Gender,Migration,and HIV Risk among Hispanics:A Tri-National Study

西班牙裔人的性别、移民和艾滋病毒风险：一项三国研究

• 批准号: 7240442
• 负责人: EMILIO ALBERTO PARRADO
• 金额: $ 50.72万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-30 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7240442
• 关键词: AIDS diagnosis; AIDS/HIV problem; Accounting; Acquired Immunodeficiency Syndrome; Adult; Affect; American; Americas; Area; Attitude; Behavior; Cathexis; Centers for Disease Control and Prevention (U.S.); Central America; Cities; Classification; Collaborations; Communities; Contracts; Country; County; Cultural Backgrounds; Data; Data Analyses; Data Collection; Decision Making; Depth; Development; Diagnosis; Diffusion; Dimensions; Disease; Emigrations; Emotional; Epidemic; Equilibrium; Exhibits; Family; Funding; Gender; Gender Role; General Population; Grant; HIV; Heterogeneity; Heterosexuals; Hispanics; Honduran; Honduras; Household; Immigration; Institution; International Migrations; Intervention; Interview; Latin America; Literature; Marketing; Marriage; Mexican; Mexico; Modeling; National origin; Nomads; Numbers; Oranges; Pattern; Population; Prevalence; Process; Prostitution; Public Health; Publications; Rate; Research; Research Design; Research Personnel; Research Project Summaries; Risk; Risk Behaviors; Risk Factors; Role; Sampling; Sex Behavior; Sexual Partners; Siblings; Social Network; Stream; Structure; Surveys; Taboo; Theoretical model; Time; Translating; Translations; Variant; Woman; Work; Zea; concept; condoms; design; experience; improved; male; member; men; metropolitan; migration; research to practice; rural area; social; theories; transmission process

DESCRIPTION (provided by applicant): Project Summary: This research continues and expands our analysis of the interaction between gender, migration, and HIV risks among Hispanics. Despite advances in controlling the diffusion of HIV among the general population of the U.S., the epidemic remains a serious threat to the Hispanic community. There is also evidence of the disease spreading across migrant sending areas in Latin America. Even though the relationship between Latin American migration and the HIV/AIDS epidemic is increasingly evident, a lack of systematic information about the social processes fueling the diffusion of the disease has limited the development of successful interventions. Moreover, it is unclear how migration and gender dimensions interact to affect HIV risks among migrants and how these factors vary across national origin groups. We argue that a key to understanding HIV risks among migrant groups lies in the intersection of gender, culture, and migration. Our theoretical framework integrates migration into the Theory of Gender and Power to understand the gender and migration related factors affecting sexual risk behaviors among the Hispanic population. The specific aims are to: 1) Compare prevalent sexual behaviors among Hispanic migrants in Durham, NC and their counterparts in sending communities. 2) Identify and compare the impact of migration on the gender structures of labor, power, and cathexis. 3) Model empirically the gender and migration related determinants of sexual behaviors. 4) Explicitly compare the relationship between gender, migration, and HIV risk across the Mexican and Honduran populations to evaluate the heterogeneity of Hispanic groups. 5) Construct and refine a data-derived, culture, gender, and national-origin specific model of sexual behavior in collaboration with community members to inform HIV interventions for at-risk Hispanic migrants. Data for the analysis will come from a tri-national survey conducted in Durham, NC and sibling communities in Honduras and Mexico, supplemented with in depth interviews in the U.S. Relevance: Understanding the social factors affecting HIV risk behaviors among Hispanics is a major public health concern, with important implications for containing the spread of HIV across the Americas. Findings from the study will provide culturally grounded and reliable information on gender, migration, and sexual behavior vital for the development of successful HIV interventions targeting Hispanic groups.

描述（由申请人提供）：项目摘要：这项研究继续并扩大了我们对西班牙裔美国人中性别，移民和艾滋病毒风险之间相互作用的分析。尽管在控制艾滋病毒在美国普通人群中的传播方面取得了进展，这一流行病对西班牙裔社区仍然是一个严重威胁。还有证据表明，这种疾病在拉丁美洲的移民输出地区蔓延。尽管拉丁美洲移徙与艾滋病毒/艾滋病流行病之间的关系日益明显，但由于缺乏有关助长这一疾病传播的社会进程的系统信息，限制了制定成功的干预措施。此外，尚不清楚移徙和性别层面如何相互作用，影响移徙者的艾滋病毒风险，以及这些因素在不同国籍群体之间的差异。我们认为，关键是要了解艾滋病毒的风险在移民群体中的性别，文化和移民的交叉点。我们的理论框架将移民融入性别和权力理论，以了解西班牙裔人口中影响性风险行为的性别和移民相关因素。具体目标是：1）比较北卡罗来纳州达勒姆的西班牙裔移民与派遣社区的西班牙裔移民的普遍性行为。2)识别和比较移民对劳动力、权力和情感宣泄的性别结构的影响。3)建立与性别和移民有关的性行为决定因素的经验模型。4)明确比较性别，移民和艾滋病毒风险之间的关系，在墨西哥和哥伦比亚人口，以评估西班牙裔群体的异质性。5)与社区成员合作，构建和完善一个基于数据的、文化、性别和国籍的特定性行为模型，为高危西班牙裔移民提供艾滋病毒干预措施。数据分析将来自一项在达勒姆，NC和兄弟姐妹社区在洪都拉斯和墨西哥进行的三国调查，在美国的深度访谈补充相关性：了解影响艾滋病毒风险行为的社会因素在西班牙裔是一个重大的公共卫生问题，遏制艾滋病毒在美洲的传播具有重要意义。这项研究的结果将提供有关性别、移民和性行为的文化基础和可靠信息，这些信息对于制定针对西班牙裔群体的成功艾滋病毒干预措施至关重要。