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Therefore innovative methods are needed to study the impact of migration on sexual network structure and HIV diffusion. The characteristics of sexual partnerships depend on migration patterns as well, but network-oriented studies of mobility and HIV risk behavior have been limited.
Through both geographical moves in space and changes in sexual networks, migration and mobility can influence partnership formation and dissolution, the characteristics of partnerships, and behavior within partnerships. Countries with generalized epidemics like Ghana afford an opportunity to investigate the role that migration plays in HIV transmission.
We supplemented the RHC with structured questions on migration, mobility, socio-demographics, and sexual history. In this paper we first describe the history of HIV and migration in Ghana, and then specifically describe our study setting.
Second, we describe our sample design, measures, and statistical analysis. After that we present initial results from the study. We end with a discussion of lessons learned from field implementation, and suggestions for future work.
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Patterns of internal migration in Ghana are changing and current migration characteristics may affect HIV transmission dynamics differently. Now, migration destinations are diversifying, labor flows are transforming, and women are moving independently of their families due to increasing social and economic independence as well as worsening female-dominated livelihoods in the Northern region.
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