{"doi":"10.1101/2023.12.08.23299745","title":"HIV and viremia prevalence in non-migrating members of migrant households in Rakai region, Uganda: A cross-sectional population-based study","abstract":"Introduction: In sub-Saharan Africa, migrants are more likely to be HIV seropositive and viremic than non-migrants. However, little is known about HIV prevalence and viremia in non-migrants living in households with in- or out-migration events. We compared HIV outcomes in non-migrating persons in households with and without migration events using data from the Rakai Community Cohort Study (RCCS), an open population-based cohort in Uganda. Methods: We analyzed RCCS survey data from one survey round collected between August 2016 and May 2018 from non-migrating participants aged 15-49. Migrant households were classified as those reporting ≥1 member moving into or out of the household since the prior survey. A validated rapid test algorithm determined HIV serostatus. HIV viremia was defined as >1,000 copies/mL. Modified Poisson regression was used to estimate associations between household migration and HIV outcomes, with results reported as adjusted prevalence ratios (adjPR) with 95% confidence intervals (95%CI). Analyses were stratified by gender, direction of migration (into/out of the household), and relationship between non-migrants and migrants (e.g., spouse). Results: There were 14,599 non-migrants (7,654, 52% women) identified in 9,299 households. 4,415 (30%) lived in a household with ≥1 recent migrant; of these, 972(22%) had migrant spouses, 1,102(25%) migrant children, and 875(20%) migrant siblings. Overall, HIV prevalence and viremia did not differ between non-migrants in migrant and non-migrant households. However, in stratified analyses, non-migrant women with migrant spouses were significantly more likely to be HIV seropositive compared to non-migrant women with non-migrant spouses (adjPR:1.44, 95%CI:1.21-1.71). Conversely, non-migrant mothers living with HIV who had migrant children were less likely to be viremic (adjPR:0.34, 95%CI:0.13-0.86). Among non-migrant men living with HIV, spousal migration was associated with a non-significant increased risk of viremia (adjPR:1.37, 95%CI:0.94-1.99). Associations did not typically differ for migration into or out of the household. Conclusions: Household migration was associated with HIV outcomes for certain non-migrants, suggesting that the context of household migration influences the observed association with HIV outcomes. In particular, non-migrating women with migrating spouses were more likely to have substantially higher HIV burden. Non-migrants with migrant spouses may benefit from additional support when accessing HIV services.","journal":"medRxiv","year":2023,"id":414863,"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":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9436,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":317273,"name":"Joseph Ssekasanvu","orcid":"0000-0002-3721-2299","position":1,"is_corresponding":false},{"id":301533,"name":"Joseph Kagaayi","orcid":"0000-0003-4101-3038","position":2,"is_corresponding":false},{"id":317274,"name":"Robert Ssekubugu","orcid":"0000-0003-1245-4774","position":3,"is_corresponding":false},{"id":319101,"name":"Godfrey Kigozi","orcid":null,"position":4,"is_corresponding":false},{"id":301539,"name":"Steven J. Reynolds","orcid":"0000-0002-5403-2759","position":5,"is_corresponding":false},{"id":317278,"name":"Maria J. Wawer","orcid":"0000-0002-3601-4469","position":6,"is_corresponding":false},{"id":286357,"name":"Bareng A. S. Nonyane","orcid":"0000-0001-5633-7487","position":7,"is_corresponding":false},{"id":301538,"name":"Larry W. Chang","orcid":"0000-0001-7985-4567","position":8,"is_corresponding":false},{"id":317277,"name":"Caitlin E. Kennedy","orcid":"0000-0001-6820-063X","position":9,"is_corresponding":false},{"id":377136,"name":"Ligia Paina","orcid":"0000-0002-8403-7825","position":10,"is_corresponding":false},{"id":471620,"name":"Philip Anglewicz","orcid":"0000-0002-7967-3843","position":11,"is_corresponding":false},{"id":227510,"name":"Thomas C. Quinn","orcid":"0000-0002-0404-1315","position":12,"is_corresponding":false},{"id":301541,"name":"David Serwadda","orcid":"0000-0001-6532-6587","position":13,"is_corresponding":false},{"id":317275,"name":"Fred Nalugoda","orcid":"0000-0001-6119-9293","position":14,"is_corresponding":false},{"id":317271,"name":"M. Kate Grabowski","orcid":"0000-0002-4451-3436","position":15,"is_corresponding":false},{"id":1078995,"name":"Ruth Young","orcid":"0000-0002-8787-2391","position":0,"is_corresponding":true}],"reference_count":58,"raw_metadata":null,"created_at":"2026-07-19T01:22:08.814145Z","pmid":"38106065","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":[]}