title: HIV Prevalence Among Central American Migrants in Transit Through Mexico to the USA, 2009-2013.
abstract: HIV prevalence was estimated among migrants in transit through Mexico. Data were collected on 9108 Central American migrants during a cross-sectional study performed in seven migrant shelters from 2009 to 2013. Considerations focused on their sociodemographic characteristics, sexual and reproductive health, and experience with violence. Based on a sample of 46.6 % of respondents who agreed to be HIV tested, prevalence of the virus among migrants came to 0.71 %, reflecting the concentrated epidemic in their countries of origin. A descriptive analysis was performed according to gender: the distribution of the epidemic peaked at 3.45 % in the transvestite, transgender and transsexual (TTT) population, but fell to less than 1 % in men and women. This gender differential is characteristic of the epidemic in Central America. Furthermore, 23.5 % of TTTs and 5.8 % of women experienced sexual violence. The predominant impact of sexual violence on TTTs and women will influence the course of the AIDS epidemic.
authors.affiliation: Centre for Health Systems Research, National Institute of Public Health, Mexico, Mexico.
authors.forename: René
authors.initials: R
authors.lastname: Leyva-Flores
authors.affiliation: Centre for Health Systems Research, National Institute of Public Health, Mexico, Mexico. cesar.infante@insp.mx.|Instituto Nacional de Salud Pública, México. Av. Universidad 655, C.P. 62100, Cuernavaca, Morelos, Mexico. cesar.infante@insp.mx.
authors.forename: César
authors.initials: C
authors.lastname: Infante
authors.affiliation: Centre for Health Systems Research, National Institute of Public Health, Mexico, Mexico.
authors.forename: Edson
authors.initials: E
authors.lastname: Servan-Mori
authors.affiliation: Mexico City Autonomous University (UACM), Mexico, Mexico.
authors.forename: Frida
authors.initials: F
authors.lastname: Quintino-Pérez
authors.affiliation: Centre for Health Systems Research, National Institute of Public Health, Mexico, Mexico.
authors.forename: Omar
authors.initials: O
authors.lastname: Silverman-Retana
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000208:ethnology; D000328:Adult; D017677:Age Distribution; D002489:Central America / Q000208:ethnology; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000208:ethnology*; D015438:Health Behavior; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D017678:Sex Distribution; D012742:Sex Offenses / Q000208:ethnology; D000072339:Sexual and Gender Minorities / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology
keywords: AIDS; Central America; HIV; Mexico; Migrants; Prevalence