Associations between migrant status and sexually transmitted infections among female sex workers in Tijuana, Mexico
Objective:To examine associations between migration and sexually transmitted infection (STI) prevalence among Mexican female sex workers (FSW).Methods:FSW aged 18 years and older in Tijuana, Baja California (BC) underwent interviews and testing for HIV, syphilis, gonorrhoea and chlamydia. Multivaria...
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| Veröffentlicht in: | Sexually transmitted infections 2009-10, Vol.85 (6), p.420-426 |
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| creator | Ojeda, V D Strathdee, S A Lozada, R Rusch, M L A Fraga, M Orozovich, P Magis-Rodriguez, C De La Torre, A Amaro, H Cornelius, W Patterson, T L |
| description | Objective:To examine associations between migration and sexually transmitted infection (STI) prevalence among Mexican female sex workers (FSW).Methods:FSW aged 18 years and older in Tijuana, Baja California (BC) underwent interviews and testing for HIV, syphilis, gonorrhoea and chlamydia. Multivariate logistic regressions identified correlates of STI.Results:Of 471 FSW, 79% were migrants to BC. Among migrant FSW, prevalence of HIV, syphilis, gonorrhoea, chlamydia and any STI was 6.6%, 13.2%, 7.8%, 16.3% and 31.1% compared with 10.9%, 18.2%, 13.0%, 19.0% and 42.4% among FSW born in BC. A greater proportion of migrant FSW were registered with local health services and were ever tested for HIV. Migrant status was protective for any STI in unadjusted models (unadjusted odds ratio 0.61, 95% CI 0.39 to 0.97). In multivariate models controlling for confounders, migrant status was not associated with an elevated odds of STI acquisition and trended towards a protective association.Conclusions:Unexpectedly, migrant status (vs native-born status) appeared protective for any STI acquisition. It is unclear which social or economic conditions may protect against STI and whether these erode over time in migrants. Additional research is needed to inform our understanding of whether or how geography, variations in health capital, or social network composition and information-sharing attributes can contribute to health protective behaviours in migrant FSW. By capitalising on such mechanisms, efforts to preserve protective health behaviours in migrant FSW will help control STI in the population and may lead to the identification of strategies that are generalisable to other FSW. |
| doi_str_mv | 10.1136/sti.2008.032979 |
| format | Article |
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Multivariate logistic regressions identified correlates of STI.Results:Of 471 FSW, 79% were migrants to BC. Among migrant FSW, prevalence of HIV, syphilis, gonorrhoea, chlamydia and any STI was 6.6%, 13.2%, 7.8%, 16.3% and 31.1% compared with 10.9%, 18.2%, 13.0%, 19.0% and 42.4% among FSW born in BC. A greater proportion of migrant FSW were registered with local health services and were ever tested for HIV. Migrant status was protective for any STI in unadjusted models (unadjusted odds ratio 0.61, 95% CI 0.39 to 0.97). In multivariate models controlling for confounders, migrant status was not associated with an elevated odds of STI acquisition and trended towards a protective association.Conclusions:Unexpectedly, migrant status (vs native-born status) appeared protective for any STI acquisition. It is unclear which social or economic conditions may protect against STI and whether these erode over time in migrants. Additional research is needed to inform our understanding of whether or how geography, variations in health capital, or social network composition and information-sharing attributes can contribute to health protective behaviours in migrant FSW. By capitalising on such mechanisms, efforts to preserve protective health behaviours in migrant FSW will help control STI in the population and may lead to the identification of strategies that are generalisable to other FSW.