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社会支持及其对流动人口的族群认同和 HIV 风险的影响。

Social Support and Its Impact on Ethnic Identity and HIV Risk among Migrant Workers.

机构信息

Health Administration Department, College of Business, Florida Atlantic University, 777 Glades Road, Boca Raton, FL, 33431, USA.

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

出版信息

J Racial Ethn Health Disparities. 2018 Feb;5(1):96-103. doi: 10.1007/s40615-017-0347-z. Epub 2017 Mar 9.

Abstract

Migrant workers are disproportionately affected by HIV due to poverty, social isolation, lack of access to and availability of health care services, acculturation, language barriers, constant mobility, and lack of knowledge. This study examined the impact of changes in social support on ethnic identity and HIV risk behaviors among migrant workers in South Florida. For this study, baseline and 6-month follow-up data were collected from an HIV intervention study among migrant workers in South Florida (n = 270) who reported unprotected sex in the past 30 days. The Multigroup Identity Measure was used to assess ethnic identity and the Social Provisions Scale examined the degree to which respondents' social relationships provide various dimensions of social support. Social support was a significant predictor of ethnic identity and of ethnic identity subscales, ethnic identity belonging and ethnic identity explore. There were small but statistically significant short-term changes in ethnic identity and ethnic identity subscales among the migrant workers over the 6-month time period assessed after controlling for the intervention. Future studies should be conducted over a longer period of time to better assess this relationship and possible factors to reduce HIV risk behaviors. There is a need to focus on improving the quality of health and reduce HIV and other risks experienced by this marginalized community.

摘要

农民工由于贫困、社会孤立、缺乏获得和提供医疗保健服务的机会、文化适应、语言障碍、不断流动以及缺乏知识,受到艾滋病毒的不成比例的影响。本研究考察了社会支持变化对南佛罗里达州农民工的种族认同和艾滋病毒风险行为的影响。在这项研究中,从南佛罗里达州农民工(n=270)的艾滋病毒干预研究中收集了基线和 6 个月随访数据,这些农民工在过去 30 天内报告有不安全的性行为。使用多群体认同量表评估种族认同,社会供给量表评估受访者的社会关系在多大程度上提供各种维度的社会支持。社会支持是种族认同以及种族认同归属和种族认同探索的重要预测因素。在控制干预措施后,经过 6 个月的时间评估,农民工的种族认同和种族认同子量表在短期内出现了微小但具有统计学意义的变化。未来的研究应该在更长的时间内进行,以更好地评估这种关系和可能减少艾滋病毒风险行为的因素。需要关注改善这一边缘社区的健康质量,减少艾滋病毒和其他风险。

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