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美国与墨西哥边境两个社区中艾滋病毒呈阳性的拉丁裔人群的驱逐出境史。

Deportation history among HIV-positive Latinos in two US-Mexico border communities.

作者信息

Muñoz Fátima A, Servin Argentina E, Garfein Richard S, Ojeda Victoria D, Rangel Gudelia, Zúñiga María Luisa

机构信息

Division of Global Public Health, Department of Medicine, School of Medicine, University of California, San Diego, La Jolla, CA, USA.

出版信息

J Immigr Minor Health. 2015 Feb;17(1):104-11. doi: 10.1007/s10903-013-9929-y.

Abstract

Health-related vulnerabilities associated with deportation are understudied. We conducted a cross-sectional study to identify factors associated with history of deportation from the US to Mexico among HIV-positive Latinos. From 2009 to 2010, we recruited a convenience sample from HIV clinics in San Diego, US and Tijuana, Mexico. Of 283 participants, 25% reported a prior deportation. Factors independently associated with increased odds of deportation history were being male [adjusted odds ratio (AOR) 2.77; 95% CI 1.18-6.48], having ≤high-school education (AOR 3.87; 95% CI 1.84-8.14), ever using cocaine (AOR 2.46; 95% CI 1.33-4.57), and reporting personalized HIV-stigma: "some have told me HIV is what I deserve for how I lived" (AOR 2.23; 95% CI 1.14-4.37). Lower self-reported antiretroviral medication adherence (AOR 0.35; 95% CI 0.12-0.96) and perceiving HIV-stigma: "most people believe a person who has HIV is dirty" (AOR 0.49; 95% CI 0.25-0.94) were associated with decreased odds of deportation history. Deportation is associated with specific socioeconomic indicators that are known to impact the health of individuals living with HIV.

摘要

与驱逐出境相关的健康脆弱性研究不足。我们开展了一项横断面研究,以确定在美国感染艾滋病毒的拉丁裔中与从美国被驱逐到墨西哥的历史相关的因素。2009年至2010年,我们从美国圣地亚哥和墨西哥蒂华纳的艾滋病毒诊所招募了一个便利样本。在283名参与者中,25%报告曾被驱逐出境。与驱逐历史几率增加独立相关的因素包括男性(调整后的优势比[AOR]为2.77;95%置信区间为1.18 - 6.48)、高中及以下学历(AOR为3.87;95%置信区间为1.84 - 8.14)、曾使用可卡因(AOR为2.46;95%置信区间为1.33 - 4.57)以及报告个性化的艾滋病毒污名:“有人告诉我,艾滋病毒是我应得的,因为我的生活方式”(AOR为2.23;95%置信区间为1.14 - 4.37)。自我报告的抗逆转录病毒药物依从性较低(AOR为0.35;95%置信区间为0.12 - 0.96)以及感知到艾滋病毒污名:“大多数人认为感染艾滋病毒的人是肮脏的”(AOR为0.49;95%置信区间为0.25 - 0.94)与驱逐历史几率降低相关。驱逐出境与已知会影响艾滋病毒感染者健康的特定社会经济指标相关。

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