TY - JOUR
T1 - Migration and HIV prevention programmes
T2 - Linking structural factors, culture, and individual behaviour - An Israeli experience
AU - Soskolne, Varda
AU - Shtarkshall, Ronny A.
PY - 2002/10
Y1 - 2002/10
N2 - Migration is one of the structural factors associated with HIV infections, but the dynamic and complex role of migrant situations as determinants of HIV-related vulnerability is still a major issue for social science research. Moreover, interventions to address the specific structural and contextual factors inherent in this association are limited and many do not take into account the cultural components. This paper presents a multi-level framework for analysis of the links between migration and HIV. It includes the association of migration with structural macro factors - lower socio-economic status and limited power in the new society; intermediate structural factors - limited social capital and bi-directional interaction of cultural norms; and individual-level factors - stressors unique to the migration context, depleted psychosocial resources, loss of cultural beliefs and low use of health services. All these factors affect risky sexual behaviour and transmission of HIV. The paper utilises those elements of the framework that are relevant to the specific needs of immigrant populations from the former Soviet Union and from Ethiopia in Israel. We demonstrate their application to integrated, multi-level HIV prevention interventions and propose several special principles for development of migration-related HIV prevention programmes.
AB - Migration is one of the structural factors associated with HIV infections, but the dynamic and complex role of migrant situations as determinants of HIV-related vulnerability is still a major issue for social science research. Moreover, interventions to address the specific structural and contextual factors inherent in this association are limited and many do not take into account the cultural components. This paper presents a multi-level framework for analysis of the links between migration and HIV. It includes the association of migration with structural macro factors - lower socio-economic status and limited power in the new society; intermediate structural factors - limited social capital and bi-directional interaction of cultural norms; and individual-level factors - stressors unique to the migration context, depleted psychosocial resources, loss of cultural beliefs and low use of health services. All these factors affect risky sexual behaviour and transmission of HIV. The paper utilises those elements of the framework that are relevant to the specific needs of immigrant populations from the former Soviet Union and from Ethiopia in Israel. We demonstrate their application to integrated, multi-level HIV prevention interventions and propose several special principles for development of migration-related HIV prevention programmes.
KW - Culture
KW - HIV/aids
KW - Intervention
KW - Israel
KW - Migration
KW - Social factors
UR - http://www.scopus.com/inward/record.url?scp=0036804422&partnerID=8YFLogxK
U2 - 10.1016/S0277-9536(01)00282-9
DO - 10.1016/S0277-9536(01)00282-9
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
C2 - 12231010
AN - SCOPUS:0036804422
SN - 0277-9536
VL - 55
SP - 1297
EP - 1307
JO - Social Science and Medicine
JF - Social Science and Medicine
IS - 8
ER -