Abstract
Among migrant workers (MWs) in the US, HIV/AIDS prevalence may be as high as 13.5%. This serial cross-sectional study examines associations between Ethnic Identity (EI) in African American and Hispanic MWs and short-term changes in high-risk sexual behaviors. Baseline and 3-month follow-up data was collected from a larger HIV intervention study among MWs in Immokalee, Florida (n = 119) who reported unprotected sex in the past 30 days. The Multigroup Identity Measure was used to assess EI. A high EI score indicates less acculturation to one’s new surroundings. Females had higher levels of positive behavior change. Lower EI was associated with higher levels of positive change in relation to HIV/AIDS risk behavior. Among Hispanics, education was negatively correlated with EI. Education was a predictor of behavior change. Future interventions should focus on reducing acculturation stress, which may prompt harmful coping behaviors, such as high-risk sex and substance abuse.
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Organista PB, Organista KC, Soloff PR. Exploring AIDS related knowledge, attitudes, and behaviors of female migrant workers. Health Soc Work. 1998;23(2):96–103.
Fitzgerald K, Chakraborty J, Shah T, Khuder S, Duggan J. HIV/AIDS knowledge among female migrant farm workers in the Midwest. J Immigr Health. 2003;5(1):29–36.
Coppel J, Dumont J, Visco I. Trends in immigration and economic consequences, OECD economics department working papers, no. 284, OECD Publishing. 2001. doi: 10.1787/553515678780.
Organista KC, Carrillo H, Ayala G. HIV prevention with Mexican migrants: review, critique, and recommendations. J Acquir Immun Defic Syndr. 2004;37:S227–39.
Organista KC, Organista PB, Bola JR, Garcia de Alba JE. Predictors of condom use in Mexican migrant laborers. Am J Community Psychol. 2000;28:245–65.
Saint-Jean G, Martinez CA, Crandall LA. Psychosocial mediators of the impact of acculturation on adolescent substance abuse. J Immigrant Minority Health. 2008;10(2):187–95.
Henry J. Kaiser Family Foundation. Migrant workers contributing to spread of HIV in Rural Mexican States, Researchers Say. http://www.thebody.com/content/world/art42324.html (2007). Retrieved on 27 May 2009.
Arcury TA, Quandt SA. Delivery of health services to migrant and seasonal Farmworkers. Annu Rev Public Health. 2007;28:345–63.
Apostolopoulos Y, Sonmez S, Kronenfeld J, Castillo E, McLendon L, Smith D. STI/HIV risks for Mexican migrant laborers: exploratory ethnographies. J Immigrant Minority Health. 2006;8(3):291–302.
Parker RG, Easton D, Klein CH. Structural barriers and facilitators in HIV prevention: a review of international research. AIDS. 2000;14(l):S22–32.
Persky I, Birman D. Ethnic identity in acculturation research: a study of multiple identities of Jewish refugees from the former Soviet Union. J Cross Cult Psychol. 2005;36:557.
Phinney JS. Ethnic identity in adolescents and adults: review of research. Psychol Bull. 1990;108(3):499–514.
Salgado de Snyder VN, Díaz Pérez M, Maldonado M. AIDS: risk behaviors among rural Mexican women married to migrant workers in the United States. AIDS Educt Prev. 1996;8(2):134–42.
Abraido-Lanza AF, Armbrister AN, Florez KR, Aguirre AN. Toward a theory driven model of acculturation in public health research. Am J Public Health. 2006;96(8):1342–6.
Garcia M, Lega L. Development of Cuban ethnic identity questionnaire. Hisp J Behav Sci. 1979;1:247–61.
Schwartz SJ, Zamboanga BL, Jarvis LH. Ethnic identity and acculturation in Hispanic early adolescents: Mediated relationships to academic grades, prosocial behaviors, and externalizing symptoms. Cultur Divers Ethnic Minor Psychol. 2007;13:364–73.
