Mobile populations and HIV/AIDS in central America and Mexico: research for action
Mobile populations and HIV/AIDS in central America and Mexico: research for action
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DOI：
10.1097/00002030-200212003-00007
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发表时间：
2002-12-01
期刊：
影响因子：
3.8
通讯作者：
Rueda, CA
中科院分区：
文献类型：
--
作者：
Bronfman, MN;Leyva, R;Rueda, CA
目标：提出一项多中心研究，分析导致人口流动的社会经济、文化和政治背景及其与性传播感染（STI）/艾滋病毒/艾滋病易感性的关系，以便提供可用于设计适当和有针对性的干预措施的信息。方法：在中美洲和墨西哥的 11 个中转站（边境城镇、港口城市、流动人口聚集的地区）中的每一个，对当地人口进行入户调查，以分析人口、社会经济特征和信息对艾滋病毒/艾滋病和流动人口的了解和看法。对重点知情人、社区成员和流动人口进行深入访谈，了解性病/艾滋病预防和传播知识。同样，还进行了一项人种学研究，以确定当地人口和流动人口之间的相互作用。结果：中转站当地居民的教育水平较低，公共服务很少，侵犯人权行为屡屡发生，暴力、贫困和当局腐败。在这种社会背景下，性交易、生存性行为、强奸和非职业商业性行为的发生会增加性传播感染/艾滋病毒传播的风险，例如不经常使用安全套。在这种情况下，移徙妇女和性工作者尤其容易受到伤害。关于性传播感染/艾滋病毒传播的信息与报告的预防措施之间存在巨大差距。结论：考虑到这些中转站的现有条件，干预措施应该是多部门的、可持续的，并且应该捍卫不同群体的人权，包括妇女和艾滋病毒/艾滋病感染者。 (C) 2002 年利平科特·威廉姆斯·威尔金斯。
Objective: To present a multi-centre study that analyses the socioeconomic, cultural and political contexts that give rise to population mobility, and its relationship to vulnerability to sexually transmitted infections (STI)/HIV/AIDS, in order to provide information that can be used to design appropriate and focused interventions.Methods: In each of 11 transit stations (border towns, port cities, areas where mobile populations congregate) in Central America and Mexico, a household survey of the local population was conducted to analyse demographic, socioeconomic characteristics, and information known and opinions held about HIV/AIDS and mobile populations. In-depth interviews with key informants, community members and mobile populations were held to ascertain knowledge about prevention and transmission of STI/HIV/AIDS. Likewise, an ethnographic study was undertaken to identify interactions between local and mobile populations.Results: The transit stations share low educational levels among the local population, few public services, repeated human rights violations, violence, poverty and corrupt authorities. Within this social context, transactional sex, sex for survival, rape and non-professional commercial sex happen in conditions that increase the risk of the transmission of STI/HIV, such as infrequent condom use. Migrant women and sex workers are particularly vulnerable in this context. A wide gap exists between information about STI/HIV transmission and reported prevention practices.Conclusion: Given the conditions that exist in these transit stations, interventions should be multisectoral, sustainable, and should defend the human rights of various groups, including women and people living with HIV/AIDS. (C) 2002 Lippincott Williams Wilkins.