AIDS and Behavior

, Volume 16, Issue 1, pp 199–213

Patterns and Predictors of HIV/STI Risk Among Latino Migrant Men in a New Receiving Community

  • Patricia Kissinger
  • Stephanie Kovacs
  • Colin Anderson-Smits
  • Norine Schmidt
  • Oscar Salinas
  • John Hembling
  • Allyson Beaulieu
  • Lisa Longfellow
  • Nicole Liddon
  • Janet Rice
  • Michele Shedlin
Original Paper

Abstract

The purpose of this study was to examine patterns and predictors of HIV/STI risk over time among Latino migrant men in a new receiving community. Latino men (N = 125) were interviewed quarterly for 18 months and HIV/STI tested annually. Selected individual, environmental and cultural factors by partner type and condom use were explored longitudinally and in a cross-section. Sex with female sex workers (FSWs) and multiple partners decreased, sex with main partners and abstinence increased, while the number of casual partners remained stable. Consistent condom use was highest with FSWs, lowest with main partners and midrange with casual partners with no trends over time. STI morbidity was low; no HIV was detected. Drug use and high mobility were associated with inconsistent condom use with FSW, whereas having family in the household was protective. HIV/STI prevention efforts should focus on drug using Latino migrants who are highly mobile and should foster healthy social connections.

Keywords

HIV Sexually transmitted diseases Migrants Latinos Respondent driven sampling 

Resumen

El propósito de este estudio fue examinar patrones y predictores de riesgo de VIH/SIDA en un tiempo determinado entre hombres Latinos migrantes en una nueva comunidad de recibo. Hombres Latinos (N = 125) fueron entrevistados trimestralmente por 18 meses y se les practicaron pruebas de VIH/ITS anualmente. Se exploró transversal y longitudinalmente tipos de pareja y uso de condón en individuos seleccionados tomando en cuenta factores culturales y ambientales. El sexo con trabajadoras del sexo y múltiples parejas sexuales disminuyó, el sexo con la pareja principal y abstinencia incrementó, mientras que el número de parejas casuales permaneció estable. El uso consistente de condón fue el más alto con trabajadoras del sexo el más bajo con la pareja principal y termino medio con las parejas casuales sin ninguna tendencia durante el tiempo determinado. La morbilidad en ITS fué baja y no se detectó VIH. El uso de drogas y la alta movilidad fue asociado con el uso inconsistente de condón con trabajadoras del sexo, mientras que tener un familiar en casa fue un factor de protección. Los esfuerzos de prevención en VIH/ITS se debieran enfocar al uso de drogas en migrantes Latinos quienes son altamente móviles y debieran propiciar conecciones sociales saludables.

Palabras Claves

VIH infecciones de transmisión sexual migrantes latinos muestreo dirigido por entrevistados (RDS por sus siglas en inglés) 

