HIV RISK BEHAVIOR AND SUBSTANCE ABUSE AMONG RECENT LATINO IMMIGRANTS

这一建议将解决社会流行病学文献中关于艾滋病毒危险行为的一个根本性空白 以及最近拉丁裔移民的药物使用轨迹长期目标是促进减少 并消除拉丁裔在艾滋病毒/艾滋病和药物滥用方面的健康差异。这个特别的目的 一项研究项目是确定在美国居住了10年的拉丁裔移民的艾滋病毒风险行为。 不到一年的时间受到移民前资产的影响（例如，拉丁美洲文化资产，社会资本， 宗教资产），早在移民过程中。核心假设是， 移民前的资产和移民后的艾滋病毒风险行为将通过移民后的 在美国两年的时间内，在控制文化适应相关压力和物质使用的同时， 移民前的艾滋病毒和物质使用风险行为。这一假设将通过三个具体目标进行检验： (1)研究移民前资产对移民后艾滋病毒风险行为的影响， 随着时间的推移，拉丁裔移民;（2）确定移民前资产对移民后资产的影响 随着时间的推移，最近的拉丁美洲移民中与文化适应相关的压力和物质使用;（3）调查 移民前资产与移民后文化适应相关压力、实质之间的关系 随着时间的推移，艾滋病毒的危险行为。研究设计包括三波数据收集（基线 和两次随访），间隔12个月，为期两年。本研究的开展将 迈阿密-戴德县是美国唯一一个移民占多数的县（51%）。方法是创新的， 因为它承认移民前因素在预测移民后艾滋病毒风险方面的重要性 行为，一个经常被忽视的领域在文学。此外，该研究还关注了18至34名 在移民的早期阶段，对10岁以下的儿童（艾滋病毒和药物使用的高风险群体）进行教育。是 第一个纵向研究，以调查艾滋病毒和物质使用的风险行为，这组最近的拉丁美洲人 移民.这项拟议中的研究意义重大，因为它可以确定艾滋病毒的重要预测因素， 物质使用行为轨迹的拉丁美洲移民在美国，并可以提供所需的知识 制定新的艾滋病毒和药物滥用预防计划或加强现有的计划， 维持并将拉丁裔人口的资产纳入以文化为基础的干预措施。涉及 健康差距：少数民族和种族，特别是非洲裔美国人和拉丁美洲人， 受艾滋病毒/艾滋病流行病影响的人数过多。发展艾滋病毒和药物滥用的需要 预防计划是毫无疑问的拉丁美洲移民谁可能处于危险之中，因为他们变得越来越 适应美国社会。

This proposal will address a fundamental gap in the social epidemiology literature on the HIV risk behavior and substance use trajectories of recent Latino immigrants. The long term goal is to contribute to reduction and elimination of Latino health disparities in HIV/AIDS and substance abuse. The objective of this particular research project is to determine how the HIV risk behavior of Latino immigrants who have been in the U.S. for less than one year are influenced by pre-immigration assets (e.g., Latino cultural assets, social capital, and religious assets), early in their immigration process. The central hypothesis is that the relationship between pre-immigration assets and post-immigration HIV risk behaviors will be mediated by post-immigration acculturation related stress and substance use over a two-year time period in the U.S. while controlling for pre-immigration HIV and substance use risk behaviors. This hypothesis will be tested by three specific aims: (1) examine the influence of pre-immigration assets on post-immigration HIV risk behaviors among recent Latino immigrants over time; (2) identify the effects of pre-immigration assets on post-immigration acculturation related stress and substance use among recent Latino immigrants over time; (3) investigate the relationship between pre-immigration assets, and post-immigration acculturation related stress, substance use, and HIV risk behaviors over time. The study design involves three waves of data collection (a baseline and two follow ups) spaced twelve months apart over a period of two years. The study will be conducted in Miami-Dade County, the only county in the U.S. with an immigrant majority (51%). The approach is innovative, because it acknowledges the importance of pre-immigration factors in predicting post-immigration HIV risk behavior, an often neglected area in the literature. In addition, the study focuses on a sample of 18 to 34 years olds (a high risk group both for HIV and substance use) during their early stages of immigration. It is the first longitudinal study to investigate the HIV and substance use risk behavior of this group of recent Latino immigrants. The proposed research is significant, because it can identify important predictors of HIV and substance use behavior trajectories for Latino immigrants in the U.S. and can provide the knowledge needed to develop new HIV and substance abuse prevention programs or enhance existing programs that identify, sustain and incorporate assets of Latino populations into culturally grounded intervention. Relevance to Health Disparities: Ethnic and racial minorities, especially African Americans and Latinos, are disproportionately affected by the HIV/AIDS epidemic. The need for developing HIV and substance abuse prevention programs is unquestionable for Latino immigrants who may be at-risk as they become increasingly acculturated to the U.S. society.