State and Local Policies as a Structural and Modifiable Determinant of HIV Vulnerability Among Latino Migrants in the United States
State and Local Policies as a Structural and Modifiable Determinant of HIV Vulnerability Among Latino Migrants in the United States
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DOI：
10.2105/ajph.2016.303081
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发表时间：
2016-05-01
影响因子：
12.7
通讯作者：
Hirsch, Jennifer S.
中科院分区：
文献类型：
--
作者：
Galeucia, Megan;Hirsch, Jennifer S.
我们探讨州和地方在劳工、健康、教育、语言、社区和邻里环境、驱逐出境和州授权身份识别方面的政策如何减少或加剧美国拉丁裔移民的艾滋病毒脆弱性。我们回顾了有关拉丁裔移民和艾滋病毒风险、拉丁裔移民经历的结构环境背景以及政策影响这些背景的许多领域的文献。为了说明跨多个部门的政策与艾滋病毒脆弱性相关的途径，我们描述了政策如何塑造两个中介领域（对拉丁裔移民的敌意气氛以及进入有益机构的相对容易或困难）以及这些领域如何影响行为风险实践，从而增加艾滋病毒的脆弱性。这一论点证明了将政策环境视为中观层面的可修改要素的实用性，通过该要素，结构性因素会影响艾滋病毒的脆弱性。这种方法与考虑拉丁裔移民的艾滋病毒预防特别相关，更广泛地说，与艾滋病毒预防的结构性方法相关。
We explore how state and local policies in labor, health, education, language, community and neighborhood environments, deportation, and state-authorized identification can reduce or exacerbate HIV vulnerability among Latino migrants in the United States. We reviewed literature on Latino migrants and HIV risk, on the structural-environmental contexts experienced by Latino migrants, and on the many domains in which policies influence those contexts. To illustrate the pathways through which policies across multiple sectors are relevant to HIV vulnerability, we describe how policies shape 2 mediating domains (a climate of hostility toward Latino migrants and the relative ease or difficulty of access to beneficial institutions) and how those domains influence behavioral risk practices, which increase vulnerability to HIV. This argument demonstrates the utility of considering the policy context as a modifiable element of the meso-level through which structural factors shape vulnerability to HIV. This approach has specific relevance to the consideration of HIV prevention for Latino migrants, and more generally, to structural approaches to HIV prevention.