HIV Prevention Among Mexican Migrants at Different Migration Phases: Exposure to Prevention Messages and Association With Testing Behaviors

Ap, Martinez-Donate; Mg, Rangel; Xiao, Zhou; Nj, Simon; Rhoads, Natalie; Je, Gonzalez-Fagoaga; Aa, Gonzalez

doi:10.1521/aeap.2015.27.6.547

Cited by 12 publications

(12 citation statements)

References 38 publications

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“…Social support through social networking has been shown to play a major role not only in empowering people living with HIV, but also in HIV-prevention. Several studies illustrate that migrants with access to social networking and support within their communities are less at risk of HIVinfection [34][35][36]. Social support includes both material and non-material support such as access to information, facilitation, and also emotional support during times of hardship [37,38].…”

Section: Discussionmentioning

confidence: 99%

HIV-positive migrants’ experience of living in Sweden

Mehdiyar

Andersson

Hjelm

2020

Global Health Action

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Background: There is a limited knowledge of the impact of being human immunodeficiency virus (HIV)-positive on migrants living in Sweden. It is therefore important to gain a general awareness of this issue in order to maintain the wellbeing of this vulnerable group of patients and to develop an adequate social support network. Objective: The aim of this study was to explore HIV-positive migrants' experiences of their life situations, living in Sweden. Method: A qualitative, exploratory study was performed using semi-structured interviews with 14 HIV-positive migrants, aged 29-55 years, and analyzed with qualitative content analysis. The participants were recruited from three clinics for infectious diseases in western Sweden. Results:The results are presented in the following three categories:´Vulnerability in social relationships', 'Fear of disclosure", and 'Resilience'. The results illustrated the participants' experiences of vulnerability in their social relationships, fear of disclosing HIV status, feeling lonely and stigmatized, and lacking social network and support. Furthermore, the results illustrated participants' challenges in finding a partner, due to their fear of being recognized because of their HIV-infection. However, the result indicated participants' struggling for a normal life with integrity, and that their need to look positively at life. Conclusions: In the actual study loneliness, fear of disclosure, perceived stigma, and the lack of a social network had significant impact on the life situations of the HIV positive migrants. Fear of disclosure and the challenge of finding a partner and friends were the main obstacles. It is crucial to increase access for these patients to supporting networks that will promote their empowerment and trust.

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Section: Discussionmentioning

confidence: 99%

HIV-positive migrants’ experience of living in Sweden

Mehdiyar

Andersson

Hjelm

2020

Global Health Action

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“…This finding is similar to reports in the community of men who have sex with men (MSM), where race has been shown to be a strong predictor of risk even though reported behaviours are similar among the groups 13 14 15 . Additionally, syndemic factors such as poverty, trauma, substance abuse, homelessness and incarceration as well as San Diego’s border location likely contribute to the high prevalence of undiagnosed infection among Hispanic women 16 17 18 19 20 21 22 23 24 25 26 . Similarly, the HPTN 064 study, which aimed to estimate the overall new HIV infection rate in women at risk for HIV in the United States, study subjects perceived their risk as due to structural and contextual factors 27 .…”

Section: Discussionmentioning

confidence: 99%

Risk profile and HIV testing outcomes of women undergoing community-based testing in San Diego 2008–2014

Graves

Hoenigl

2017

Sci Rep

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Women comprised 19% of new HIV diagnoses in the United States in 2014, with significant racial and ethnic disparities in infection rates. This cross-sectional analysis of women enrolled in a cohort study compares demographics, risk behaviour, and sexually transmitted infections (STI) in those undergoing HIV testing in San Diego County. Data from the most recent screening visit of women undergoing voluntary HIV screening April 2008 –July 2014 was used. HIV diagnosis, risk behaviour and self-reported STIs were compared among women aged ≤24, 25–49, and ≥50, as well as between HIV-infected and uninfected women and between Hispanic and non-Hispanic women. Among the 2535 women included, Hispanic women were less likely than other women to report unprotected vaginal intercourse (p = 0.026) or stimulant drug use (p = 0.026), and more likely to report one or fewer partners (p < 0.0001), but also more likely to report sex with an HIV-infected individual (p = 0.027). New HIV infection was significantly more prevalent among Hispanic women (1.6% vs. 0.2%; p < 0.001). Hispanic women were more likely than other women to be diagnosed with HIV despite significantly lower rates of risk behaviour. Culturally specific risk reduction interventions for Hispanic women should focus on awareness of partner risk and appropriate testing.

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“…The specific context of the zona roja and commercial sex work are settings where these cultural norms are put into practice through men’s interactions with FSW and their male peers 49 . Further, availability, cost, and stigma of HIV testing for men in this setting may be limiting factors 28,50,51 .…”

Section: Discussionmentioning

confidence: 99%

Behavioral and Psychosocial Correlates of HIV Testing Among Male Clients of Female Sex Workers in Tijuana, Mexico

et al. 2016

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We use data collected from a sample of 400 male clients of female sex workers (FSW) to examine their HIV testing behavior. We present frequencies of HIV testing and used bivariate and multivariable analyses to assess its socio-demographic, behavioral, and psychosocial correlates. We found that the majority (55%) of male clients of FSW in Tijuana, Mexico had never had an HIV test and the prevalence of HIV testing within the past year was low (9%). In multivariable analyses, significant correlates of having ever tested for HIV were higher age, higher HIV knowledge score, lower sexual compulsiveness score, lower misogynistic attitudes score, having a condom break during sex with a FSW, and higher frequency of sex with a FSW while she was high. Our findings represent an important starting point for developing effective interventions to address the need to promote HIV testing among this population.

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HIV Prevention Among Mexican Migrants at Different Migration Phases: Exposure to Prevention Messages and Association With Testing Behaviors

Cited by 12 publications

References 38 publications

HIV-positive migrants’ experience of living in Sweden

HIV-positive migrants’ experience of living in Sweden

Risk profile and HIV testing outcomes of women undergoing community-based testing in San Diego 2008–2014

Behavioral and Psychosocial Correlates of HIV Testing Among Male Clients of Female Sex Workers in Tijuana, Mexico

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