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Published in: Journal of Immigrant and Minority Health 1/2012

01-02-2012 | Review Article

Mobility and HIV in Central America and Mexico: A critical review

Authors: Shira M. Goldenberg, Steffanie A. Strathdee, Maria D. Perez-Rosales, Omar Sued

Published in: Journal of Immigrant and Minority Health | Issue 1/2012

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Abstract

Mobility is a key determinant of HIV/sexually transmitted infection (STI) transmission dynamics in Asia and Africa. Scant data exist regarding its dynamic impacts on HIV/STI risk in Central America and Mexico. Our objective was to critically review the epidemiology and social and structural context of HIV/STI risk among mobile populations in Central America and Mexico. Eligible articles were published in English or Spanish between January 1, 2000 and August 31, 2010; conducted in Central America or Mexico; specified the mobile population included; and described primary research. 2045 records were screened, 275 articles reviewed, and 22 studies included. Mobility is associated with increased HIV risk behaviors, though it also may increase preventive behaviors. Among mobile groups in Central America and Mexico, social isolation, the socio-economic impacts of displacement, gender inequalities, and stigma/discrimination shape HIV risk. Epidemiologic research and multi-level interventions that target and engage vulnerable groups in transit stations are recommended.
Footnotes
1
These data underestimate the number of repatriated migrants, as they include only removals (deportation based on an order of removal, which carries administrative and criminal consequences upon reentry), which represented less than one quarter of repatriations from 2000-2008. Most deportees are returned (deportation not based on an order of removal, which does not carry criminal consequences upon re-entry). Returns by country of origin are unpublished.
 
2
While other successful HIV prevention interventions among the general population or most at risk groups have been published, those that did not specify the migrant population sampled were not eligible for inclusion.
 
3
UCJSC, 2005, unpublished data.
 
4
HCP, unpublished data.
 
5
MOH, 2002, unpublished data.
 
6
FUNDESIDA, unpublished data.
 
7
ACNUR, unpublished data.
 
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Metadata
Title
Mobility and HIV in Central America and Mexico: A critical review
Authors
Shira M. Goldenberg
Steffanie A. Strathdee
Maria D. Perez-Rosales
Omar Sued
Publication date
01-02-2012
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 1/2012
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-011-9505-2

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