Lessons from the Fields: A Migrant HIV Prevention Project
Lessons from the Fields: A Migrant HIV Prevention Project
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DOI：
10.1177/003335490912400605
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发表时间：
2009-11-01
影响因子：
3.3
通讯作者：
Malow, Robert
中科院分区：
文献类型：
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作者：
McCoy, H. Virginia;Hlaing, Wayway M.;Malow, Robert
移徙工人和季节工人由于贫穷、对预防战略了解不足和缺乏保健服务，容易感染人体免疫机能丧失病毒（艾滋病毒）。本研究探讨了艾滋病毒在佛罗里达伊莫卡莱的西班牙裔和非洲裔美国移民工人中的不同影响，他们使用酒精和其他药物。通过试点测试，使试验性和比较性干预措施适应这两个不同的人群，研究人员认识到以下方面的重要性：（1）在外联工作人员和移民社区之间建立和保持信任;（2）意识到可能给研究进程带来挑战的文化细微差别和做法，以及这些因素与贫困的相互作用;（3）招募和干预的灵活性。作为在这一人群中使用实验设计并关注导致危险行为的社会和背景因素的首批干预研究之一，这些经验教训可能为未来的研究人员提供指导。
Migrant and seasonal workers are vulnerable to human immunodeficiency virus (HIV) due to poverty, inadequate knowledge of preventive strategies, and lack of access to health care. This study addresses the disparate impact of HIV among Hispanic and African American migrant workers in Immokalee, Florida, who use alcohol and other drugs. Through pilot testing to adapt the experimental and comparison interventions to these two distinct populations, research staff have learned the importance of (1) establishing and maintaining trust between outreach staff and the migrant community; (2) being aware of cultural nuances and practices that might create challenges to the research process, and the interaction of these factors with poverty; and (3) having flexibility in recruitment and intervention. As one of the first intervention studies in this population to use an experimental design and to focus on the social and contextual factors that contribute to risky behaviors, these lessons may provide guidance for future researchers.