American Journal of Industrial Medicine
Volume 53, Issue 10, 2010, Pages 976-983

HIV and sexually transmitted disease risk among male Hispanic/Latino migrant farmworkers in the Southeast: Findings from a pilot CBPR study (Article)

Rhodes S.D. , Bischoff W.E. , Burnell J.M. , Whalley L.E. , Walkup M.P. , Vallejos Q.M. , Quandt S.A. , Grzywacz J.G. , Chen H. , Arcury T.A.
  • a Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1063, United States, Section on Infectious Diseases, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, United States
  • b Section on Infectious Diseases, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, United States
  • c Department of Family and Community Medicine, Wake Forest University, School of Medicine, Winston-Salem, NC, United States
  • d Department of Family and Community Medicine, Wake Forest University, School of Medicine, Winston-Salem, NC, United States
  • e Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, United States
  • f Department of Family and Community Medicine, Wake Forest University, School of Medicine, Winston-Salem, NC, United States
  • g Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, NC, United States
  • h Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, United States
  • i Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, United States
  • j Department of Family and Community Medicine, Wake Forest University, School of Medicine, Winston-Salem, NC, United States

Abstract

Background Little is known about the HIV and sexually transmitted disease (STD) risk behaviors of Hispanic/Latino farmworkers. This study was designed to describe risk factors for HIV and STD infection, explore personal characteristics associated with condom use, and evaluate the feasibility of collecting self-report and biomarker data from farmworkers. Methods Self-report and biomarker data were collected from a sample of male farmworkers living in 29 camps in North Carolina during the 2008 growing season. Results Over half of the 100 male workers, mean age 37.1 (range 19-68) years, reported binge drinking during the past 12 months. Forty percent of those who reported having had sex during the past 3 months indicated that they were under the influence of alcohol. Knowledge of HIVand STD transmission and prevention was low. Among the 25 workers who reported having had sex during the past 3 months, 16 and 2 reported using a condom consistently during vaginal and anal sex, respectively, and nearly 1 out of 6 workers reported paying a woman to have sex. Two workers tested positive for syphilis. Conclusions Farmworkers in this sample demonstrated significant HIV and STD risks; however, when exploring potential bivariate associations with consistent condom use no statistically significant associations were identified perhaps due to the small sample size. Because it was feasible to collect self-report and biomarker data related to HIVand STDs from Hispanic/Latino farmworkers, research needed to further explore risks and develop interventions to reduce disease exposure and transmission among this vulnerable population. © 2010 Wiley-Liss, Inc.

Author Keywords

Farmworker HIV CBPR Hispanic/Latino Sexually transmitted disease

Index Keywords

HIV Infections sexual behavior Human immunodeficiency virus infection human middle aged statistics North Carolina condom Condoms Agriculture Substance-Related Disorders Aged ethnology sexually transmitted disease Sexually Transmitted Diseases United States Young Adult Humans Hispanic male risk factor Risk Factors Health Knowledge, Attitudes, Practice Article adult migration addiction Transients and Migrants attitude to health Mexican Americans
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-77956925704&doi=10.1002%2fajim.20807&partnerID=40&md5=84e1626545f2f11871e4b03c9d501818
DOI: 10.1002/ajim.20807
ISSN: 02713586
Cited by: 28
Original Language: English