Circular migration by Mexican female sex workers who are injection drug users: implications for HIV in Mexican sending communities.
Circular migration by Mexican female sex workers who are injection drug users: implications for HIV in Mexican sending communities.
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DOI：
10.1007/s10903-011-9512-3
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发表时间：
2012-02
影响因子：
1.9
通讯作者：
Magis-Rodriguez, Carlos
中科院分区：
文献类型：
--
作者：
Ojeda, Victoria D.;Burgos, Jose Luis;Hiller, Sarah P.;Lozada, Remedios;Rangel, Gudelia;Vera, Alicia;Artamonova, Irina;Magis-Rodriguez, Carlos
循环移徙和注射吸毒增加了在移民社区传播艾滋病毒的风险。本研究描述了女性性工作者注射吸毒者（FSW-IDUs）的循环迁移和吸毒行为。在2008-2010年期间，258名居住在墨西哥蒂华纳和华雷斯城的外来务工人员参与了问卷调查。24%的FSW-IDUs是循环移民。艾滋病毒感染率在循环流动人口中为3.3%，在非循环流动人口中为6.1%；50%的循环移民和82%的非循环移民不知道自己感染了艾滋病毒。在循环移民中，44% （n=27）在其出生地使用非法药物；其中70% （n=20）注射毒品，一半的注射者在其出生地共用注射设备。报告积极社会关系的女性更有可能回家。循环移民FSW-IDUs对过渡性人群具有多重艾滋病毒风险和机会。定期的艾滋病毒检测和治疗以及获得药物使用服务对FSW-IDUs及其性/吸毒接触者至关重要。
Circular migration and injection drug use increase the risk of HIV transmission in sending communities. We describe female sex workers who are injection drug users’ (FSW-IDUs) circular migration and drug use behaviors. Between 2008-2010, 258 migrant FSW-IDUs residing in Tijuana and Ciudad Juarez, Mexico responded to questionnaires. 24% of FSW-IDUs were circular migrants. HIV prevalence was 3.3% in circular migrants and 6.1% in non-circular migrants; 50% of circular and 82% of non-circular migrants were unaware of their HIV infection. Among circular migrants, 44% (n=27) consumed illicit drugs in their birthplace; 70% of these (n=20) injected drugs and one-half of injectors shared injection equipment in their birthplace. Women reporting active social relationships were significantly more likely to return home. Circular migrant FSW-IDUs exhibit multiple HIV risks and opportunities for bridging populations. Regular HIV testing and treatment and access to substance use services is critical for FSW-IDUs and their sexual/drug-using contacts.
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