</description><identifier>ISSN: 1368-4973</identifier><identifier>EISSN: 1472-3263</identifier><identifier>DOI: 10.1136/sti.2008.032979</identifier><identifier>PMID: 19188211</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; AIDS ; Antibodies ; Biological and medical sciences ; Chlamydia ; Cross-Sectional Studies ; Drugs ; Educational attainment ; Epidemiology. Vaccinations ; Female ; General aspects ; Gonorrhea ; HIV ; HIV Infections - epidemiology ; Human immunodeficiency virus ; Human infectious diseases. Experimental studies and models ; Humans ; Infectious diseases ; Medical sciences ; Mexico - epidemiology ; Middle Aged ; Migration ; Prevalence ; Regression analysis ; Risk Factors ; Sex industry ; Sex Work - ethnology ; Sex Work - statistics & numerical data ; Sexually transmitted diseases ; Sexually Transmitted Diseases - epidemiology ; Sexually Transmitted Diseases - ethnology ; Sociodemographics ; STD ; Syphilis ; Transients and Migrants - statistics & numerical data ; Vagina ; Young Adult</subject><ispartof>Sexually transmitted infections, 2009-10, Vol.85 (6), p.420-426</ispartof><rights>BMJ Publishing Group Ltd. All rights reserved.</rights><rights>2009 INIST-CNRS</rights><rights>Copyright: 2009 BMJ Publishing Group Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b523t-a00a0af87b314286244a105ad9ae4021132aee34931f7ab73b9be71de419a6513</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://sti.bmj.com/content/85/6/420.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://sti.bmj.com/content/85/6/420.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,776,780,881,3183,23550,27901,27902,77342,77373</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21928641$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19188211$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ojeda, V D</creatorcontrib><creatorcontrib>Strathdee, S A</creatorcontrib><creatorcontrib>Lozada, R</creatorcontrib><creatorcontrib>Rusch, M L A</creatorcontrib><creatorcontrib>Fraga, M</creatorcontrib><creatorcontrib>Orozovich, P</creatorcontrib><creatorcontrib>Magis-Rodriguez, C</creatorcontrib><creatorcontrib>De La Torre, A</creatorcontrib><creatorcontrib>Amaro, H</creatorcontrib><creatorcontrib>Cornelius, W</creatorcontrib><creatorcontrib>Patterson, T L</creatorcontrib><title>Associations between migrant status and sexually transmitted infections among female sex workers in Tijuana, Mexico</title><title>Sexually transmitted infections</title><addtitle>Sex Transm Infect</addtitle><description>Objective:To examine associations between migration and sexually transmitted infection (STI) prevalence among Mexican female sex workers (FSW).Methods:FSW aged 18 years and older in Tijuana, Baja California (BC) underwent interviews and testing for HIV, syphilis, gonorrhoea and chlamydia. Multivariate logistic regressions identified correlates of STI.Results:Of 471 FSW, 79% were migrants to BC. Among migrant FSW, prevalence of HIV, syphilis, gonorrhoea, chlamydia and any STI was 6.6%, 13.2%, 7.8%, 16.3% and 31.1% compared with 10.9%, 18.2%, 13.0%, 19.0% and 42.4% among FSW born in BC. A greater proportion of migrant FSW were registered with local health services and were ever tested for HIV. Migrant status was protective for any STI in unadjusted models (unadjusted odds ratio 0.61, 95% CI 0.39 to 0.97). In multivariate models controlling for confounders, migrant status was not associated with an elevated odds of STI acquisition and trended towards a protective association.Conclusions:Unexpectedly, migrant status (vs native-born status) appeared protective for any STI acquisition. It is unclear which social or economic conditions may protect against STI and whether these erode over time in migrants. Additional research is needed to inform our understanding of whether or how geography, variations in health capital, or social network composition and information-sharing attributes can contribute to health protective behaviours in migrant FSW. By capitalising on such mechanisms, efforts to preserve protective health behaviours in migrant FSW will help control STI in the population and may lead to the identification of strategies that are generalisable to other FSW.