Acculturation and HIV-related sexual behaviours among international migrants: a systematic review and meta-analysis

Du, Hongfei; Li, Xiaoming

doi:10.1080/17437199.2013.840952

Cited by 39 publications

(41 citation statements)

References 138 publications

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“…Engaging in risk and unprotected sex has been documented as a coping strategy to deal with stress in migrant (Du & Li, 2015)and non-migrant populations (Brody, Chen, & Kogan, 2010; Deuba et al, 2013; Folkman, Chesney, Pollack, & Phillips, 1992; Muñoz-Laboy, Severson, & Bannan, 2014). The research findings described in the previous sections suggest a potential mechanism by which poor mental health mediates the association between migration stress and sexual risk behaviors.…”

Section: Introductionmentioning

confidence: 99%

Migration Stress, Poor Mental Health, and Engagement in Sex with High-Risk Partners: a Mediation Modeling Analysis of Data from Rural-to-Urban Migrants in China

Chen

Yan

et al. 2016

Sex Res Soc Policy

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Background There is a growing need for better understanding of mechanisms underpinning the relationship between migration stress and HIV risk behaviors for the development of HIV prevention and control policy. Methods Survey data from a random sample of 1,293 Chinese rural-to-urban migrants were analyzed. Stress was assessed using the Domestic Migration Stress Questionnaire (DMSQ), mental health status was assessed using the Brief Symptoms Inventory (BSI), and having sex with high risk partners was assessed as if ever have had sex with high risk partners (e.g., sex workers, intravenous injection drug users, blood donors, persons infected with HIV, persons with sexually transmitted infection, and same gender partners) in the past year. The proposed relationship was tested using mediation modeling method. Results Among the sample, 5.5% reported having had sex with high-risk partners in the past year. Mediation analysis indicated that the relationship between DMSQ scores and having sex with high-risk partners was mediated by BSI (coefficient =0.41, 95% CI [0.21, 0.65]), including its components of somatization (0.32 [0.15, 0.53]), obsessive-compulsive disorder (0.31 [0.07, 0.55]), depression (0.45 [0.23, 0.72]), anxiety (0.41 [0.23, 0.63]), and hostility (0.35 [0.17, 0.56]). Furthermore, the effect was more pronounced in males than in females. Conclusion The study findings provide new data advancing our understanding of the mechanism of engagement in risky sex, underscoring the need for the HIV prevention policies in China to pay more attention to mental health of the rural-to-urban migrant population.

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Section: Introductionmentioning

confidence: 99%

Migration Stress, Poor Mental Health, and Engagement in Sex with High-Risk Partners: a Mediation Modeling Analysis of Data from Rural-to-Urban Migrants in China

Chen

Yan

et al. 2016

Sex Res Soc Policy

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“…As an example, gender was reported to moderate the relationships between acculturation, and multiple partnerships and unsafe sex [14]. A younger age and the time spent in the host country were found to influence sex while under the influence of drugs or alcohol among Mexican migrants after migration to the U.S. [12].…”

Section: Introductionmentioning

confidence: 99%

A Cross-Sectional Study on Selected Correlates of High risk Sexual Behavior in Polish Migrants Resident in the United Kingdom

Gańczak

Czubińska

Korzeń

et al. 2017

IJERPH

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Objective: To assess the correlates of the high risk sexual behaviors of Polish migrants in the United Kingdom (UK) after 2004, and to compare such behaviors before/after immigration. Methods: In 2013, a cross-sectional study was conducted through the use of a Computer-assisted web interviewing surveying technique with the use of a self-administered questionnaire. Results: Among 408 respondents (56.9% women), with a median age of 32 years, significantly more admitted to having unprotected sexual contact with a casual partner while in the UK (p < 0.0001) than while in Poland; more were engaged in sex after the use of recreational drugs and alcohol (p < 0.0001 and p = 0.001 respectively). Being a male was associated with greater odds of unprotected sex, sex after the use of alcohol, and having multiple partners. Being single and having only been a resident for a short time in the UK, presenting a lower self-esteem, were predictors of unprotected sex. A total of 19.6% of the respondents admitted to having been tested while in Poland, a lower (p < 0.0001) frequency than while in the UK (49.5%); this referred to both genders; 1.2% (95% CI: 0.79–2.83%) reported that they were HIV positive. Conclusions: Migration can create a vulnerability to STIs, especially for single male migrants with low self-esteem, staying in the UK for less than two years. The results point to strengthening strategies which help reduce high risk sexual behavior among Polish migrants, and to introduce interventions to promote an awareness of HIV sero-status.

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“…People may receive benefit from migration (e.g., better employment, better health care), but they may also encounter migration stressors (e.g., loss of interpersonal ties, language barriers, discrimination) and suffer mental health problems (Berry & Kim, 1988; Du & Li, 2013; Du, Li, & Lin, 2014; Rogler, Cortes, & Malgady, 1991). Previous research has consistently found that migration was associated with more depressive symptoms (Chou, 2009; Silove, Sinnerbrink, Field, Manicavasagar, & Steel, 1997; Silveira & Allebeck, 2001; Vega, Kolody, & Valle, 1987).…”

Section: Introductionmentioning

confidence: 99%

Collectivistic Orientation, Acculturative Stress, Cultural Self-Efficacy, and Depression: A Longitudinal Study Among Chinese Internal Migrants

Lin

et al. 2014

Community Ment Health J

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The current study examined the longitudinal relationship of collectivistic orientation and depression and the mediating effects of acculturative stress and cultural self-efficacy between collectivistic orientation and depression. We expect that collectivistic orientation would decrease acculturative stress and increase cultural self-efficacy, and in turn, improve depression. Using data from 641 Chinese internal migrants during a one-year period, the results supported the hypothesis that collectivistic orientation predicted decreased depression. Moreover, collectivistic orientation alleviated depression through reducing acculturative stress. Although cultural self-efficacy was also a significant mediator, collectivistic orientation relieved depression through decreasing cultural self-efficacy. Implications for future research directions and counseling are discussed.

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Acculturation and HIV-related sexual behaviours among international migrants: a systematic review and meta-analysis

Cited by 39 publications

References 138 publications

Migration Stress, Poor Mental Health, and Engagement in Sex with High-Risk Partners: a Mediation Modeling Analysis of Data from Rural-to-Urban Migrants in China

Migration Stress, Poor Mental Health, and Engagement in Sex with High-Risk Partners: a Mediation Modeling Analysis of Data from Rural-to-Urban Migrants in China

A Cross-Sectional Study on Selected Correlates of High risk Sexual Behavior in Polish Migrants Resident in the United Kingdom

Collectivistic Orientation, Acculturative Stress, Cultural Self-Efficacy, and Depression: A Longitudinal Study Among Chinese Internal Migrants

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