Journal of Religion and Health

, Volume 50, Issue 4, pp 942–949 | Cite as

Religious Influences on the Reproductive Health Decisions of HIV-Positive Latinas on the Border

  • Susan InstoneEmail author
  • Mary-Rose Mueller
Original Paper


The number of HIV-positive Latinas of child-bearing age living on the US–Mexico border is a growing concern. Little is known about how religious beliefs influence the reproductive health decisions of these women in light of disease demands and cultural and religious norms that support high fertility rates and childbearing. Such decisions may be further complicated by the stigma of HIV/AIDS and structural issues related to immigration status and trans-border lives. This paper analyzes extant literature and supports the need for further research so that policy makers and heath and social service providers can develop meaningful and comprehensive reproductive-health related interventions.


HIV/AIDS Latinas Reproductive health decisions 


  1. Amaro, H. (1988a). Women in the Mexican American community: Religion, culture, and reproductive attitudes and experiences. Journal of Community Psychology, 16, 6–20.CrossRefGoogle Scholar
  2. Amaro, H. (1988b). Considerations for prevention of HIV infection among Hispanic women. Psychology of Women Quarterly, 12(4), 429–443.CrossRefGoogle Scholar
  3. Bedimo, A., Bessinger, R., & Kissinger, P. (1998). Reproductive choices among HIV-positive women. Social Science and Medicine, 46(2), 171–179.PubMedCrossRefGoogle Scholar
  4. Billings Centre of Fertility Education. (2009). Planning or postponing pregnancy. Retrieved on Feb 20, 2009 from
  5. Centers for Disease Control and Prevention. (1995). US Public Health Service recommendations for Human Immunodeficiency Virus counseling and voluntary testing for pregnant women. Morbidity and Mortality Weekly Report, 44, 1–15.Google Scholar
  6. Centers for Disease Control and Prevention. (2006). Achievements in public health: Reduction in perinatal transmission of HIV infection—US, 1985–2005. settings. Morbidity and Mortality Weekly Report, 55(21), 592–597.Google Scholar
  7. Centers for Disease Control and Prevention. (2007). HIV/AIDS among women. Retrieved on April 8, 2008 from
  8. Cobos, D. G., & Jones, J. W. (2008). Promoting passage through care: how to best serve undocumented immigrants with HIV. Journal of the Association of Nurses in AIDS Care, 19(4), 320–324.PubMedCrossRefGoogle Scholar
  9. Cotton, S., Tsevat, J., Szaflarski, M., Kudel, I., Sherman, S. N., Feinberg, J., et al. (2006). Changes in religiousness and spirituality attributed to HIV/AIDS: Are there sex and race differences? Journal of General Internal Medicine, 21(Suppl 5), S14–S20.PubMedCrossRefGoogle Scholar
  10. Delossantos, C., Fiore, T., Ortiz, C., Rich, J., & Flanigan, T. P. (1997, May 4–7). HIV infection among undocumented immigrant Hispanic women: Two case studies. Natl Conf Women HIV Innov Care Policy Prev Los Angeles, Calif. 180 (abstract no. P2.30).Google Scholar
  11. Falcón, S. (2001). Rape as a weapon of war: Advancing human rights for women at the US—Mexico border. Social Justice, 28(2), 31–50.Google Scholar
  12. Flaskerud, J., Uman, G., Lara, R., Romero, L., Taka, K., & Rosa, R. (1996). Sexual practices, attitudes, and knowledge related to HIV transmission among low-income Los Angeles Hispanic women. The Journal of Sex Research, 33(4), 343–353.CrossRefGoogle Scholar
  13. Frost, J. J., & Driscoll, A. K. (2006). Sexual and reproductive health of US Latinas: A literature review. Occasional Report (Vol. 19, pp. 1–55). New York: Guttmacher Institute.Google Scholar
  14. Goldman, D. P., Smith, J. P., & Sood, N. (2005). Legal status and health insurance among immigrants. Health Affairs, 26(6), 1640–1653.CrossRefGoogle Scholar
  15. Hayford, S. R., & Morgan, S. P. (2008). Religiosity and fertility in the United States: The role of fertility intentions. Social Forces, 86(3), 1163–1188.CrossRefGoogle Scholar
  16. Hines, A. M., & Graves, K. L. (1998). Sociocultural and religious influences on the normative contraceptive practices of Latino women in the United States. Contraception, 69(3), 219–225.Google Scholar
