Complex Patterns Across the Migration Process and Associated HIV Testing and Risk Behaviors among Latino Immigrants.
Complex Patterns Across the Migration Process and Associated HIV Testing and Risk Behaviors among Latino Immigrants.
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整个移民过程的复杂模式以及拉丁裔移民中相关的艾滋病毒检测和风险行为。
DOI：
10.1007/s12529-019-09768-5
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发表时间：
2019
影响因子：
2.7
通讯作者：
Zhou,Yuanjin
中科院分区：
文献类型：
--
作者：
Lee,Jane;Yu,Gary;Zhou,Yuanjin
背景移徙者面临艾滋病毒相关不良后果的风险更高。然而，人们对移民过程的复杂性和可能影响艾滋病毒检测和风险行为的不同移民经历的理解有限。这项研究探讨了移民移民经历的模式是否与艾滋病毒风险和预防行为有关。方法2017年春季在纽约市对拉丁裔移民成年人（n= 306）进行了调查。知情的形成性访谈，变量开发，以评估移民过程和文件的信息，拉丁美洲移民的经验，在六个特定阶段的移民（出发前，旅行，目的地，拦截，返回，和解决）。我们进行了一个潜在的类分析（LCA），以检测模式的参与者之间的迁移经验，并研究了潜在的类和HIV检测和风险behaviors.ResultsLCA聚类参与者到三个迁移经验类：积极的经验（50.3%），中性的经验（36.3%），和消极的经验（13.4%）之间的关联。移民类别与社会人口变量，包括性别，年龄和收入显着相关。移民过程中的不同经历并不影响移民过去或现在的艾滋病毒检测或危险行为。然而，移民类别与移民未来检测艾滋病毒的意图有关，阳性移民经验类别报告在未来12个月内检测艾滋病毒的意图大于阴性经验类别（aOR，2.95; 95% CI，1.21-7.17;结论结果表明，移民经验框架的适用性，了解未来的艾滋病毒风险和预防行为的移民。
BackgroundMigrants are at elevated risk for adverse HIV-related outcomes. Yet, there is limited understanding about the complexity of the migration process and the different migration experiences that may influence HIV testing and risk behaviors. This study examined whether patterns in immigrants’ migration experience were associated with HIV risk and preventive behaviors.MethodsSurveys were conducted with Latino immigrant adults (n= 306) in New York City during the spring of 2017. Informed by formative interviews, variables were developed to assess the migration process and document information about Latino immigrants’ experiences during six particular stages of migration (pre-departure, travel, destination, interception, return, and settlement). We conducted a Latent Class Analysis (LCA) to detect patterns in the migration experience among participants and examined the associations between the latent classes and HIV testing and risk behaviors.ResultsLCA clustered participants into three migration experience classes: positive experience (50.3%), neutral experience (36.3%), and negative experience (13.4%). The migration classes were significantly associated with sociodemographic variables, including sex, age, and income. Different experiences during the migration process did not influence immigrants’ past or current HIV testing or risk behaviors. However, the migration classes were associated with immigrants’ future intentions to test for HIV with the positive migration experience class reporting greater intentions to test for HIV in the next 12 months than the negative experience class (aOR, 2.95; 95% CI, 1.21–7.17;p< .05).ConclusionResults suggest the applicability of a migration experience framework for understanding future HIV risk and preventive behaviors among immigrants.