HIV and sexually transmitted disease risk among male Hispanic/Latino migrant farmworkers in the Southeast: Findings from a pilot CBPR study.

HIV and sexually transmitted disease risk among male Hispanic/Latino migrant farmworkers in the Southeast: Findings from a pilot CBPR study.
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DOI:
10.1002/ajim.20807
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发表时间:
2010-10
影响因子:
3.5
通讯作者:
Arcury, Thomas A.
Arcury, Thomas A.
中科院分区:
医学4区
文献类型:
--
作者:
Rhodes, Scott D.;Bischoff, Werner E.;Burnell, Jacqueline M.;Whalley, Lara E.;Walkup, Michael P.;Vallejos, Quirina M.;Quandt, Sara A.;Grzywacz, Joseph G.;Chen, Haiying;Arcury, Thomas A.

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对西班牙裔/拉丁裔农场工人的艾滋病毒和性传播疾病(STD)风险行为知之甚少。本研究旨在描述艾滋病和性病感染的危险因素,探讨与避孕套使用相关的个人特征,并评估收集农场工人自我报告和生物标志物数据的可行性。在2008年生长季节,研究人员从北卡罗来纳州29个营地的男性农场工人样本中收集了自我报告和生物标志物数据。在100名平均年龄37.1岁(19-68岁)的男性员工中,超过一半的人报告在过去12个月里酗酒。在过去三个月内有过性行为的人中,有40%的人表示他们受到酒精的影响。对艾滋病毒和性病传播及预防的认识较低。在过去三个月中有过性行为的25名工人中,分别有16名和2名报告在阴道性交和肛交时一直使用避孕套,近六分之一的工人报告付钱给女性发生性行为。两名工人梅毒检测呈阳性。该样本中的农场工人表现出显著的艾滋病毒和性病风险;然而,当探索与持续使用避孕套的潜在双变量关联时,可能由于样本量小,没有发现统计学上显著的关联。由于从西班牙裔/拉丁裔农场工人中收集与艾滋病毒和性传播疾病相关的自我报告和生物标志物数据是可行的,因此研究需要进一步探索风险并制定干预措施,以减少这一弱势群体的疾病暴露和传播。
Little is known about the HIV and sexually transmitted disease (STD) risk behaviors of Hispanic/Latino farmworkers. This study was designed to describe risk factors for HIV and STD infection, explore personal characteristics associated with condom use, and evaluate the feasibility of collecting self-report and biomarker data from farmworkers. Self-report and biomarker data were collected from a sample of male farmworkers living in 29 camps in North Carolina during the 2008 growing season. Over half of the 100 male workers, mean age 37.1 (range 19–68) years, reported binge drinking during the past 12 months. Forty percent of those who reported having had sex during the past three months indicated that they were under the influence of alcohol. Knowledge of HIV and STD transmission and prevention was low. Among the 25 workers who reported having had sex during the past three months, 16 and 2 reported using a condom consistently during vaginal and anal sex, respectively, and nearly one out of six workers reported paying a woman to have sex. Two workers tested positive for syphilis. Farmworkers in this sample demonstrated significant HIV and STD risks; however, when exploring potential bivariate associations with consistent condom use no statistically significant associations were identified perhaps due to the small sample size. Because it was feasible to collect self-report and biomarker data related to HIV and STDs from Hispanic/Latino farmworkers, research needed to further explore risks and develop interventions to reduce disease exposure and transmission among this vulnerable population.
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