1. HIV Prevention Among Mexican Migrants at Different Migration Phases: Exposure to Prevention Messages and Association With Testing Behaviors.
- Author
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Martinez-Donate AP, Rangel MG, Zhang X, Simon NJ, Rhoads N, Gonzalez-Fagoaga JE, and Gonzalez AA
- Subjects
- Adolescent, Adult, Cross-Sectional Studies, Female, HIV Infections diagnosis, HIV Infections epidemiology, Humans, Interviews as Topic, Male, Mass Screening, Mexico ethnology, Middle Aged, Population Surveillance, Risk Factors, Socioeconomic Factors, Surveys and Questionnaires, United States epidemiology, HIV Infections prevention & control, Health Knowledge, Attitudes, Practice, Mexican Americans, Transients and Migrants
- Abstract
Mobile populations are at increased risk for HIV infection. Exposure to HIV prevention messages at all phases of the migration process may help decrease im/migrants' HIV risk. We investigated levels of exposure to HIV prevention messages, factors associated with message exposure, and the association between exposure to prevention messages and HIV testing behavior among Mexican im/migrants at different phases of the migration process. We conducted a cross-sectional, probability survey of Mexican im/migrants (N = 3,149) traveling through the border city of Tijuana, Mexico. The results indicate limited exposure to prevention messages (57-75%) and suboptimal last 12-month HIV testing rates (14-25%) across five migration phases. Compared to pre-departure levels (75%), exposure to messages decreases at all post-departure migration phases (57-63%, p < .001). In general, exposure to prevention messages is positively associated with greater odds of HIV testing at the pre-departure, destination, and interception phases. Binational efforts need to be intensified to reach and deliver HIV prevention to Mexican im/migrants across the migration continuum.
- Published
- 2015
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