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新移民身份对西班牙裔移民工人 HIV 风险的保护作用。

Newcomer Status as a Protective Factor among Hispanic Migrant Workers for HIV Risk.

机构信息

Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University , Miami, FL , USA.

Opportunities Industrialization Centers of South Florida , Fort Lauderdale, FL , USA.

出版信息

Front Public Health. 2014 Nov 7;2:216. doi: 10.3389/fpubh.2014.00216. eCollection 2014.

Abstract

The HIV rate among U.S. migrant workers is 10 times that of the national rate. The highly unstable lifestyle of migrant workers places them at heightened vulnerability to sexually transmitted infections; hence, there is a need to investigate the attitudes and sexual risk factors that may play a protective role in the transmission of HIV in this population. This study examines the association between attitudes and HIV risk behaviors among Hispanic male and female migrant workers (n = 255) and their length of stay (shorter length of stay as a protective factor) in Immokalee, FL, USA. Pearson's correlation and regression analyses were utilized to analyze the relationship between HIV risk behaviors (intention to use condoms and alcohol use) with length of stay in Immokalee. Longer length of stay positively correlated with number of drinks (p < 0.05) and frequency of drinks (p < 0.01) and negatively correlated with ethnic identity search (p < 0.05). Regression analysis showed that length of stay predicted both behavioral intention to use condoms (p < 0.05) and alcohol consumption (p < 0.05). The findings suggest that migrant workers who are new to Immokalee may have a higher likelihood of practicing protective HIV risk behaviors and having more favorable attitudes toward risk reduction than long-timers. This study might provide important new evidence on the drivers of multiple concurrent and potential protective factors against risky sexual behaviors among Hispanic migrant workers.

摘要

美国移民工人中的艾滋病毒感染率是全国平均水平的 10 倍。移民工人高度不稳定的生活方式使他们更容易感染性传播感染;因此,需要调查可能在这一人群中对艾滋病毒传播起到保护作用的态度和性风险因素。本研究考察了在美国佛罗里达州伊莫卡莱的西班牙裔男性和女性移民工人(n=255)的态度与艾滋病毒风险行为之间的关系,以及他们在伊莫卡莱的逗留时间(较短的逗留时间是保护因素)。本研究采用皮尔逊相关分析和回归分析来分析艾滋病毒风险行为(使用避孕套的意愿和饮酒)与在伊莫卡莱的逗留时间之间的关系。较长的逗留时间与饮酒量(p<0.05)和饮酒频率(p<0.01)呈正相关,与族裔认同搜索呈负相关(p<0.05)。回归分析表明,逗留时间预测了使用避孕套的行为意图(p<0.05)和饮酒量(p<0.05)。研究结果表明,新到伊莫卡莱的移民工人可能更有可能采取保护艾滋病毒风险行为,对减少风险的态度也更有利。本研究可能为西班牙裔移民工人中多种同时存在的和潜在的保护因素对危险性行为的驱动力提供重要的新证据。

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