References

  1. 1.
    Alaniz M. Migration, acculturation, displacement: migratory workers and “substance abuse”. Subst Use Misuse. 2002;37(8–10):1253–7.PubMedCrossRefGoogle Scholar
  2. 2.
    Organista K. Towards a structural-environmental model of risk for HIV and problem drinking in Latino labor migrants: the case of day laborers. J Ethn Cult Divers Soc Work. 2007;16(1/2):95–125.CrossRefGoogle Scholar
  3. 3.
    American Community Survey. Bureau USC, 2005 edition.Google Scholar
  4. 4.
    Painter T. Connecting the dots: when the risks of HIV/STD infection appear high but the burden of infection is not known-the case of male Latino migrants in the southern United States. AIDS Behav. 2008;12(2):213–26.PubMedCrossRefGoogle Scholar
  5. 5.
    Kochhar R, Suro R, Tafoy S. The new Latino south: the context and consequences of rapid population growth. Washington, DC: Pew Hispanic Center; 2005.Google Scholar
  6. 6.
    Passell J. The size and characteristics of the unauthorized migrant population in the U.S.: estimates based on the March current population survey. Washington, DC: Pew Hispanic Center; 2005.Google Scholar
  7. 7.
    Bordelon C. Hispanics bring agency new urgency. Times-Picayune; 2006.Google Scholar
  8. 8.
    Donato K, Hakimzadeh S. The changing face of the Gulf Coast: immigration to Louisiana Mississippi, and Alabama. Washington, DC: Migration Information Source Newsletter, Migration Policy Institute; 2006.Google Scholar
  9. 9.
    Bureau UC. American Community Survey, General Characteristics of Orleans Parish, Louisiana. US Census Bureau; 2005.Google Scholar
  10. 10.
    Louisiana Public Health Institute. Louisiana Health and Population Survey, Survey Report. 2006. http://popest.org. Accessed 28 Nov 2006.
  11. 11.
    Centers fDCaP. Sexually Transmitted Disease Surveillance. U.S. Department of Health and Human Services; 2010.Google Scholar
  12. 12.
    Centers for Disease Control and Prevention. HIV Surveillance Report, 2008; vol. 20. Published June 2010.Google Scholar
  13. 13.
    CDC. CDC, HIV/AIDS Surveillance Report. 2008;18(1).Google Scholar
  14. 14.
    Hall HI, Song R, Rhodes P, Prejean J, An Q, Lee LM, et al. Estimation of HIV incidence in the United States. JAMA. 2008;300(5):520–9.PubMedCrossRefGoogle Scholar
  15. 15.
    CDC. 2003 STD Surveillance Report. Atlanta, GA: U.S. Department of Health and Human Services; 2004.Google Scholar
  16. 16.
    Centers for Disease Control and Prevention. HIV Surveillance Report, 2004; vol. 16.Google Scholar
  17. 17.
    Levy V, Page-Shafer K, Evans J, Ruiz J, Morrow S, Reardon J, et al. HIV-related risk behavior among Hispanic immigrant men in a population-based household survey in low-income neighborhoods of northern California. Sex Transm Dis. 2005;32(8):487–90.PubMedCrossRefGoogle Scholar
  18. 18.
    Martínez-Donate A, Rangel MG, Hovell MF, Santibáñez J, Sipan CL, Izazola JA. HIV infection in mobile populations: the case of Mexican migrants to the United States. Pan Am J Public Health. 2005;17(1):26–9.CrossRefGoogle Scholar
  19. 19.
    Kissinger P, Liddon N, Schmidt N, Curtin E, Salinas O, Narvaez A. HIV/STI Risk behaviors among Latino migrant workers in New Orleans post-Hurricane Katrina disaster. Sex Transm Dis. 2008;35(11):924–9.PubMedCrossRefGoogle Scholar
  20. 20.
    Paz-Bailey G, Morales-Miranda S, Jacobson JO, Gupta SK, Sabin K, Mendoza S, et al. High rates of STD and sexual risk behaviors among Garifunas in Honduras. J Acquir Immune Defic Syndr. 2009;51(1):S26–34.PubMedCrossRefGoogle Scholar
  21. 21.
    UNAIDS. Latin America: AIDS epidemic update regional summary; 2008 March.Google Scholar
