The Urgent Need for Structural-Environmental Models of HIV Risk and Prevention in U.S. Latino Populations

Organista, Kurt C.; Worby, Paula; Quesada, James; Kral, Alex; Díaz, Rafael M.; Neilands, Torsten B.; Arreola, Sonya

doi:10.1093/acprof:oso/9780199764303.003.0001

Cited by 15 publications

(26 citation statements)

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“…This pilot study revealed not only an overview of MFWs' knowledge and attitudes of HIV/AIDS and sexual health practice, but also what Organista called ''the context of risks'' where these individual factors are embedded [14,22].…”

Section: Discussionmentioning

confidence: 99%

“…This model is built on Sweat and Denison's [21] four level of HIV causation: (1) the ''super-structural level,'' involving macro-social political arrangements, (2) the ''structural level,'' including laws, policies, and operating procedures, (3) the ''environmental level,'' comprising living and working conditions and community resources and opportunities, and (4) the ''individual level,'' including maladaptive/resilient coping strategies by individuals. The model advocates a multi-level approach for HIV prevention, involving reducing structural barriers while enhancing environmental resources to help workers cope with risky situations at the individual level [14,22].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

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Needs, Risks, and Context in Sexual Health Among Temporary Foreign Migrant Farmworkers in Canada: A Pilot Study with Mexican and Caribbean Workers

Narushima

McLaughlin

Barrett-Greene

2015

J Immigrant Minority Health

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Every year Canada hosts approximately 40,000 temporary foreign migrant farmworkers (MFWs). They are predominantly Mexican and Caribbean married men or single mothers who leave their families for months at a time over a span of many years. This pilot study investigated their knowledge about HIV/AIDS, attitudes towards condoms and their use, and perceived barriers to accessing sexual health services. A survey (n = 103) and four focus groups (n = 21) were conducted in Ontario's Niagara Region. The results suggest that MFWs commonly face vulnerabilities to HIV/AIDS, STIs and other sexual health issues due to personal, social-cultural, environmental and structural factors. The findings highlight the need for increasing culturally and gender sensitive sexual health education and harm reduction outreach and providing information about local health care systems and resources for MFWs. The study also calls for further community-based research and actions to reduce MFWs' perceived access barriers to health care services.

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Section: Discussionmentioning

confidence: 99%

Section: Conceptual Frameworkmentioning

confidence: 99%

Needs, Risks, and Context in Sexual Health Among Temporary Foreign Migrant Farmworkers in Canada: A Pilot Study with Mexican and Caribbean Workers

Narushima

McLaughlin

Barrett-Greene

2015

J Immigrant Minority Health

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“…With the above definition in mind, we would assert that sexual health is inversely related to a population’s degree of structural vulnerability or position in society characterised by productions and reproductions of harsh living and working conditions that challenge sexual health by way of compromising health and well-being in general (Organista et al 2012; Quesada et al 2011). Such is the case for Latino migrant day labourers (LMDLs), a unique population of Latinos that experiences dislocation and discontinuity in their lives as a result of migrating to the U.S.A. in search of work to support families and interests back in Mexico and Central America.…”

Section: Introductionmentioning

confidence: 99%

Sexual health of Latino migrant day labourers under conditions of structural vulnerability

Organista

Worby²,

Quesada

et al. 2013

Culture, Health & Sexuality

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The purpose of this paper is to explore the context of the sexual health of Latino migrant day labourers in the U.S.A., challenges to sexual health and ways of coping, with attention to conditions of structural vulnerability permeating the lives of this unique Latino population. Given the limited information about this topic and population, ethnographic research employing in-depth semi-structured interviews with 51 labourers, recruited through purposive sampling in the San Francisco Bay Area, was utilised. The sexual health aspirations of the men are deeply embedded in the core value and practice of Latino familismo or, in this case, the central goal of securing a family headed by men as providers and present husbands/fathers. However, such goals are frequently thwarted by the poverty engendering work and prolonged separations from home that characterise predominantly undocumented day labour in the U.S.A. Resulting goal frustration, combined with pent up sexual urges, often lead to sexual risk in spite of efforts to cope with challenges to sexual health. Unless community, state, and national level interventions are developed to mitigate the pronounced structural vulnerability of migrant day labourers, individual level interventions to promote sexual health, and decrease risk and distress, are likely to have diminishing returns.

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“…Nor are their daily decisions about alcohol and substance use or the ability to limit alcohol use separate from the immediate settings and environments created by their status as international migrant laborers. Researchers have used the terms "structural violence" (Walter et al, 2004), "structural vulnerability" (Organista et al, 2012), and "structural racism" (Holmes, 2006) to describe how discrimination, wage differentials, and other situations derived from macro-level forces negatively shape the health of Latino immigrant workers in the United States. substance use on the streets and homelessness affect more day laborers, and the interplay between these conditions merit specific study.…”

Section: Discussionmentioning

confidence: 99%

Contextual Influences on the Drinking of Male Latino Immigrant Day Laborers

Worby¹,

Organista

2013

Substance Use & Misuse

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This study explored self-reported alcohol use of Mexican and Central American men who had recently migrated to the United States to work. Ethnographic observation took place at a day laborer hiring site in 2006-2007 and qualitative interviewing involved 120 men with divergent drinking patterns. Short interviews were conducted informally on the street, and interviews lasting 1-2 hours addressed day laborers' perspective about how life conditions shape where drinking takes place and how much alcohol gets consumed. Resulting situations, such as roommates bringing alcohol home for extended nights of drinking, and specific strategies used to avoid excess alcohol use are addressed.

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The Urgent Need for Structural-Environmental Models of HIV Risk and Prevention in U.S. Latino Populations

Cited by 15 publications

References 0 publications

Needs, Risks, and Context in Sexual Health Among Temporary Foreign Migrant Farmworkers in Canada: A Pilot Study with Mexican and Caribbean Workers

Needs, Risks, and Context in Sexual Health Among Temporary Foreign Migrant Farmworkers in Canada: A Pilot Study with Mexican and Caribbean Workers

Sexual health of Latino migrant day labourers under conditions of structural vulnerability

Contextual Influences on the Drinking of Male Latino Immigrant Day Laborers

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