title: A two-way road: rates of HIV infection and behavioral risk factors among deported Mexican labor migrants.
abstract: A large number of Mexican migrants are deported to Mexico and released in the North Mexican border region every year. Despite their volume and high vulnerability, little is known about the level of HIV infection and related risk behaviors among this hard-to-reach population. We conducted a cross-sectional, probability survey with deported Mexican migrants in Tijuana, Mexico (N = 693) and estimated levels of HIV infection and behavioral risk factors among this migrant flow. The sample and population estimated rates of HIV for deported males were 1.23 and 0.80 %, respectively. No positive cases were found among the female sample. We found high lifetime rates of reported sexually transmitted infections (22.3 %) and last 12-months rates of unprotected sex (63.0 %), sex with multiple sexual partners (18.1 %), casual partners (25.7 %), and sex workers (8.6 %), compared to U.S. and Mexico adults. HIV prevention, testing, and treatment programs for this large, vulnerable, and transnational population need to be implemented in both the U.S. and Mexico.
authors.affiliation: El Colegio de la Frontera Norte, Tijuana, Mexico.
authors.forename: M Gudelia
authors.initials: MG
authors.lastname: Rangel
authors.forename: Ana P
authors.initials: AP
authors.lastname: Martinez-Donate
authors.forename: Melbourne F
authors.initials: MF
authors.lastname: Hovell
authors.forename: Carol L
authors.initials: CL
authors.lastname: Sipan
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Zellner
authors.forename: Eduardo
authors.initials: E
authors.lastname: Gonzalez-Fagoaga
authors.forename: Norma J
authors.initials: NJ
authors.lastname: Kelley
authors.forename: Ahmed
authors.initials: A
authors.lastname: Asadi-Gonzalez
authors.forename: Catalina
authors.initials: C
authors.lastname: Amuedo-Dorantes
authors.forename: Carlos
authors.initials: C
authors.lastname: Magis-Rodriguez
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D011159:Population Surveillance; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D014481:United States; D055815:Young Adult