title: HIV Risk Behaviors and Correlates of Inconsistent Condom Use Among Substance Using Migrants at the Mexico/Guatemala Border.
abstract: This study assessed correlates of inconsistent condom use with casual partners and the prevalence of sexual risk behaviors and STIs in the Mexico/Guatemala border region using a sample of 392 migrants (303 men, 85 women) who reported current substance use or problem drinking. We ran separate univariate logistic regression models for men and women, and multivariate logistic regression models for men only. Prevalence of syphilis was 1.2% among women and 2.3% among men; HIV prevalence was 2.4% among women and 1.3% among men. Inconsistent condom use with casual partners was higher in women with greater education and lower among women who sold sex. In men, less access to free condoms, drug use with sexual partners, and drug use before sex were independently associated with inconsistent condom use with casual partners. Sexual and substance use risk behaviors were common, and HIV/STI prevention efforts should target both genders and expand beyond most-at risk populations.
authors.affiliation: Department of Medicine, University of California, San Diego, La Jolla, CA, USA.|Graduate School of Public Health, San Diego State University, San Diego, CA, USA.
authors.forename: Erin E
authors.initials: EE
authors.lastname: Conners
authors.affiliation: Department of Geography, San Diego State University, San Diego, CA, USA.
authors.forename: Kate
authors.initials: K
authors.lastname: Swanson
authors.affiliation: Universidad del Valle de Guatemala, Guatemala City, Guatemala.
authors.forename: Sonia
authors.initials: S
authors.lastname: Morales-Miranda
authors.affiliation: Centro de Investigaciones y Estudios Superiores en Antropología Social, Chiapas, Mexico.
authors.forename: Carmen
authors.initials: C
authors.lastname: Fernández Casanueva
authors.affiliation: Department of Medicine, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Valerie J
authors.initials: VJ
authors.lastname: Mercer
authors.affiliation: Department of Medicine, University of California, San Diego, La Jolla, CA, USA. kbrouwer@ucsd.edu.
authors.forename: Kimberly C
authors.initials: KC
authors.lastname: Brouwer
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006166:Guatemala / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D016015:Logistic Models; D008297:Male; D008800:Mexico / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D021841:Safe Sex / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology*; D013587:Syphilis / Q000453:epidemiology*; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Drug; Immigration; Latin America; Sex