Does Acculturative Stress Influence Immigrant Sexual HIV Risk and HIV Testing Behavior? Evidence from a Survey of Male Mexican Migrants.
Does Acculturative Stress Influence Immigrant Sexual HIV Risk and HIV Testing Behavior? Evidence from a Survey of Male Mexican Migrants.
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DOI：
10.1007/s40615-017-0425-2
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发表时间：
2018-08
影响因子：
3.9
通讯作者：
Guendelman S
中科院分区：
文献类型：
--
作者：
Martinez-Donate AP;Zhang X;Gudelia Rangel M;Hovell MF;Eduardo Gonzalez-Fagoaga J;Magis-Rodriguez C;Guendelman S
移徙是增加艾滋病毒易感性的结构性因素。异文化压力是移民可能对艾滋病毒风险产生负面影响的一种可能机制。本研究调查了墨西哥移民中与异文化压力水平相关的社会生态因素，并检验了异文化压力与艾滋病相关行为之间的关系。我们使用的数据来自2009-2010年在墨西哥蒂华纳进行的墨西哥移民/移民概率调查（N= 1,383）。样本包括最近在美国逗留后通过驱逐或自愿返回墨西哥的移民，估计线性回归模型可以识别与总体异文化压力水平独立相关的个人，移民和背景因素。采用Logistic回归模型检验异文化压力、性HIV风险和HIV检测史行为之间的关系。我们发现，不同文化压力水平与社会经济指标、文化适应水平、合法居留身份和性少数身份显著且独立相关。分析还表明，异文化压力与性艾滋病毒风险行为呈正相关，与最近的艾滋病毒检测呈负相关。研究结果强调，个人因素和环境因素都会影响墨西哥移民的异文化压力水平。反过来，异文化压力可能会加剧性艾滋病毒的风险，并阻碍在这些移民/移民人群中进行检测。有针对性的干预措施，以防止和减少异文化压力是一个潜在的策略，以减少性艾滋病毒风险行为和促进艾滋病毒检测在美国的这一弱势群体的移民
Migration is a structural factor that increases HIV vulnerability. Acculturative stress represents a possible mechanism through which migration may negatively impact HIV risk. This study investigated socio-ecological factors associated with acculturative stress levels and examined the association between acculturative stress and HIV-related behavior among Mexican im/migrants. We used data from a probability survey of Mexican im/migrants (N= 1,383) conducted in Tijuana, Mexico, in 2009-2010. The sample included migrants returning to Mexico via deportation or voluntarily after a recent stay in the U.S. Linear regression models were estimated to identify individual, migration, and contextual factors independently associated with overall acculturative stress levels. Logistic regression models were used to test for associations between acculturative stress, sexual HIV risk and HIV testing history behavior. We found that levels of acculturative stress were significantly and independently related to socio-economic markers, acculturation level, legal residence status, and sexual minority status. The analyses also showed that acculturative stress was positively related to sexual HIV risk behavior and negatively related to recent HIV testing. The results underscore that both individual and environmental factors contribute to levels of acculturative stress among Mexican im/migrants. In turn, acculturative stress may exacerbate sexual HIV risk and impede testing among this im/migrant population. Targeted interventions to prevent and decrease acculturative stress represent a potential strategy to reduce sexual HIV risk behavior and promote HIV testing among this vulnerable population of im/migrants in the U.S.
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影响因子：
0.7
作者：
Gonzalez-Guarda, Rosa M.;McCabe, Brian E.;Peragallo, Nilda
通讯作者：
Peragallo, Nilda
DOI：
10.1037/1099-9809.10.3.255
发表时间：
2004-08-01
影响因子：
3.3
作者：
Diaz, Rafael M;Ayala, George;Bein, Edward
通讯作者：
Bein, Edward
影响因子：
1.4
作者：
Galvan, Frank H.;Wohl, Amy Rock;Chen, Ying-Tung
通讯作者：
Chen, Ying-Tung
影响因子：
2.4
作者：
Baruch-Dominguez, Ricardo;Infante-Xibille, Cesar;Saloma-Zuniga, Claudio E.
通讯作者：
Saloma-Zuniga, Claudio E.
DOI：
10.1023/a:1023987717921
发表时间：
2003-07-01
期刊：
Journal of immigrant health
影响因子：
--
作者：
Finch, Brian Karl;Vega, William A
通讯作者：
Vega, William A