Geographic mobility and its impact on sexual health and ongoing HIV transmission among migrant latinx men who have sex with men.
Geographic mobility and its impact on sexual health and ongoing HIV transmission among migrant latinx men who have sex with men.
复制标题
地理流动性及其对性健康的影响以及与男性发生性行为的拉丁移民男性中持续的艾滋病毒传播。
DOI：
10.1016/j.socscimed.2022.115635
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Meltzer,Dan
中科院分区：
文献类型：
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作者：
Cassels,Susan;Cerezo,Alison;Reid,SeanC;Rivera,DavidB;Loustalot,Colin;Meltzer,Dan
一个未充分研究的社会过程，可能会决定可变的艾滋病毒风险，检测，并与护理的联系是地理流动性，包括移民以及短期流动性，特别是在性少数人群。我们的目标是评估拉丁美洲和美国之间的生命历程中的地理流动性，在美国，与加州圣贝纳迪诺县与男性发生性关系的拉丁裔移民男性（MSM）的性风险和健康行为有关。对16个半结构式访谈的定性分析揭示了四个主要领域对参与者的性风险行为的影响。在微观层面，这些因素包括社会环境/人际因素（例如，家庭和同伴支持）以及地理因素和途径（例如，移民美国）。在宏观层面上，数据以文化因素为中心（例如，本国的性别规范）和结构性因素（例如，艾滋病保健）。我们的研究结果可以照亮和促进有效的卫生政策和艾滋病毒减少努力拉丁移民男男性接触者在大都市地区。
An understudied social process that may determine variable HIV risk, testing, and linkage to care is geographic mobility, including immigration as well as short-term mobility, especially among sexual minority populations. We aimed to assess how geographic mobility over the lifecourse between Latin America and the U.S., and within the U.S., was linked to sexual risk and health behaviors among Latinx migrant men who have sex with men (MSM) in San Bernardino County, California. Qualitative analysis of 16 semi-structured interviews revealed four major domains of influence on participants' sexual risk behaviors. At the micro level, these included social environment/interpersonal factors (e.g., family and peer support) and geographic factors and pathways (e.g., migration journey to the U.S.). At the macro level data centered on cultural factors (e.g., gender norms in home country) and structural factors (e.g., HIV healthcare). Our results can illuminate and promote effective health policies and HIV reduction efforts for Latinx migrant MSM in metro areas.