Sex and drug risk behavior pre- and post-emigration among Latino migrant men in post-Hurricane Katrina New Orleans.
Sex and drug risk behavior pre- and post-emigration among Latino migrant men in post-Hurricane Katrina New Orleans.
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DOI：
10.1007/s10903-012-9650-2
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发表时间：
2013-06
影响因子：
1.9
通讯作者：
Kissinger, Patricia
中科院分区：
文献类型：
--
作者：
Mills, Jennifer;Burton, Nicole;Schmidt, Norine;Salinas, Oscar;Hembling, John;Aran, Alberto;Shedlin, Michele;Kissinger, Patricia
关键词：
在美国的拉丁美洲移民男性中，性和毒品风险行为的高发生率已经被记录在案，这些行为是否是在移民的母国建立的，或者是在美国被采用的，还没有被描述，对预防策略有影响。每季度进行一次调查，以收集有关卡特里娜飓风后抵达新奥尔良寻找工作的拉丁美洲移民男子的选定性和毒品风险做法的信息。Kappa评分和McNemar检验都是为了确定这些行为在本国的实践是否与移民到美国后的实践相似。女性性工作者（FSW）的赞助、同性接触（MSM）和快克可卡因的使用更有可能发生在移民后而不是移民前。在那些曾经从事这些选定行为的人中，大多数人采用了美国的行为（即75.8%的FSW顾客，72.7%的MSM参与者和85.7%的快克可卡因使用者），除了酗酒（26.8%）。与家庭成员生活在一起的男性不太可能接受FSW赞助OR=0.27，CI=0.10-0.76，而每周收入> 465美元的男性更有可能接受快克可卡因使用OR=6.29 CI=1.29，30.57。促进维持家庭凝聚力和提供财务管理战略的干预措施可能有助于减少新到移民的性和毒品风险。
High rates of sex and drug risk behaviors have been documented among Latino migrant men in the U.S. Whether these behaviors were established in the migrants’ home countries or were adopted in the U.S. has not been described and has implications for prevention strategies. Quarterly surveys were conducted to gather information on selected sex and drug risk practices of Latino migrant men who arrived in New Orleans after Hurricane Katrina seeking work. Both kappa scores and McNemar’s tests were performed to determine if practice of these behaviors in home country was similar to practice post-emigration to the U.S. Female sex worker (FSW) patronage, same sex encounters (MSM), and crack cocaine use was more likely to occur post-rather than pre-emigration. Of those who ever engaged in these selected behaviors, most adopted the behavior in the U.S. (i.e. 75.8% of FSW patrons, 72.7% of MSM participants, and 85.7% of crack cocaine users), with the exception of binge drinking (26.8%). Men who were living with a family member were less likely to adopt FSW patronage OR=0.27, CI=0.10-0.76, whereas men who earned >$465 per week were more likely to adopt crack cocaine use OR=6.29 CI=1.29, 30.57. Interventions that facilitate the maintenance of family cohesion and provide strategies for financial management may be useful for reducing sex and drug risk among newly arrived migrants.
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