and Osoba, A.O. (2006) International Travel and Sexually Transmitted Disease. Travel Medicine and Infectious Disease, 4, 86-93. http://dx.doi.org/10.1016/j.tmaid.2005.01.003

[23]   Halli, S.S., Blanchard, J., Satihal, D.G. and Moses, S. (2007) Migration and HIV Transmission in Rural South India: An Ethnographic Study. Culture, Health & Sexuality, 9, 85-94.
http://dx.doi.org/10.1080/13691050600963898

[24]   Silitonga, N., Davies, S.C., Kaldor, J., Wignall, S. and Okoseray, M. (2011) Prevalence over Time and Risk Factors for Sexually Transmissible Infections among Newly-Arrived Female Sex Workers in Timika, Indonesia. Sexual Health, 8, 61-64. http://dx.doi.org/10.1071/SH10038

[25]   de Boer, I.M., Op de Coul1, E.L.M., Koedijk, F.D.H., van Veen, M.G., van Sighem, A.I. and van de Laar, M.J.W. (2006) HIV and Sexually Transmitted Infections in 2005. RIVM Report No. 441100024, RIVM, Bilthoven.

[26]   Poudel, K.C., Jimba, M., Okumura, I., Sharma, M., Poudel-Tandukar, K. and Wakai, S. (2004) Migration in Far Western Nepal: A Time Bomb for a Future HIV/AIDS Epidemic? Tropical Doctor, 34, 30-31.

[27]   Mishra, A. (2004) Risk of Sexually Transmitted Infections among Migrant Men: Findings from a Survey in India. Asian and Pacific Migration Journal, 13, 89-106.

[28]   Kissinger, P., Liddon, N., Schmidt, N., Curtin, E., Salinas, O. and Narvaea, A. (2008) HIV/STI Risk Behaviors among Latino Migrant Workers in New Orleans Post-Hurricane Katrina Disaster. Sexually Transmitted Diseases, 35, 924-929. http://dx.doi.org/10.1097/OLQ.0b013e31817fa2cc

[29]   Gupta, I. and Mitra, A. (1999) Knowledge of HIV/AIDS among Migrants in Delhi Slums. Journal of Health and Population in Developing Countries, 2, 26-32.

[30]   Rao, A., Nag, M., Mishra, K. and Dey, A. (1994) Sexual Behavior Pattern of Truck Drivers and Their Helpers in Relation to Female Sex Workers. Indian Journal of Social Work, 55, 603-615.

[31]   Deb, A.K., Deb, M., Saha, M.K., Chakraborty, S., Bhattachrya, S.K. and Detels, R. (2009) HIV Transmission Potential among Local and Migrant Factory Workers in Kolkata, India. AIDS and Behavior, 13, 928-938. http://dx.doi.org/10.1007/s10461-009-9542-1

[32]   Gangnon, A.J., Merry, L., Bocking, J., Rosenberg, E. and Oxman-Martinez, J. (2010) South Asian Migrant Women and HIV/STIs: Knowledge, Attitudes and Practices and the Role of Sexual Power. Health and Place, 16, 10-15. http://dx.doi.org/10.1016/j.healthplace.2009.06.009

[33]   Desmond, N., Allen, C.F., Cliff, S., Justine, B., Mzugu, J., Plummer, M.L., Watson-Jones, D. and Ross, D.A. (2005) A Topology of Groups at Risk of HIV, STI in a Gold Mining Town in North-Western Tanzania. Social Science Medicine, 60, 1739-1749.
http://dx.doi.org/10.1016/j.socscimed.2004.08.027

[34]   Zhang, G.L., Wong, M., Yi, P., Xu, J.J., Li, B.S., Ding, G.W., Ma, Y.L., Wang, H.B., Zheng, X.W., Wu, Z.L. and Wang, N. (2010) HIV-1 and STI Prevalence and Risk Factors of Miners in Mining Districts of Yunnan, China. Journal of Acquired Immune Deficiency Syndromes, 53, S54-S60.
http://dx.doi.org/10.1097/QAI.0b013e3181c7d8d2

[35]   Cliff, S., Anemona, A., Watson-Jones, D., Kanga, Z., Ndeki, L., Changalucha, J., Gavyole, A. and Ross, D.A. (2003) Variations of HIV and STI Prevalences within Communities Neighbouring New Goldmines in Tanzania: Importance for Intervention Design. Sexually Transmitted Infections, 79, 307-312. http://dx.doi.org/10.1136/sti.79.4.307

[36]   UNAIDS (2001) Population Mobility and AIDS (UNAIDS Best Practice Collection). UNAIDS Technical Uptake, February, Geneva.

[37]   Duke, M.R. and Gómez Carpinteiro, F.J. (2009) The Effects of Problem Drinking and Sexual Risk among Mexican Migrant Workers on Their Community of Origin. Human Organization, 68, 328.

[38]   Anderson, A., Qingsi, Z., Hua, X. and Jianfeng, B. (2003) China’s Floating Population and the Potential for HIV Transmission. AIDS Care, 15, 177-185; http://dx.doi.org/10.1080/0954012031000068326

[39]   Lurie, M., William, B., Suma, K., Mkaya-Mwamburi, D., Garnett, G. and Storm, A. (2003) The Impact of Migration on HIV-Transmission in South Africa: A Study of Migrant and Nonmigrant Men and Their Partners. Sexually Transmitted Diseases, 30, 149-156.
http://dx.doi.org/10.1097/00007435-200302000-00011

[40]   WHO (2000) Effectiveness of Male Latex Condoms in Protecting against Pregnancy and Sexually Transmitted Infections. Fact Sheet No. 243, June 2000, Geneva.

[41]   CDC (2002). www.cdc.gov/nchstp/od/condoms.pdf

[42]   Foss, A.M., Watts, C.H., Vickerman, P. and Heise, L. (2004) Condoms and Prevention of HIV. BMJ, 329, 185-186. http://dx.doi.org/10.1136/bmj.329.7459.185