Understanding the Impact of Migration on HIV Risk: An Analysis of Mexican Migrants' Sexual Practices, Partners, and Contexts by Migration Phase.

Understanding the Impact of Migration on HIV Risk: An Analysis of Mexican Migrants' Sexual Practices, Partners, and Contexts by Migration Phase.
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DOI:
10.1007/s10461-016-1622-4
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发表时间:
2017-03
期刊:
影响因子:
4.4
通讯作者:
Martínez-Donate AP
Martínez-Donate AP
中科院分区:
医学2区
文献类型:
--
作者:
Zhang X;Rhoads N;Rangel MG;Hovell MF;Magis-Rodriguez C;Sipan CL;Gonzalez-Fagoaga JE;Martínez-Donate AP

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HIV risk among Mexican migrants varies across migration phases (pre-departure, transit, destination, interception, and return), but there is limited knowledge about specific sexual behaviors, characteristics of sexual partners, and sexual contexts at different migration stages. To fill the gap, we used data from a cross-sectional population-based survey conducted in Tijuana, Mexico. Information on migration phase and last sexual encounter was collected from 1,219 male migrants. Our findings suggested that compared to pre-departure migrants, repeat migrants returning from communities of origin were more likely to have sex with male partners, use substances before sex, and not use condoms; migrants with a recent stay in the Mexican border were more likely to have sex with casual partners and sex workers; and migrants in the interception phase were more likely to engage in anal sex and use substances before sex. Sexual behaviors, partners, and contexts vary significantly among migrants at different migration phases. Tailored HIV prevention programs targeting Mexican migrants need to be developed and implemented at all migration phases.
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