Migration and Risk Factors for HIV Acquisition in Pregnant Women in Baja California, Mexico

Viani, Rolando M.; Araneta, Maria Rosario G.; Ruiz-Calderon, Jorge; Hubbard, Patricia; Lopez, Graciano; Chacón-Cruz, Enrique; Spector, Stephen A.

doi:10.1186/1758-2652-7-2-69

Cited by 4 publications

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, we consistently documented a very high HIV prevalence among pregnant women in Tijuana than among other Mexican localities, regardless of their migration status. 11 Similar to our previous study, we found Tijuana residents to be more likely than migrants to engage in HIV acquisition high-risk behaviors. 11 Our study expands on our previous observation and quantifies the female migrant population, mostly coming from south, central Mexico and from western states.…”

Section: Discussionsupporting

confidence: 89%

“…11 Similar to our previous study, we found Tijuana residents to be more likely than migrants to engage in HIV acquisition high-risk behaviors. 11 Our study expands on our previous observation and quantifies the female migrant population, mostly coming from south, central Mexico and from western states. Interestingly, among the long-term Tijuana residents who were born elsewhere, the birth states mostly represented are the same as the migrant states, namely Chiapas, Sinaloa, Jalisco, Veracruz, Michoacan, and Nayarit.…”

Section: Discussionsupporting

confidence: 89%

“…8 –10 The implications of internal Mexican migration to the US-Mexico border region on HIV acquisition risk factors among women of childbearing age have received little attention. 11 The aim of our study was to compare the HIV prevalence and HIV acquisition risk behaviors between pregnant women residents and migrants in Tijuana, Mexico.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

In-Country Migration and Risk Factors for HIV Acquisition among Pregnant Women in Tijuana, Mexico

Viani

Araneta

Spector

2014

J Int Assoc Provid AIDS Care

View full text Add to dashboard Cite

Objective To compare HIV prevalence and HIV acquisition risk behaviors between pregnant women residents and migrants. Design A cross-sectional study of pregnant women of unknown HIV status seeking care at Tijuana General Hospital, Mexico. Methods Pregnant women attending the labor and delivery unit or the prenatal clinic had a rapid HIV test drawn, with positive results confirmed by Western blot. Migrants were defined as women who had resided in Tijuana for less than 5 years. Results Between 2007 and 2008, a total of 3331 pregnant women consented to participate. The HIV seroprevalence did not differ between Tijuana residents (18 of 2502, 0.72%) and migrants (3 of 829, 0.36%, P = .32). In multivariate regression analyses, HIV acquisition risk behaviors included methamphetamine use (adjusted odds ratio [OR]: 6.03, 95% confidence interval [CI]: 2.3–15.8, P < .001) and first presentation at labor (adjusted OR: 5.0, 95% CI: 1.6–15.3, P = .005), adjusted for migrant status, age, and history of sexually transmitted infections. Conclusion The overall HIV seroprevalence was 0.63% and did not differ between Tijuana residents and migrants.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

In-Country Migration and Risk Factors for HIV Acquisition among Pregnant Women in Tijuana, Mexico

Viani

Araneta

Spector

2014

J Int Assoc Provid AIDS Care

View full text Add to dashboard Cite

show abstract

“…The only risk factor in contracting HIV is through a male sexual partner who has traveled to the USA. In Tijuana, the HIV prevalence rate among hospitalized pregnant women is more than ten times the national average (Viani et al 2005). Moreover, six per cent of AIDS cases are reported in rural Mexico, and it is estimated that twenty-five per cent of those individuals acquired the infection while working in the USA (Solorio et al 2004).…”

Section: Epidemiology Of Hiv In Mexicomentioning

confidence: 98%

HIV and Latino migrant workers in the USA

Persichino¹,

Ibarra²

2012

Ethnic and Racial Studies

View full text Add to dashboard Cite

Migrant workers from Latin America are an essential source of economic development in the US agricultural industry. A majority of migrants are from Mexico and are undocumented and they represent a vulnerable and marginalized group in American society. There is a growing concern for HIV disease in the migrant community. The HIV prevalence rate among migrants is higher than the average rates in USA and in countries of Latin America. There are many behavioural, social, cultural, and health care risk factors and barriers that place migrants at increased risk for HIV infection. Many migrant workers contract HIV while working and living in the USA, which has contributed to rising HIV infection rates in Mexico. In order to prevent an increasing epidemic of HIV disease in Latino migrant workers, there is an urgent call for new and improved health care policies at the international, federal, state, and local levels.

show abstract

“…36 The net flux of Mexicans migrating into the United States annually surpasses 400,000. 37 Migrants, who are separated from family and other supports, 38,39 tend to engage in higher HIV risk behaviors, 40,41 and those returning may carry the virus back home. In a study of male IDUs in Tijuana, those who had been deported from the United States to Mexico were four times more likely to be HIV positive than other male IDUs.…”

mentioning

confidence: 99%

The Relatedness of HIV Epidemics in the United States–Mexico Border Region

Mehta

Delport

Brouwer

et al. 2010

AIDS Research and Human Retroviruses

View full text Add to dashboard Cite

Phylogeography can improve the understanding of local and worldwide HIV epidemics, including the migration of subepidemics across national borders. We analyzed HIV-1 sequences sampled from Mexico and San Diego, California to determine the relatedness of these epidemics. We sampled the HIV epidemics in (1) Mexico by downloading all publicly available HIV-1 pol sequences from antiretroviral-naive individuals in GenBank (n = 100) and generating similar sequences from cohorts of injection drug users and female sex workers in Tijuana, Mexico (n = 27) and (2) in San Diego, California by pol sequencing well-characterized primary (n = 395) and chronic (n = 267) HIV infection cohorts. Estimates of population structure (F(ST)), genetic distance cluster analysis, and a cladistic measure of migration events (Slatkin-Maddison test) were used to assess the relatedness of the epidemics. Both a test of population differentiation (F(ST) = 0.06; p < 0.01) and a cladistic estimate of migration events (84 migrations, p < 0.01) indicated that the Tijuana and San Diego epidemics were not freely mixing. A conservative cluster analysis identified 72 clusters (two or more sequences), with two clusters containing both Mexican and San Diego sequences (permutation p < 0.01). Analysis of this very large dataset of HIV-1 sequences suggested that the HIV-1 epidemics in San Diego, California and Tijuana, Mexico are distinct. Larger epidemiological studies are needed to quantify the magnitude and associations of cross-border mixing.

show abstract

Migration and Risk Factors for HIV Acquisition in Pregnant Women in Baja California, Mexico

Cited by 4 publications

References 3 publications

In-Country Migration and Risk Factors for HIV Acquisition among Pregnant Women in Tijuana, Mexico

In-Country Migration and Risk Factors for HIV Acquisition among Pregnant Women in Tijuana, Mexico

HIV and Latino migrant workers in the USA

The Relatedness of HIV Epidemics in the United States–Mexico Border Region

Contact Info

Product

Resources

About