Division of Infectious Diseases, School of Medicine, University of Colorado Denver, Aurora, CO 80045, USA.
J Immigr Minor Health. 2012 Feb;14(1):89-99. doi: 10.1007/s10903-011-9529-7.
Hispanic women in the United States (US) are disproportionately affected by human immunodeficiency virus (HIV) infection. There are very limited data on the sexual risk differences among US-born Hispanic women (USBHW) and foreign-born Hispanic women (FBHW). Sexually active USBHW and FBHW were asked to complete a self-administered questionnaire. Demographics, sexual history, testing for HIV or sexually transmitted infection (STI), condom use, partner sexual risk and alcohol/substance use were compared between USBHW and FBHW. FBHW were 3.5 years older than USBHW at first sexual experience (95% CI: 2.8, 4.1; P < 0.001). This remained significant after controlling for age and education. There was no difference between groups in the proportion of women with >1 reported sexual partner in the last year. FBHW reported fewer risk behaviors and lower rates of STI and alcohol/drug abuse. However, FBHW were less likely to have been tested for HIV. HIV prevention strategies would better target Hispanic women in the US if differences in risk behavior between FBHW and USBHW were incorporated.
美国（US）的西班牙裔女性不成比例地受到人类免疫缺陷病毒（HIV）感染的影响。关于美国出生的西班牙裔女性（USBHW）和外国出生的西班牙裔女性（FBHW）之间的性风险差异，数据非常有限。对有性行为的 USBHW 和 FBHW 进行了问卷调查，内容包括人口统计学特征、性史、HIV 或性传播感染（STI）检测、避孕套使用、性伴侣的性风险和酒精/药物使用情况。比较了 USBHW 和 FBHW 之间的差异。FBHW 的首次性行为年龄比 USBHW 大 3.5 岁（95%CI：2.8，4.1；P<0.001）。在控制了年龄和教育程度后，这一差异仍然显著。在过去一年中，报告有超过 1 个性伴侣的女性比例，两组之间没有差异。FBHW 报告的风险行为较少，性传播感染和酒精/药物滥用的发生率较低。然而，FBHW 进行 HIV 检测的可能性较小。如果将 FBHW 和 USBHW 之间的风险行为差异纳入其中，美国的西班牙裔女性的 HIV 预防策略将更好地针对该人群。
