Revista de Salud Publica
Volume 20, Issue 3, 2018, Pages 293-300
Concurrence and selection of sexual partners as predictors of condom use among Mexican indigenous migrant workers [Concurrencia y selección de parejas sexuales como predictores del uso de condón en trabajadores migrantes indígenas Mexicanos] (Article) (Open Access)
Caballero-Hoyos J.R. ,
Monárrez-Espino J.
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a
Medical Research Unit in Clinical Epidemiology, Mexican Institute of Social Security, Colima, 2800, Mexico
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b
Department of Public Health Sciences, Karolinska Institutet, Stockholm, 17177, Sweden, Claustro Universitario de Chihuahua, Reserach Department, Chihuahua, Mexico
Abstract
Objective To identify if the selection of mixed sexual partners and the existence of concurrent partners are predictors of condom use in indigenous migrant agricultural workers from Colima, Mexico. Methods Analytical cross-sectional study using an egocentric sexual network approach. Community interviewers applied a structured questionnaire to 192 indigenous migrant workers in a sugarcane agro-industrial context. Data were analyzed with binary logistic regression; odds ratios (OR) and 95% confidence intervals (CI 95%) were estimated. Results In the logistic regression model, adjusted odds (OR; 95% CI) of steady condom use were lower within partnerships of the same indigenous ethnicity compared to other partnerships (0.30; 0.17-0.53), partnerships that were concurrent to other partnerships (0.27; 0.15-0.50), and partnerships that used illegal drugs during sex to other partnerships (0.23; 0.11-0.49). Those variables were actually associated with increased risk of unprotected sex (occasionally or never using condoms), and therefore exposures were unprotected. Conclusion Sexual partners of the same ethnicity, concurrent partnerships and partnerships that use illegal drugs favor the low frequency of constant condom use and, in turn, the vulnerability to STIs and HIV transmission in indigenous migrant agricultural workers. © 2018, Universidad Nacional de Colombia. All rights reserved.
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Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85057877802&doi=10.15446%2frsap.v20n3.65986&partnerID=40&md5=deb3f7beca46b8dfeac30a8fc7ffc228
DOI: 10.15446/rsap.v20n3.65986
ISSN: 01240064
Original Language: English