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  and non-Ghanaian citizens ) 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.
Brummer, D. (2002) Labour Migration and HIV/AIDS in Southern Africa. International Organisation for Migration Regional Office for Southern Africa.
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
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.
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
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.
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.
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
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
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.
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
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.
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
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.
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
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
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
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.
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.
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.
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.
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
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
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
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