HIV Risk Behaviors among Recently Arrived Latina Immigrant Women Living in Housto

描述（由申请人提供）：越来越多的证据表明，最近移民到美国的中美洲和墨西哥妇女感染艾滋病毒的风险增加。移民过渡期，包括移民旅程本身，加上对美国生活的初步适应，构成了特别风险期。新移民妇女处于过渡期和适应期的“门槛阶段”，在这一阶段，她们缺乏社会支持网络、经济资源和获得信息的机会。在他们的阈限阶段，拉丁裔移民妇女可能容易受到的情况和行为，加剧了他们的艾滋病毒的风险超出了更稳定的移民人口。虽然关于来自中美洲和墨西哥的城市女性移民的人种学数据表明，在移民的过渡阶段，性冒险可能是常见的，但目前还没有定量数据支持这一点。本研究的目的是描述和比较危险的性行为的患病率最近和建立拉丁美洲移民妇女生活在休斯敦，得克萨斯州。分析的主要重点将是交换性行为、强迫性行为和无保护的性行为。这项研究将提供流行病学数据，阐明与过渡性迁徙事件相关的特定背景和行为。受访者驱动抽样（RDS）将用于招募来自休斯顿拉丁美洲风险地区的中美洲和墨西哥妇女。风险地区是艾滋病毒高流行率、拉丁裔人口和贫困地区。最近的移民将由在美国居住的年数来定义：最近的移民是那些在美国居住了0到4年的人;已建立的移民是那些在美国居住了5年或更长时间的人。访谈问卷将被用来收集有关性风险行为，人口统计学，文化适应和移民的新近程度的信息。多元逻辑回归将被用来评估移民和性风险行为之间的关联。 公共卫生相关性：这项横断面研究的目的是描述和比较流行的交换性行为，胁迫性行为，和无保护措施的性行为之间最近成立的中美洲和墨西哥妇女生活在得克萨斯州休斯顿。据推测，这种性风险行为可能会增加艾滋病毒感染的风险，最近抵达的移民妇女超过了更成熟的移民。从这项研究中获得的流行病学数据将有助于阐明与过渡性移民事件相关的背景和行为，增加了拉丁美洲移民妇女感染艾滋病毒的脆弱性。

DESCRIPTION (provided by applicant): There is growing evidence that recent immigrant Central American and Mexican women in the United States are at increased risk for HIV infection. The migratory transitional period, encompassing the migratory journey itself, plus the initial adaptation to life in the US, constitutes the period of particular risk. Recently immigrated women are in a "liminal phase," both in the transit period and the adaptation period, in which they lack social support networks, economic resources, and access to information. In their liminal phase, Latina immigrant women may be vulnerable to situations and behaviors that exacerbate their risk for HIV beyond that of more stable immigrant populations. Although ethnographic data on urban female immigrants from Central America and Mexico suggest that sexual risk taking may be common during transitional phases of immigration, there is as yet no quantitative data to support this. The purpose of this study is to describe and compare the prevalence of risky sexual behaviors among recent and established Latina immigrant women living in Houston, Texas. The primary focus of analysis will be on exchange sex, coercive sex, and unprotected sex. This study will provide epidemiologic data that will elucidate the specific contexts and behaviors associated with transitional migratory episodes. Respondent driven sampling (RDS) will be used to recruit Central American and Mexican women from Latino risk areas of Houston. Risk areas are those with high prevalence of HIV, Latino population, and poverty. Recency of immigration will be defined by the number of years of residency in the US: recent immigrants are those who have lived in the US between 0 and 4 years; established immigrants are those who have lived in the US 5 years or more. An interviewer-administered questionnaire will be used to collect information on sexual risk behaviors, demographics, acculturation, and recency of immigration. Multivariate logistic regression will be used to assess the association between recency of immigration and sexual risk behaviors. PUBLIC HEALTH RELEVANCE: This cross-sectional study aims to describe and compare the prevalence of exchange sex, coercive sex, and unprotected sex among recent and established Central American and Mexican women living in Houston, Texas. It is hypothesized that such sexual risk behaviors may increase the risk of HIV infection among recently arrived immigrant women beyond that of more established immigrants. Epidemiologic data derived from this study will help elucidate the contexts and behaviors associated with transitional migratory episodes that increase Latina immigrant women's vulnerability to HIV infection.