墨西哥注射吸毒女性性工作者的循环迁移：对墨西哥输出社区中 HIV 的影响。
Circular migration by Mexican female sex workers who are injection drug users: implications for HIV in Mexican sending communities.
机构信息
Division of Global Public Health, Department of Medicine, UCSD School of Medicine, Institute of the Americas, University of California, La Jolla, CA 92093, USA.
出版信息
J Immigr Minor Health. 2012 Feb;14(1):107-15. doi: 10.1007/s10903-011-9512-3.
Abstract
Circular migration and injection drug use increase the risk of HIV transmission in sending communities. We describe female sex workers who are injection drug users' (FSW-IDUs) circular migration and drug use behaviors. Between 2008-2010, 258 migrant FSW-IDUs residing in Tijuana and Ciudad Juarez, Mexico responded to questionnaires. 24% of FSW-IDUs were circular migrants. HIV prevalence was 3.2% in circular migrants and 6.1% in non-circular migrants; 50% of circular and 75% of non-circular migrants were unaware of their HIV infection. Among circular migrants, 44% (n = 27) consumed illicit drugs in their birthplace; 74% of these (n = 20) injected drugs and one-half of injectors shared injection equipment in their birthplace. Women reporting active social relationships were significantly more likely to return home. Circular migrant FSW-IDUs exhibit multiple HIV risks and opportunities for bridging populations. Regular HIV testing and treatment and access to substance use services is critical for FSW-IDUs and their sexual/drug-using contacts.
摘要
循环迁移和注射毒品使用会增加发送社区中 HIV 传播的风险。我们描述了注射毒品使用者的循环迁移和吸毒行为的女性性工作者（FSW-IDUs）。2008-2010 年期间，258 名居住在墨西哥蒂华纳和华雷斯城的移民 FSW-IDUs 回答了问卷。24%的 FSW-IDUs 是循环移民。循环移民中的 HIV 感染率为 3.2%，非循环移民中的 HIV 感染率为 6.1%；50%的循环移民和 75%的非循环移民不知道自己的 HIV 感染状况。在循环移民中，44%（n=27）在原籍地吸食非法药物；其中 74%（n=20）注射药物，一半的注射者在原籍地共用注射设备。报告有积极社会关系的女性更有可能回家。循环移民的 FSW-IDUs 表现出多种 HIV 风险和桥梁人群的机会。定期进行 HIV 检测和治疗以及获得药物使用服务对 FSW-IDUs 及其性/药物使用者的接触者至关重要。
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