HIV RISK BEHAVIOR AND SUBSTANCE ABUSE AMONG RECENT LATINO IMMIGRANTS

这项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空白。 以及最近拉美裔移民的物质使用轨迹。长期目标是为减排做出贡献。 以及消除拉美裔在艾滋病毒/艾滋病和药物滥用方面的健康差距。这一特殊情况的目标是 一项研究项目是确定在美国生活了多年的拉丁裔移民的艾滋病毒风险行为 不到一年受移民前资产的影响(例如，拉丁裔文化资产、社会资本和 (宗教资产)，在移民过程的早期。中心假说是， 移民前资产和移民后艾滋病毒风险行为将由移民后中介 在美国两年时间内与文化适应相关的压力和物质使用，同时控制 移民前艾滋病毒和物质使用危险行为。这一假设将通过三个具体目标进行检验： (1)考察近年来移民前资产对移民后艾滋病风险行为的影响 拉美裔移民随时间推移；(2)确定移民前资产对移民后的影响 随着时间的推移，最近的拉美裔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、实质的关系 随着时间的推移，使用和艾滋病毒危险行为。研究设计涉及三波数据收集(基线 和两次随访)在两年的时间内相隔12个月。研究将在#年进行。 迈阿密-戴德县，美国唯一一个移民占多数的县(51%)。这种方法是创新的， 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，这是文学中一个经常被忽视的领域。此外，这项研究的重点是18至34人的样本 5岁以下的儿童(艾滋病毒和药物使用的高危群体)在移民的早期阶段。它是 首次纵向研究这群最近的拉丁裔人的艾滋病毒和药物使用危险行为 移民。这项拟议的研究意义重大，因为它可以确定艾滋病毒和艾滋病的重要预测因素 美国拉丁裔移民的物质使用行为轨迹，并可以提供所需的知识 开发新的艾滋病毒和药物滥用预防计划或加强现有计划，以确定， 维持拉美裔人口的资产，并将其纳入基于文化的干预。与以下内容相关 健康差距：少数族裔和少数族裔，特别是非洲裔美国人和拉美裔美国人 受艾滋病毒/艾滋病流行的影响不成比例。发展艾滋病毒和药物滥用的必要性 对于拉美裔移民来说，预防计划是毋庸置疑的，随着他们变得越来越多，他们可能会面临风险 适应了美国社会。

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.