Sánchez M, Rice E, Stein J, Milburn NG, Rotheram-Borus MJ. Acculturation, coping styles, and health risk behaviors among HIV positive Latinas. AIDS Behav. 2010;14(2):401–9.
Epstein JA, Dusenbury L, Botvin GJ, Diaz T. Acculturation, beliefs about AIDS, and AIDS education among New York City Hispanic parents. Hisp J Behav Sci. 1994;16:342–54.
Marin G, Marin BV. Perceived credibility of channels and sources of AIDS information among Hispanics. AIDS Educt Prev. 1990;2:154–61.
Bianchi FT, Zea MC, Poppin PJ, Reisen CA, Echeverry JJ. Coping as a mediator of the impact of sociocultural factors on health behavior among HIV-positive Latino gay men. Psychol Health. 2004;19:89–101.
Rojas-Guyler L, Ellis N, Sanders S. Acculturation, health protective sexual communication, and HIV/AIDS risk behavior among Hispanic women in a large midwestern city. Health Educ Behav. 2005;32(6):767–79.
Kinsler JJ, Lee SJ, Sayles JN, Newman PA, Diamont A, Cunningham W. The impact of acculturation on utilization of HIV prevention services and access to care among and at-risk Hispanic population. J Health Care Poor Underserved. 2009;20:996–1011.
Newcomb MD, Carmona JV. Adult trauma and HIV status among Latinas: effects upon psychological adjustment and substance use. AIDS Behav. 2004;8:417–28.
Kasirye OC, Walsh JA, Romano PS, Beckett LA, Garcia JA, Elvine-Kreis B, Bethel JW, Schenker MB. Acculturation and its association with health-risk behaviors in a rural Latina population. Ethn Dis. 2005;15(4):733–9.
Hussey JM, Hallfors DD, Waller MW, Iritani BJ, Halpern CT, Bauer DJ. Sexual behavior and drug use among Asian and Latino adolescents: association with immigrant status. J Immigrant Minority Health. 2007;9(2):85–94.
Marks G, Cantero PJ, Simoni JM. Is acculturation associated with sexual risk behaviors? An investigation of HIV-positive Latino men and women. AIDS Care. 1998;10(3):283–95.
US Department of Health and Human Services. HIV/AIDS data/statistics. http://www.omhrc.gov/templates/browse.aspx?lvl=3&lvlid=70 (2008). Retrieved on 29 May 2009.
US Department of Health & Human Services. HIV/AIDS data/statistics. http://www.cdc.gov/hiv/topics/surveillance/basic.htm (2009). Retrieved on 29 May 2009.
McCoy HV, Hlaing WM, Ergon-Rowe E, Samuels D, Malow R. Lessons from the fields—A migrant HIV prevention project. Public Health Rep. 2009;124(6):790–6.
Public Health Service Act of 1944 § 330, 42 USCS § 254b (1996).
Phinney J. The multigroup ethnic identification measure: a new scale for use with diverse groups. J Adolesc Res. 1992;7:156–76.
Susser E, Desvarieux M, Wittkowski KM. Reporting sexual risk behavior for HIV: a practical risk index and a method for improving risk indices. Am J Public Health. 1998;88:671–4.
Zamboanga BL, Rafaelli M, Horton NJ. Acculturation status and heavy alcohol use among Mexican American college students: Investigating the moderating role of gender. Addict Behav. 2006;31:2188–98.
Cohen J. The statistical power of abnormal-social psychological research: a review. J Abnorm Soc Psychol. 1962;65:145–53.
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The support of the National Institute on Alcohol and Alcohol Abuse, Grant #: R01AA15810 is gratefully acknowledged. The authors would like to thank the study participants for making this study possible.
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Shehadeh, N., Virginia McCoy, H., Rubens, M. et al. The Impact of Ethnic Identity on Changes in High Risk HIV Behaviors in Sexually Active Migrant Workers. J Immigrant Minority Health 14, 100–106 (2012). https://doi.org/10.1007/s10903-011-9466-5
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DOI: https://doi.org/10.1007/s10903-011-9466-5