HIV infection in mobile populations: the case of Mexican migrants to the United States.
OBJECTIVE
Previous studies have indicated varying rates of HIV infection among labor migrants to the United States of America. Most of these studies have been conducted with convenience samples of farmworkers, thus presenting limited external validity. This study sought to estimate the prevalence of HIV infection and risk factors among Mexican migrants traveling through the border region of Tijuana, Baja California, Mexico, and San Diego, California, United States. This region handles 37% of the migrant flow between Mexico and the United States and represents the natural port of entry for Mexican migrants to California.


METHODS
From April to December 2002 a probability survey was conducted at key migrant crossing points in Tijuana. Mexican migrants, including ones with a history of illegal migration to the United States, completed an interview on HIV risk factors (n = 1 429) and an oral HIV antibody test (n = 1,041).


RESULTS
Despite reporting risk factors for HIV infection, none of the migrants tested positive for HIV.


CONCLUSIONS
Our findings contrast with previous estimates of HIV among labor migrants in the United States that were based on nonprobability samples. Our findings also underline the need for early HIV prevention interventions targeting this population of Mexican migrants.
Martínez-Donate
Ana P
AP
Center for Behavioral Epidemiology and Community Health, San Diego, San Diego State University, California 92123, USA. amartinez@projects.sdsu.edu
Rangel
M Gudelia
MG
Hovell
Melbourne F
MF
Santibáñez
Jorge
J
Sipan
Carol L
CL
Izazola
José A
JA
D000328:Adult; D003625:Data Collection; D005260:Female; D015658:HIV Infections / Q000208:ethnology* / Q000635:transmission; D006801:Humans; D008297:Male; D008800:Mexico / Q000208:ethnology; D011157:Population Dynamics; D012307:Risk Factors; D012725:Sexual Behavior; D014171:Transients and Migrants; D014481:United States / Q000453:epidemiology