AIDS and Behavior
Volume 21, Issue 3, 2017, Pages 935-948

Understanding the Impact of Migration on HIV Risk: An Analysis of Mexican Migrants’ Sexual Practices, Partners, and Contexts by Migration Phase (Article)

Zhang X. , Rhoads N. , Rangel M.G. , Hovell M.F. , Magis-Rodriguez C. , Sipan C.L. , Gonzalez-Fagoaga J.E. , Martínez-Donate A.P.*
  • a UW Carbone Cancer Center, University of Wisconsin, Madison, WI, United States
  • b Department of Health Policy and Management, University of California-Los Angeles, Los Angeles, CA, United States
  • c Mexico Section of the U.S.-Mexico Border Health Commission, Tijuana, Baja California, Mexico
  • d Graduate School of Public Health, San Diego State University, San Diego, CA, United States
  • e National Center for HIV/AIDS Prevention and Control, CONASIDA, Mexico D.F., Mexico
  • f Department of Health Sciences, University of California-Merced, Merced, CA, United States
  • g Mexico Section of the U.S.-Mexico Border Health Commission, Tijuana, Baja California, Mexico
  • h Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, 3215 Market St., Hesbitt Hall 458, Philadelphia, PA 19104, United States

Abstract

HIV risk among Mexican migrants varies across migration phases (pre-departure, transit, destination, interception, and return), but there is limited knowledge about specific sexual behaviors, characteristics of sexual partners, and sexual contexts at different migration stages. To fill the gap, we used data from a cross-sectional population-based survey conducted in Tijuana, Mexico. Information on migration phase and last sexual encounter was collected from 1219 male migrants. Our findings suggest that compared to pre-departure migrants, repeat migrants returning from communities of origin were more likely to have sex with male partners, use substances before sex, and not use condoms; migrants in the transit phase in the Mexican border were more likely to have sex with casual partners and sex workers; and migrants in the interception phase were more likely to engage in anal sex and use substances before sex. Sexual behaviors, partners, and contexts vary significantly among migrants at different migration phases. Tailored HIV prevention programs targeting Mexican migrants need to be developed and implemented at all migration phases. © 2016, Springer Science+Business Media New York.

Author Keywords

Migration phase Mexican migrants HIV Sexual behavior

Index Keywords

HIV Infections sexual behavior Human immunodeficiency virus infection human sexuality middle aged Sexual Partners statistics and numerical data condom Condoms Substance-Related Disorders drug dependence ethnology Mexico sex worker Cross-Sectional Studies Surveys and Questionnaires United States cross-sectional study Humans male risk factor Risk Factors questionnaire prevalence migration utilization Sex Workers Transients and Migrants
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84997328022&doi=10.1007%2fs10461-016-1622-4&partnerID=40&md5=d1b5da4e6a6c764bf95ad74b2d8e76ca
DOI: 10.1007/s10461-016-1622-4
ISSN: 10907165
Cited by: 4
Original Language: English