Towards a Structural-Environmental Model of Risk for HIV and Problem Drinking in Latino Labor Migrants: The Case of Day Laborers

Towards a Structural-Environmental Model of Risk for HIV and Problem Drinking in Latino Labor Migrants: The Case of Day Laborers
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DOI:
10.1300/j051v16n01_04
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发表时间:
2007-01-01
影响因子:
1.6
通讯作者:
Organista, Kurt C.
Organista, Kurt C.
中科院分区:
其他
文献类型:
--
作者:
Organista, Kurt C.

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本文的目的是描述美国拉丁裔劳务移民 (LLM) 中艾滋病毒和饮酒问题的结构环境 (SE) 风险的可研究概念模型,重点关注日工。讨论了针对危险情况、嵌入压力生活和工作条件而不仅仅是危险行为的 SE 预防干预措施的意义。目前,美国法学硕士的大多数与艾滋病毒和酒精相关的研究几乎完全集中在评估和改变行为风险上,这虽然很重要,但却很少让我们了解这个独特的拉丁裔人群更广泛的环境风险背景。我们回顾了有关艾滋病毒和问题饮酒风险的已知信息,以及一般法学硕士和临时工的背景因素,作为描述 SE 风险模型及其探索和发展所需的基础研究方法的前奏。讨论了艾滋病毒/艾滋病文献中的基本社会性行为风险框架以及社会性行为预防干预措施的例子,这些干预措施可以增强环境资源和活动,从而应对个人层面的风险情况。 (C) 2007 年,The Haworth Press, Inc. 保留所有权利。
The purpose of this article is to describe a researchable conceptual model of structural-environmental (SE) risk for HIV and problem drinking in Latino labor migrants (LLMs) in the United States, with an emphasis on day laborers. Implications for developing SE prevention interventions that target risky situations, embedded in stressful living and working conditions, and not simply risky behaviors are discussed. Presently, most HIV and alcohol-related research on LLMs in the U.S. has focused almost exclusively on assessing and modifying behavioral risk, which, while important, teaches us very little about the broader environmental context of risk in this unique population of Latinos. Literature is reviewed regarding what is known about risk for HIV and problem drinking, as well as contextual factors in LLMs in general and day laborers in particular, as a prelude to describing a SE risk model and basic research methods necessary for its exploration and development. Foundational SE risk frameworks in the HIV/AIDS literature are discussed as well as examples of SE prevention interventions that enhance environmental resources and activities and hence coping with risky situations at the individual level. (C) 2007 by The Haworth Press, Inc. All rights reserved.