  22. 22.
    Ojeda VD, Patterson TL, Strathdee SA. The influence of perceived risk to health and immigration related characteristics on substance abuse among Latino and other immigrants. Am J Public Health. 2008;98(5):862–8.PubMedCrossRefGoogle Scholar
  23. 23.
    Parrado E, Flippen C, McQuiston C. Use of commercial sex workers among Hispanic migrants in North Carolina: implications for the spread of HIV. Perspect Sex Reprod Health. 2004;36(4):150–6.PubMedCrossRefGoogle Scholar
  24. 24.
    Sena AC, Hammer JP, Wilson K, Zeveloff A, Gamble J. Feasibility and acceptability of door-to-door rapid HIV testing among Latino immigrants and their HIV risk factors in North Carolina. AIDS Patient Care STDS. 2010;24(3):165–73.PubMedCrossRefGoogle Scholar
  25. 25.
    Parrado EA, Flippen C. Community attachment, neighborhood context, and sex worker use among Hispanic migrants in Durham, North Carolina, USA. Soc Sci Med. 2010;70(7):1059–69.PubMedCrossRefGoogle Scholar
  26. 26.
    Viadro C, Earp JAL. The sexual behavior of married Mexican immigrant men in North Carolina. Soc Sci Med. 2000;50:723–35.PubMedCrossRefGoogle Scholar
  27. 27.
    Brammeier M, Chow JM, Samuel MC, Organista KC, Miller J, Bolan G. Sexually transmitted diseases and risk behaviors among California farmworkers: results from a population-based survey. J Rural Health. 2008;24(3):279–84.PubMedCrossRefGoogle Scholar
  28. 28.
    Denner J, Organista KC, Dupree JD, Thrush G. Predictors of HIV transmission among migrant and marginally housed Latinos. AIDS Behav. 2005;9(2):201–10.PubMedCrossRefGoogle Scholar
  29. 29.
    Organista K, Organista PB, Bola JR, García de Alba JE, Morán MAC, Carrillo LEU. Survey of condom-related beliefs, behaviors, and perceived social norms in Mexican migrant laborers. J Community Health. 1997;22(3):185–98.PubMedCrossRefGoogle Scholar
  30. 30.
    Sweat M, Denison J. Reducing HIV incidence in developing countries with structural and environmental interventions. AIDS. 1995;9(Suppl A):S251–7.PubMedGoogle Scholar
  31. 31.
    Heckathorn D. Respondent-driven sampling: a new approach to the study of hidden populations. Soc Probl. 1997;44(2):174–99.CrossRefGoogle Scholar
  32. 32.
    Behling O, Law K. Translating questionnaires and other research instruments: problems and solutions. London: Sage Publication; 2000.Google Scholar
  33. 33.
    de la Puente M, Pan Y, Rose D. An overview of a proposed census bureau guidelines for the translation of data collection instruments and supporting materials. Washington, DC: US Census Bureau; 2003.Google Scholar
  34. 34.
    Stein J, Nyamathi A, Dixon E. Effects of psychosocial and situational variables on substance abuse among homeless adults. Psychol Addict Behav. 2008;22(3):410–6.PubMedCrossRefGoogle Scholar
  35. 35.
    Rachlis B, Hogg R, Wood E, Li K, Kerr T. Factors associated with geographic migration among a cohort of injection drug users. Health Place. 2008;14(3):536–43.PubMedCrossRefGoogle Scholar
  36. 36.
    Hess RF, McKinney DE. Fatalism and HIV/AIDS beliefs in rural Mali, West Africa. J Nurs Scholarsh. 2007;39(2):113–8.PubMedCrossRefGoogle Scholar
  37. 37.
    Steidel A, Contreras J. A new familismo scale for use with Latino populations. Hisp J Behav Sci. 2003;25(3):312–30.CrossRefGoogle Scholar
  38. 38.
    Esparza OA, Wiebe JS. The development of a multidimensional fatalism scale. San Diego: Society of Behavioral Medicine; 2008.Google Scholar
  39. 39.
