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With the world's migratory flow, the risk of infection by the human immunodeficiency virus HIV among migrants is increasing. The prevalence of intercourse without condoms with a casual or commercial sex partner, a high-risk sexual behavior for HIV infection, is unknown among migrants.
The purpose of this study was to determine the prevalence of intercourse without condoms among migrants and the risk factors associated with not using condoms. In Oujda, we conducted a cross-sectional survey of sexually active migrants. We used a multistage sampling method. Face-to-face interviews were conducted with participants to collect socio-demographic information, disease perception, behavioral habits, sexual behavioral habits, and para-clinical parameters.
A multivariate logistical regression analysis identified the risk factors associated with high-risk HIV sexual behaviors. The prevalence of intercourse without condoms with a casual or commercial sex partner was The prevalence of HIV was 0. Being homeless, having difficulty obtaining condoms, and only having a basic education were all risk factors for these sexual behaviors. Migrants with precarious living conditions are at increased risk of having intercourse without condoms. This group must be prioritized by strengthening public health programs targeting the health of migrants as well as the intervention of thematic non-governmental organizations.
Vigilant monitoring of the HIV epidemic, with a focus on vulnerable populations, should be a high priority in Morocco. The human migratory movements experienced by the world in recent decades are unprecedented. In , international migrants in the world reached million, or 3. In , with the new migration policy characterized by respect for the human rights of people on the move, Morocco became not only a transit country to Europe but also a host country for people from West and Central Africa, and Syria, with 86, migrants in 2.