  17. Levine, C., & Dubler, N. (1990). Uncertain risks and bitter realities: The reproductive choices of HIV-infected women. The Milbank Quarterly, 68(6), 321–351.PubMedCrossRefGoogle Scholar
  18. Lorentzen, (2008). Migration and Catholic social thought: Crossing borders between scholarship and activism. Retrieved on March 11, 2009 from
  19. Loue, S., & Sajatovic, M. (2006). Spirituality, coping, and HIV risk and prevention in a sample of severely mentally ill Puerto Rican women. Journal of Urban Health, 83(6), 1168–1182.PubMedCrossRefGoogle Scholar
  20. Minckler, D. (2008). US minority population continues to grow. Retrieved Nov 10, 2008 at:
  21. Moreno, C. (2007). The relationship between culture, gender, structural factors, abuse, trauma, and HIV/AIDS for Latinas. Qualitative Health Research, 17(3), 340–352.PubMedCrossRefGoogle Scholar
  22. National Latina Institute for Reproductive Health. (2005). The reproductive health of Latina immigrants: Factsheet. Retrieved on April 7, 2009 from
  23. Nobrega, A., Oliveira, F., Galvao, M., Mota, R., Barbosa, R., Dourado, I., et al. (2007). Desire for a child among women living with HIV/AIDS in northeast Brazil. AIDS Patient Care and STDs, 21(4), 261–267.PubMedCrossRefGoogle Scholar
  24. Noonan, J. T. (1965). Contraception: A history of its treatment by the Catholic theologians and canonists. Cambridge: Harvard University Press.Google Scholar
  25. Offices of the Congregation for the Doctrine of the Faith 2008, June 20). Instruction Dignitas Personae on certain bioethical questions. Retrieved on May 1, 2009 from
  26. Oliveira, F., Kerr, L., Frota, A., Nobrega, A., Bruno, Z., Leitao, T., et al. (2007). HIV-positive women in northeast Brazil: Tubal sterilization, medical recommendation and reproductive rights. AIDS Care, 19(10), 1258–1265.PubMedCrossRefGoogle Scholar
  27. Oranista, K. C., Carrillo, H., & Ayala, G. (2004). HIV prevention with Mexican migrants: Review, critique, and recommendations. Journal of Acquired Immune Deficiency Syndrome, 37(Suppl 4), S227–S239.CrossRefGoogle Scholar
  28. Pew Hispanic Center. (2006). Gender and migration. Retrieved on Nov 8, 2008 from
  29. Pew Hispanic Center and Pew Forum on Religion & Public Life. (2007). Changing faiths: Latinos and the transformation of American religion. Retrieved on Feb 25, 2009 from
  30. Pew Hispanic Center and Robert Wood Johnson Research Report. (2008). Hispanics and health care in the United States: Access, information, and knowledge. Retrieved on Nov 18, 2008 from
  31. Roberts, S. (2008a). Rise in minorities is led by children, census finds. Retrieved May 1, 2008
  32. Roberts, S. (2008b). In a generation, minorities may be the US majority. 8/14/08a, NYT. Retrieved Sept 4, 2008 from
  33. Romo, L. F., Berenson, A. B., & Segars, A. (2004). Sociocultural and religious influences on the normative practices of Latino women in the United States. Contraception, 69, 219–225.PubMedCrossRefGoogle Scholar
  34. San Diego County Government. (2007). HIV/AIDS Epidemiology Report 2007. Department of Health and Human Services Agency, Public Health Services. Retrieved on April 7, 2009 from
  35. Sanchez, M. A., Lemp, G. F., Magis-Rodriguez, C., Bravo-Garcia, E., Carter, S., & Ruiz, J. D. (2004). The epidemiology of HIV among Mexican migrants and recent immigrants in California and Mexico. Journal of the Acquired Immune Deficiency Syndrome, 37(Suppl4), S204–S214.CrossRefGoogle Scholar
  36. Stanwood, N. L., Cohn, S. E., Heiser, J. R., & Pugliese, M. (2007). Contraception and fertility plans in a cohort of HIV-positive women in care. Contraception, 75(4), 294–298.PubMedCrossRefGoogle Scholar
  37. US Census Bureau State and County Quickfacts. (2007). Retrieved Feb 15, 2009 from
  38. US Federal Drug Administration. (2003). Birth control guide. Retrieved Feb 21, 2009 from
  39. Westoff, C. F., & Bumpass, L. (1973). The revolution in birth control practices of US Roman Catholics. Science, 179(68), 4–14.CrossRefGoogle Scholar
  40. Wilson, E. K. (2008). Differences in contraceptive use across generations of migration among women of Mexican origin. Maternal and Child Health Journal, 13(5), 641–651.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Hahn School of Nursing and Health ScienceUniversity of San DiegoSan DiegoUSA

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