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>Antibodies</subject><subject>Biological and medical sciences</subject><subject>Chlamydia</subject><subject>Cross-Sectional Studies</subject><subject>Drugs</subject><subject>Educational attainment</subject><subject>Epidemiology. Vaccinations</subject><subject>Female</subject><subject>General aspects</subject><subject>Gonorrhea</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>Human immunodeficiency virus</subject><subject>Human infectious diseases. Experimental studies and models</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Mexico - epidemiology</subject><subject>Middle Aged</subject><subject>Migration</subject><subject>Prevalence</subject><subject>Regression analysis</subject><subject>Risk Factors</subject><subject>Sex industry</subject><subject>Sex Work - ethnology</subject><subject>Sex Work - statistics & numerical data</subject><subject>Sexually transmitted diseases</subject><subject>Sexually Transmitted Diseases - epidemiology</subject><subject>Sexually Transmitted Diseases - ethnology</subject><subject>Sociodemographics</subject><subject>STD</subject><subject>Syphilis</subject><subject>Transients and Migrants - statistics & numerical data</subject><subject>Vagina</subject><subject>Young Adult</subject><issn>1368-4973</issn><issn>1472-3263</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkUuP0zAUhS0EYobCmh2yhBASIh0_kjjeII0qXqLAZujWuklvijuJPcQO0_n3OEpVHhtWtnS-e3TuPYQ85WzJuSwvQrRLwVi1ZFJope-Rc54rkUlRyvvpL8sqy7WSZ-RRCHvGWKkK_ZCccc2rSnB-TsJlCL6xEK13gdYYbxEd7e1uABdpiBDHQMFtacDDCF13R2NSQm9jxC21rsVmHoXeux1tsYcOJ5je-uEah5AYemX3Izh4TT_jwTb-MXnQQhfwyfFdkG_v3l6tPmTrr-8_ri7XWV0IGTNgDBi0laolz0VVijwHzgrYasCcpfRSAKLMteStglrJWteo-BZzrqEsuFyQN7PvzVj3uG3QpeyduRlsD8Od8WDN34qz383O_zSiSgcqWDJ4eTQY_I8RQzS9DQ12HTj0YzBK5qxSgstEPv-H3PtxcGk7w1XFp7OnnAtyMVPN4EMYsD1l4cxMfZrUp5n6NHOfaeLZnyv85o8FJuDFEYDQQNemchobTpzgOl0un7hs5myIeDjpMFybUklVmC-blVlt9Kdis2ZmWujVzNf9_r8pfwGcUcch</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>Ojeda, V D</creator><creator>Strathdee, S A</creator><creator>Lozada, R</creator><creator>Rusch, M L A</creator><creator>Fraga, M</creator><creator>Orozovich, P</creator><creator>Magis-Rodriguez, C</creator><creator>De La Torre, A</creator><creator>Amaro, H</creator><creator>Cornelius, W</creator><creator>Patterson, T L</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20091001</creationdate><title>Associations between migrant status and sexually transmitted infections among female sex workers in Tijuana, Mexico</title><author>Ojeda, V D ; Strathdee, S A ; Lozada, R ; Rusch, M L A ; Fraga, M ; Orozovich, P ; Magis-Rodriguez, C ; De La Torre, A ; Amaro, H ; Cornelius, W ; Patterson, T L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b523t-a00a0af87b314286244a105ad9ae4021132aee34931f7ab73b9be71de419a6513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS</topic><topic>Antibodies</topic><topic>Biological and medical sciences</topic><topic>Chlamydia</topic><topic>Cross-Sectional Studies</topic><topic>Drugs</topic><topic>Educational attainment</topic><topic>Epidemiology. Vaccinations</topic><topic>Female</topic><topic>General aspects</topic><topic>Gonorrhea</topic><topic>HIV</topic><topic>HIV Infections - epidemiology</topic><topic>Human immunodeficiency virus</topic><topic>Human infectious diseases. Experimental studies and models</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Mexico - epidemiology</topic><topic>Middle Aged</topic><topic>Migration</topic><topic>Prevalence</topic><topic>Regression analysis</topic><topic>Risk Factors</topic><topic>Sex industry</topic><topic>Sex Work - ethnology</topic><topic>Sex Work - statistics & numerical data</topic><topic>Sexually transmitted diseases</topic><topic>Sexually Transmitted Diseases - epidemiology</topic><topic>Sexually Transmitted Diseases - ethnology</topic><topic>Sociodemographics</topic><topic>STD</topic><topic>Syphilis</topic><topic>Transients and Migrants - statistics & numerical data</topic><topic>Vagina</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ojeda, V