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HIV Risk Behaviors and Correlates of Inconsistent Condom Use Among Substance Using Migrants at the Mexico/Guatemala Border

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Abstract

This study assessed correlates of inconsistent condom use with casual partners and the prevalence of sexual risk behaviors and STIs in the Mexico/Guatemala border region using a sample of 392 migrants (303 men, 85 women) who reported current substance use or problem drinking. We ran separate univariate logistic regression models for men and women, and multivariate logistic regression models for men only. Prevalence of syphilis was 1.2% among women and 2.3% among men; HIV prevalence was 2.4% among women and 1.3% among men. Inconsistent condom use with casual partners was higher in women with greater education and lower among women who sold sex. In men, less access to free condoms, drug use with sexual partners, and drug use before sex were independently associated with inconsistent condom use with casual partners. Sexual and substance use risk behaviors were common, and HIV/STI prevention efforts should target both genders and expand beyond most-at risk populations.

Resumen

En este estudio se evaluó la correlación del uso inconsistente de los preservativos con parejas ocasionales y la prevalencia de comportamientos sexuales de alto riesgo e ITS en la frontera entre México y Guatemala. Se utilizó una muestra de 392 migrantes (303 hombres, 85 mujeres), quienes reportaron consumir sustancias ilícitas o reportaron tener problemas con el consumo de alcohol. Realizamos modelos de regresión logística univariados para hombres y mujeres, de forma independiente, y modelos de regresión logística multivariantes sólo para los hombres. La prevalencia de sífilis fue de 1,2% entre las mujeres y 2,3% entre los hombres; la prevalencia de VIH fue de 2,4% entre las mujeres y de 1,3% entre los hombres. El uso inconsistente de condones con parejas ocasionales fue mayor en las mujeres con más educación y menor entre las mujeres que venden sexo. En los hombres, menos acceso a preservativos gratuitos, el uso de drogas con las parejas sexuales, y el uso de drogas antes de tener relaciones sexuales se asociaron independientemente con el uso inconsistente de condones con parejas ocasionales. Los comportamientos sexuales de riesgo y el uso de sustancias ilícitas son comunes entre esta población, son necesarios esfuerzos de prevención del VIH y las ITS que se dirijan a ambos sexos y que se expandan a otras poblaciones en riesgo.

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Funding

Funding for this study was provided by the National Institutes of Drug Abuse (NIDA) R01DA029899 and Dr. Conners was supported by NIDA training grant T32DA023356. Dr. Brouwer was supported in part by the University of California, San Diego, Center for AIDS Research (CFAR), an NIH-funded program (P30 AI036214).

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Authors and Affiliations

  1. Department of Medicine, University of California, San Diego, La Jolla, CA, USA

    Erin E. Conners, Valerie J. Mercer & Kimberly C. Brouwer

  2. Graduate School of Public Health, San Diego State University, San Diego, CA, USA

    Erin E. Conners

  3. Department of Geography, San Diego State University, San Diego, CA, USA

    Kate Swanson

  4. Universidad del Valle de Guatemala, Guatemala City, Guatemala

    Sonia Morales-Miranda

  5. Centro de Investigaciones y Estudios Superiores en Antropología Social, Chiapas, Mexico

    Carmen Fernández Casanueva

Authors
  1. Erin E. Conners
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  2. Kate Swanson
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  3. Sonia Morales-Miranda
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  6. Kimberly C. Brouwer
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Corresponding author

Correspondence to Kimberly C. Brouwer.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Conners, E.E., Swanson, K., Morales-Miranda, S. et al. HIV Risk Behaviors and Correlates of Inconsistent Condom Use Among Substance Using Migrants at the Mexico/Guatemala Border. AIDS Behav 21, 2033–2045 (2017). https://doi.org/10.1007/s10461-017-1726-5

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  • DOI: https://doi.org/10.1007/s10461-017-1726-5

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