{"doi":"10.1007/s10461-022-03878-0","title":"Mobility is Associated with Higher-risk Sexual Partnerships Among Both Men and Women in Co-resident Couples in Rural Kenya and Uganda: A Longitudinal Cohort Study","abstract":"Population mobility is associated with higher-risk sexual behaviors in sub-Saharan Africa and is a key driver of the HIV epidemic. We conducted a longitudinal cohort study to estimate associations between recent mobility (overnight travel away from home in past six months) or migration (changes of residence over defined geopolitical boundaries) and higher-risk sexual behavior among co-resident couples (240 couples aged ≥ 16) from 12 rural communities in Kenya and Uganda. Data on concurrent mobility and sexual risk behaviors were collected every 6-months between 2015 and 2020. We used sex-pooled and sex-stratified multilevel models to estimate associations between couple mobility configurations (neither partner mobile, male mobile/female not mobile, female mobile/male not mobile, both mobile) and the odds of higher-risk (casual, commercial sex worker/client, one night stand, inherited partner, stranger) and concurrent sexual partnerships based on who was mobile. On average across all time points and subjects, mobile women were more likely than non-mobile women to have a higher-risk partner; similarly, mobile men were more likely than non-mobile men to report a higher-risk partnership. Men with work-related mobility versus not had higher odds of higher-risk partnerships. Women with work-related mobility versus not had higher odds of higher-risk partnerships. Couples where both members were mobile versus neither had greater odds of higher-risk partnerships. In analyses using 6-month lagged versions of key predictors, migration events of men, but not women, preceded higher-risk partnerships. Findings demonstrate HIV risks for men and women associated with mobility and the need for prevention approaches attentive to the risk-enhancing contexts of mobility.","journal":"AIDS and Behavior","year":2022,"id":262549,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":14,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.953,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":75618,"name":"Torsten B. Neilands","orcid":"0000-0001-7936-9123","position":1,"is_corresponding":false},{"id":255274,"name":"Edwin D. Charlebois","orcid":"0000-0001-7237-2119","position":2,"is_corresponding":false},{"id":274054,"name":"Monica Getahun","orcid":"0000-0002-2116-2637","position":3,"is_corresponding":false},{"id":589990,"name":"Jaffer Okiring","orcid":"0000-0003-3668-8997","position":4,"is_corresponding":false},{"id":490092,"name":"Adam Akullian","orcid":"0000-0001-8247-2172","position":5,"is_corresponding":false},{"id":276260,"name":"Irene Maeri","orcid":null,"position":6,"is_corresponding":false},{"id":918942,"name":"Patrick Eyul","orcid":null,"position":7,"is_corresponding":false},{"id":918345,"name":"Sarah Ssali","orcid":"0000-0002-5678-1868","position":8,"is_corresponding":false},{"id":255293,"name":"Craig R. Cohen","orcid":"0000-0001-8654-6634","position":9,"is_corresponding":false},{"id":242453,"name":"Moses R. Kamya","orcid":"0000-0001-9106-4234","position":10,"is_corresponding":false},{"id":255294,"name":"Elizabeth A. Bukusi","orcid":"0000-0002-2031-2808","position":11,"is_corresponding":false},{"id":255290,"name":"Carol S. Camlin","orcid":"0000-0001-5615-1164","position":12,"is_corresponding":false},{"id":449187,"name":"Sarah A. Gutin","orcid":"0000-0002-7634-1296","position":0,"is_corresponding":true}],"reference_count":29,"raw_metadata":null,"created_at":"2026-07-19T00:26:25.074177Z","pmid":"36318427","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}