Department of Sociology, San Francisco State University, San Francisco, CA 94132, USA.
AIDS Behav. 2011 Jan;15(1):95-102. doi: 10.1007/s10461-009-9614-2.
Latinos in the United States are an ethnically diverse group disproportionately affected by HIV/AIDS. We describe HIV seroprevalence, HIV risk behaviors and utilization of health services among Mexican American injection drug users (IDUs) in California (n = 286) and compare them to White (n = 830) and African American (n = 314) IDUs. Study participants were recruited from syringe exchange programs (n = 24) in California. HIV seroprevalence among Mexican Americans (0.5%) was dramatically lower than Whites (5%) and African Americans (8%). Mexican Americans reported fewer sex-related risks than Whites and African Americans though injection-related risks remained high. Compared to Whites, Mexican Americans were more likely to participate in drug treatment during a 6 month period (AOR 1.5, 95% CI 1.1, 2.0) but less likely to receive any health care (AOR 0.6, 95% CI 0.5, 0.8). Exploring cultural and structural factors among Mexican American IDUs may offer new insights into how to maintain low rates of HIV seroprevalence and reduce barriers to health care utilization.
美国的拉丁裔是一个种族多样化的群体,他们受到艾滋病毒/艾滋病的影响不成比例。我们描述了加利福尼亚州的墨西哥裔美国注射吸毒者(IDU)(n = 286)中的艾滋病毒血清流行率、艾滋病毒风险行为和卫生服务利用情况,并将其与白人(n = 830)和非裔美国人(n = 314)IDU 进行了比较。研究参与者是从加利福尼亚州的注射器交换计划(n = 24)中招募的。墨西哥裔美国人(0.5%)的艾滋病毒血清流行率明显低于白人和非裔美国人(分别为 5%和 8%)。墨西哥裔美国人报告的性相关风险比白人和非裔美国人少,但与注射相关的风险仍然很高。与白人相比,墨西哥裔美国人在 6 个月内更有可能参加药物治疗(AOR 1.5,95%CI 1.1,2.0),但更不可能接受任何医疗保健(AOR 0.6,95%CI 0.5,0.8)。探索墨西哥裔美国 IDU 中的文化和结构因素可能为如何维持低艾滋病毒血清流行率和减少医疗保健利用障碍提供新的见解。