261325 Pre-immigration determinants of HIV/STD Risk Behaviors among Recent Latino Immigrants to South Florida

Wednesday, October 31, 2012 : 10:30 AM - 10:50 AM

Patria Rojas, PhD , Center for Research on U.S Latino HIV/AIDS and Drug Abuse, Florida International University, Miami, FL
Frank Dillon, PhD , Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Florida International University, Miami, FL
Elena Cyrus, MPH , Department of Epidemiology and Biostatisticss, Florida International University, Robert Stempel School of Public Health and Social Work, Miami, FL
Gira Ravelo , Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Florida International University, Miami, FL
Mary Jo Trepka, MD, MSPH , Robert Stempel College of Public Health and Social Work, Department of epidemiology, Florida International University, Miami, FL
Mario De La Rosa, PhD , Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Florida International University, Miami, FL
Background: Pre-immigration determinants of sexual risk behavior for Latino immigrants are understudied. Given the high rate of immigration to the U.S. from Latin America and the continuing risk of HIV/STD transmission among the US population, research in this area is integral. Methods: Data examined are from the baseline phase of a longitudinal study and were collected 2008 -2010 from 527 participants ages 18-39 who immigrated to the U.S. within the previous 12 months. Descriptive epidemiologic methods and structural equation modeling (SEM) were used for analysis. Results: Prevalence of HIV pre-immigration was 4%. During 12 months prior to immigration, 1% of participants reported exchanging sex for drugs and 3% exchanging sex for alcohol; 4.4% reported having sex under the influence of illicit drugs and 8.5% under the influence of alcohol; 2.8% reported exchanging sex for money; 40% reported having more than 1 sexual partner; and 32% of respondents with 1 sexual partner did not use condoms during vaginal sex. SEM model demonstrated adequate model fit,2(28,N =525) = 46.24, p= .016; CFI = .978; RMSEA = .04. Alcohol use was linked with increased high-risk sexual behavior (lower condom use, multiple sexual partners). Correlates of alcohol use were being male, single, and as annual income increased, alcohol use increased. Conclusions: Findings demonstrate the importance of targeting RLIs for HIV/STD prevention efforts. When planning for behavioral interventions and HIV/STD prevention programs/policy, public health professionsals should consider that there is an association between recent Latino single male immigrants' income and higher risky sexual behaviors.

Learning Areas:
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Social and behavioral sciences

Learning Objectives:
To describe the prevalence and determinants of pre-immigration HIV/STD sexual risk behaviors among recent Latino immigrants (RLI) to South Florida.

Keywords: Immigrants, HIV Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a doctoral student and my dissertation focuses on the role of social capital on HIV risk behavior among Latino immigrants. Prior to my doctoral work, I worked for over seven years in HIV/AIDS related research (prevention, microbicides, reproductive health, STD risk behavior) among both US and non-US populations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.