Immigration and HIV/AIDS in the New York metropolitan area
Immigration and HIV/AIDS in the New York metropolitan area
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DOI：
10.1007/s11524-005-9006-5
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发表时间：
2006-01-01
影响因子：
6.6
通讯作者：
Barreras, R
中科院分区：
文献类型：
--
作者：
Shedlin, MG;Drucker, E;Barreras, R
由于艾滋病流行的地点和受影响的人群不断变化，因此研究境内和跨境移动的和移民群体的艾滋病风险行为至关重要。跨文化移徙的影响以及从人口特征以及文化和环境因素的角度研究这种影响的重要性在公共卫生研究中没有得到足够的重视。这项合作分析利用了来自纽约移民群体的三项研究的数据来描述和比较这些因素，这些因素为艾滋病毒/艾滋病和其他健康挑战的风险和预防提供了背景。讨论的数据是利用多方法的方法来确定，并描述新的和更成熟的移民人口在北美的城市环境中的HIV风险，纽约市作为一个中心焦点。人口和流行病学数据支持在美国移民和纽约市艾滋病毒/艾滋病流行的更大背景下进行分析。作者确定了在不同程度上嵌入移民的多元文化和亚文化的风险和保护因素。研究的三个人口包括：1）来自多米尼加共和国，墨西哥和中美洲的新西班牙裔移民; 2）牙买加，特立尼达/托巴哥和其他英语加勒比国家的西印度（加勒比）移民; 3）来自印度的南亚移民（印度裔美国人）。该文件寻求差异和共同点，重点是社会，态度和行为因素，有助于增加艾滋病毒/艾滋病的脆弱性，这些人口。所提供的数据还确定了个人和群体的一些态度和行为，以及移民在适应新环境时传播艾滋病毒的其他促进因素和障碍。讨论的主题包括影响移民群体易感染艾滋病毒/艾滋病的因素、目标和期望、健康和心理健康问题、性别角色的改变、性风险、酒精和其他毒品的增加、对艾滋病毒/艾滋病风险的认识以及对预防的影响。
Because the HIV pandemic undergoes continual change in its locations and affected populations, it is crucial to study HIV risk behaviors among mobile and immigrant groups within and across borders. The impact of cross-cultural migrations and the importance of studying that impact in terms of demographic characteristics as well as cultural and environmental factors has not received adequate attention in public health research. This collaborative analysis utilizes data from three studies of immigrant groups in New York to describe and compare these factors that provide the context for risk and prevention of HIVAIDS and other health challenges. Data discussed were obtained utilizing multi-method approaches to identify, and describe HI V risks among both new and more established immigrant populations within the urban settings of North America, with NYC as a central focus. Demographic and epidemiological data situate the analysis within the larger contexts of US migration and the HIV/AIDS epidemic in NYC. The authors identify risk and protective factors embedded to varying degrees in immigrants' multiple cultures and sub-cultures. The three populations studied include: 1) new Hispanic immigrants from the Dominican Republic, Mexico and Central America; 2) West Indian (Caribbean) immigrants front Jamaica, Trinidad/ Tobago and other anglophone Caribbean nations; and 3) South Asian immigrants from India (Indian Americans). The paper seeks differences and commonalities, focusing on the social, attitudinal and behavioral factors that contribute to increased HIV/AIDS vulnerability among these populations. The data presented also identify some of the attitudes and behaviors of individuals and groups, as well as other facilitators and obstacles to transmission for immigrants as they adapt to new environments. Topics addressed include factors affecting HIV/AIDS vulnerability of immigrant groups, goals and expectations, health and mental health issues, gender role change, sexual risk, alcohol and other drug rise, perception of HIV/AIDS risk and implications for prevention.