Region of birth, sex, and reproductive health in rural immigrant latino farmworkers: the MICASA study.
Region of birth, sex, and reproductive health in rural immigrant latino farmworkers: the MICASA study.
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农村移民拉丁裔农场工人的出生、性和生殖健康地区：MICASA 研究。
DOI：
10.1111/jrh.12083
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Schenker,MarcB
中科院分区：
文献类型：
--
作者：
McCurdy,StephenA;Stoecklin-Marois,MariaT;Tancredi,DanielJ;Hennessy-Burt,TamaraE;Schenker,MarcB
目的了解拉美裔移民农场工人的性健康和生殖健康特征。方法我们在加利福尼亚州中央山谷的一个农村农业社区调查了806名来自墨西哥和中美洲的拉美移民农场工人。调查发现，共有556名受访者出生在墨西哥(272名男性，284名女性)，250名(135名男性，115名女性)出生在中美洲。大多数人是在年轻时进入美国的，移民年龄中值从20岁(墨西哥出生的男性)到24岁(中美洲出生的女性)不等。近95%的受访者已婚或同居。女性首次性行为的中位年龄为18岁，男性更年轻(调整后的平均差异：-2.1岁，95%可信区间：-2.6至-1.7)。终身性伴侣的中位数女性为1人，男性更多(调整后的平均差异：2.0人，95%可信区间：1.3-2.7)。与墨西哥出生的女性相比，男性和中美洲女性使用避孕药的可能性较小。在没有使用避孕药的性行为活跃的人中，最常见的不使用避孕药的原因是“不想”/“不喜欢任何”，其次是想要怀孕或怀孕。女性报告怀孕的中位数为3次；基于受访者的出生地区，没有显著差异。结论这群拉丁裔移民表现出有利于生殖健康的行为：首次性行为较晚，终身性伴侣较少，结婚率较高。预防教育活动的重点应该是保持健康的行为，特别是在男性中。确定具有共同来源和文化遗产的群体可能有助于最大限度地提高预防方案的可接受性和有效性。
PurposeCharacterize sexual and reproductive health among immigrant Latino farmworkers.MethodsWe surveyed 806 immigrant Latino farmworkers from Mexico and Central America in a rural agricultural community in California's Central Valley.FindingsA total of 556 respondents were born in Mexico (272 men, 284 women) and 250 in Central America (135 men, 115 women). The majority entered the United States as young adults, with median age at immigration ranging from 20 (Mexican‐born men) to 24 (Central American‐born women). Nearly 95% of respondents were married or cohabiting. Median age for sexual debut was 18 for women and was younger for men (adjusted mean difference: –2.1 years, 95% CI: –2.6 to –1.7). Median number of lifetime sexual partners was 1 for women and greater for men (adjusted mean difference: 2.0 partners, 95% CI: 1.3‐2.7). Contraception use was less likely among men and among Central American women compared to Mexico‐born women. Among sexually active persons not using contraception, the most common reasons for nonuse were “Don't want to”/”Don't like any” followed by desire to become or being pregnant. Women reported a median of 3 pregnancies; there were no significant differences based on respondents’ region of birth.ConclusionsThis group of Latino immigrants demonstrated behaviors conducive to reproductive health: late sexual debut, few lifetime sexual partners, and high prevalence of marriage. Preventive education campaigns should focus on maintaining healthy behaviors, especially in men. Identifying groups with common provenance and cultural heritage may aid in maximizing acceptability and effectiveness of prevention programs.