142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Economic vulnerability of recent Latino immigrants and its impact on sexual solicitation at day laborer employment sites

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 1:30 PM - 1:45 PM

Suzanne Grieb, PhD, MSPH , Center for Child and Community Health Research, Johns Hopkins School of Medicine, Baltimore, MD
Alejandra Flores-Miller , Baltimore City Health Department, Baltimore, MD
Fidel Desir , Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Rachel Joseph, MPH , Partnership Health Plan of California, Oakland, CA
Kathleen Page, MD , Center for Clinical Global Health Education, Johns Hopkins School of Medicine, Baltimore, MD
There is limited understanding of the complicated circumstances that impact the sexual health of immigrant Latino day laborers, including transactional sexual solicitation by men and day laborers’ acceptance of these solicitations in job recruitment sites.  To explore sexual solicitation in open air job recruitment markets, focus groups were conducted in Baltimore City (a new immigrant receiving community) with recent immigrant Latino day laborers (in the U.S. < 10 years).  Eight focus groups (N = 59) were conducted between June and August 2012.  Focus groups were audio-recorded, and transcripts were analyzed through a modified thematic constant comparison approach. One third of the men (30.5%) reported being offered money at an open air market by another man in exchange for sex, and solicitors were identified as representing diverse races/ethnicities. Participants described acceptance of sexual solicitations for pay as influenced by their economic vulnerabilities in the U.S., specifically experiences with worksite discrimination, wage fraud, and robbery.  HIV/STI risk was not perceived to be associated with these interactions, although they are likely risky given the high prevalence of HIV among men who have sex with men in Baltimore, and thus solicitors may serve as a bridge to introduce HIV into a largely closed sexual network.  Individual and structural interventions are needed to reduce HIV transmission and stem the economic vulnerabilities that place undocumented day laborers at risk for negative sexual health outcomes.

Learning Areas:

Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
Discuss ways in which Latino immigrant day laborers may be at risk of HIV/STI risk as a result of transactional sexual solicitation by men at open air job recruitment markets.

Keyword(s): Immigrant Health, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a medical anthropologist with training in immigrant health. I facilitated with the design, data collection, data analysis, and community dissemination in collaboration with the Baltimore City Health Department's Latino Outreach Program.
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.