    Beilke MA, Traina-Dorge VL, Sirois M, Bhuiyan A, Murphy EL, Walls JM, et al. Relationship between human T lymphotropic virus (HTLV) type 1/2 viral burden and clinical and treatment parameters among patients with HIV type 1 and HTLV-1/2 coinfection. Clin Infect Dis. 2007;44(9):1229–34.PubMedCrossRefGoogle Scholar
  40. 40.
    Stephenson M, Velez L, Chalela P, Ramirez A, Hoyle R. The reliability and validity of the Brief Sensation Seeking Scale (BSSS-8) with young adult Latino workers: implications for tobacco and alcohol disparity research. Addiction. 2007;102(Suppl. 2):79–91.PubMedCrossRefGoogle Scholar
  41. 41.
    Radloff L. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.CrossRefGoogle Scholar
  42. 42.
    Stephenson M. Development and validation of the Stephenson Multigroup Acculturation Scale (SMAS). Psychol Assess. 2000;12(1):77–88.PubMedCrossRefGoogle Scholar
  43. 43.
    Arciniega G, Anderson T. Toward a fuller conception of machismo: development of a traditional machismo and caballerismo scale. J Couns Psychol. 2008;55(1):19–33.CrossRefGoogle Scholar
  44. 44.
    Volz E, Wejnert C, Degani I, Heckathorn D. Respondent driven sampling analysis tool (RDSAT), version 5.6. Ithaca: Cornell University; 2007.Google Scholar
  45. 45.
    Magis-Rodriguez C, Lemp G, Hernandez MT, Sanchez MA, Estrada F, Bravo-Garcia E. Going north: Mexican migrants and their vulnerability to HIV. J Acquir Immune Defic Syndr. 2009;51(Suppl 1):S21–5.PubMedGoogle Scholar
  46. 46.
    Perez-Jimenez D, Seal DW, Serrano-Garcia I. Barriers and facilitators of HIV prevention with heterosexual Latino couples: beliefs of four stakeholder groups. Cult Divers Ethn Minor Psychol. 2009;15(1):11–7.CrossRefGoogle Scholar
  47. 47.
    Bronfman MN, Leyva R, Negroni MJ, Rueda CM. Mobile populations and HIV/AIDS in Central America and Mexico: research for action. AIDS. 2002;16(Suppl 3):S42–9.PubMedCrossRefGoogle Scholar
  48. 48.
    Organista K, Carrillo H, Ayala G. HIV prevention with Mexican migrants: review, critique, and recommendations. J Aquir Immune Defic Syndr. 2004;37(4):S227–39.CrossRefGoogle Scholar
  49. 49.
    Morin S, Carrillo H, Steward WT, Maiorana A, Trautwein M, Gómez CA. Policy perspectives on public health for Mexican migrants in California. J Acquir Immune Defic Syndr. 2004;37(4):S252–9.PubMedGoogle Scholar
  50. 50.
    Rhodes SD, McCoy TP, Vissman AT, Diclemente RJ, Duck S, Hergenrather KC, et al. A randomized controlled trial of a culturally congruent intervention to increase condom use and hiv testing among heterosexually active immigrant latino Men. AIDS Behav. 2011 (Epub ahead of print).Google Scholar
  51. 51.
    Wolfers ME, van den Hoek C, Brug J, de Zwart O. Using Intervention Mapping to develop a programme to prevent sexually transmittable infections, including HIV, among heterosexual migrant men. BMC public health. 2007;7:141.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Patricia Kissinger
    • 1
  • Stephanie Kovacs
    • 1
  • Colin Anderson-Smits
    • 1
  • Norine Schmidt
    • 1
  • Oscar Salinas
    • 1
  • John Hembling
    • 1
  • Allyson Beaulieu
    • 1
  • Lisa Longfellow
    • 2
  • Nicole Liddon
    • 3
  • Janet Rice
    • 4
  • Michele Shedlin
    • 5
  1. 1.Department of Epidemiology SL-18Tulane University School of Public Health and Tropical MedicineNew OrleansUSA
  2. 2.Sexually Transmitted Disease Control ProgramLouisiana Office of Public HealthNew OrleansUSA
  3. 3.Division of Sexually Transmitted DiseasesCenters for Disease Control and PreventionAtlantaUSA
  4. 4.Department of BiostatisticsTulane University School of Public Health and Tropical MedicineNew OrleansUSA
  5. 5.College of NursingNew York UniversityNew YorkUSA

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