HIV/STI in the U.S.-Mexico border region

Background

Sexually transmitted infections (STI), including HIV, are common and significant causes of acute illness, infertility, long term disability and death. The situation of HIV/STI on the U.S.-Mexico border is critical. In order to advocate with policy makers and raise population awareness concerning the severity of the HIV/AIDS and STI in the region, an analysis* of various data sets was undertaken.

Method

An epidemiological descriptive study* of the situation of HIV/AIDS and STI throughout the U.S.-Mexico border was carried out.

Results

The situation of sexually transmitted infections on the U.S.-Mexico border is especially severe in certain states and counties characterized by high migration rates, a relevant sexual trade and an important use of intravenous drugs. The study shows in some counties VPH and syphilis incidences particularly greater than the corresponding national incidences.

Conclusions and recommendations

To reduce STI, interrupt their transmission and avoid complications; preventive and informative programs promoting safer sex and risk reduction are needed. In order to comprehensively address the epidemic of HIV/AIDS and STI on the U.S.-Mexico border, the engagement of civil society is imperative, as is the planning and implementation of programs that take into consideration not only individuals most at risk but society at large; and the active commitment and participation of both governments, at all levels, in support of an effective binational cross-border collaborative strategy and plan of action.

*A collaborative project among epidemiologists and HIV/AIDS researchers commissioned by the PAHO/WHO U.S.-Mexico Border Office.