title: Migration Patterns and Characteristics of Sexual Partners Associated with Unprotected Sexual Intercourse Among Hispanic Immigrant and Migrant Women in the United States.
abstract: In 2011, Hispanic immigrant women comprised 44% of HIV diagnoses among Hispanic women in the United States but little is known about factors that may place these women at risk for infection with HIV or sexually transmitted diseases. From March 2005 to February 2007, women were recruited at community-based organizations offering services to immigrant and migrant communities in five U.S. states. We report factors independently associated with unprotected anal and vaginal sex in the past 12 months among Hispanic immigrant and migrant women. Greater work-related mobility was associated with unprotected anal sex, while recency of immigration and prior refusal of HIV testing were associated with women's reports of unprotected vaginal sex. Prior sex with an injection drug user was associated with reports of both unprotected anal and vaginal sex. Findings highlight the need for HIV/STD risk reduction interventions designed specifically for Hispanic immigrant and migrant women.
authors.affiliation: Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta, GA, USA. Evalverde@cdc.gov.
authors.forename: Eduardo E
authors.initials: EE
authors.lastname: Valverde
authors.affiliation: Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta, GA, USA. TPainter@cdc.gov.
authors.forename: Thomas
authors.initials: T
authors.lastname: Painter
authors.affiliation: Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta, GA, USA. james@icddrb.org.
authors.forename: James D
authors.initials: JD
authors.lastname: Heffelfinger
authors.affiliation: National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH) Neuroscience Center, Bethesda, MD, USA. schuldenj@nida.nih.gov.
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Schulden
authors.affiliation: Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta, GA, USA. PChavez@cdc.gov.
authors.forename: Pollyanna
authors.initials: P
authors.lastname: Chavez
authors.affiliation: Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta, GA, USA. Edinenno@cdc.gov.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: DiNenno
mesh_terms: D000293:Adolescent; D000328:Adult; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000208:ethnology; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D012309:Risk-Taking; D012725:Sexual Behavior / Q000208:ethnology; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000208:ethnology; D012959:Socioeconomic Factors; D015819:Substance Abuse, Intravenous / Q000208:ethnology; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D047568:Unsafe Sex / Q000208:ethnology*; D055815:Young Adult
keywords: Female; HIV; Hispanic; Immigrants; Migrants