D</creatorcontrib><creatorcontrib>Strathdee, S A</creatorcontrib><creatorcontrib>Lozada, R</creatorcontrib><creatorcontrib>Rusch, M L A</creatorcontrib><creatorcontrib>Fraga, M</creatorcontrib><creatorcontrib>Orozovich, P</creatorcontrib><creatorcontrib>Magis-Rodriguez, C</creatorcontrib><creatorcontrib>De La Torre, A</creatorcontrib><creatorcontrib>Amaro, H</creatorcontrib><creatorcontrib>Cornelius, W</creatorcontrib><creatorcontrib>Patterson, T L</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sexually transmitted infections</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ojeda, V D</au><au>Strathdee, S A</au><au>Lozada, R</au><au>Rusch, M L A</au><au>Fraga, M</au><au>Orozovich, P</au><au>Magis-Rodriguez, C</au><au>De La Torre, A</au><au>Amaro, H</au><au>Cornelius, W</au><au>Patterson, T L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations between migrant status and sexually transmitted infections among female sex workers in Tijuana, Mexico</atitle><jtitle>Sexually transmitted infections</jtitle><addtitle>Sex Transm Infect</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>85</volume><issue>6</issue><spage>420</spage><epage>426</epage><pages>420-426</pages><issn>1368-4973</issn><eissn>1472-3263</eissn><abstract>Objective:To examine associations between migration and sexually transmitted infection (STI) prevalence among Mexican female sex workers (FSW).Methods:FSW aged 18 years and older in Tijuana, Baja California (BC) underwent interviews and testing for HIV, syphilis, gonorrhoea and chlamydia. Multivariate logistic regressions identified correlates of STI.Results:Of 471 FSW, 79% were migrants to BC. Among migrant FSW, prevalence of HIV, syphilis, gonorrhoea, chlamydia and any STI was 6.6%, 13.2%, 7.8%, 16.3% and 31.1% compared with 10.9%, 18.2%, 13.0%, 19.0% and 42.4% among FSW born in BC. A greater proportion of migrant FSW were registered with local health services and were ever tested for HIV. Migrant status was protective for any STI in unadjusted models (unadjusted odds ratio 0.61, 95% CI 0.39 to 0.97). In multivariate models controlling for confounders, migrant status was not associated with an elevated odds of STI acquisition and trended towards a protective association.Conclusions:Unexpectedly, migrant status (vs native-born status) appeared protective for any STI acquisition. It is unclear which social or economic conditions may protect against STI and whether these erode over time in migrants. Additional research is needed to inform our understanding of whether or how geography, variations in health capital, or social network composition and information-sharing attributes can contribute to health protective behaviours in migrant FSW. By capitalising on such mechanisms, efforts to preserve protective health behaviours in migrant FSW will help control STI in the population and may lead to the identification of strategies that are generalisable to other FSW.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>19188211</pmid><doi>10.1136/sti.2008.032979</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acquired immune deficiency syndrome Adolescent Adult AIDS Antibodies Biological and medical sciences Chlamydia Cross-Sectional Studies Drugs Educational attainment Epidemiology. Vaccinations Female General aspects Gonorrhea HIV HIV Infections - epidemiology Human immunodeficiency virus Human infectious diseases. Experimental studies and models Humans Infectious diseases Medical sciences Mexico - epidemiology Middle Aged Migration Prevalence Regression analysis Risk Factors Sex industry Sex Work - ethnology Sex Work - statistics & numerical data Sexually transmitted diseases Sexually Transmitted Diseases - epidemiology Sexually Transmitted Diseases - ethnology Sociodemographics STD Syphilis Transients and Migrants - statistics & numerical data Vagina Young Adult |
| title | Associations between migrant status and sexually transmitted infections among female sex workers in Tijuana, Mexico |
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