In-Country Migration and Risk Factors for HIV Acquisition among Pregnant Women in Tijuana, Mexico

Journal of the International Association of Providers of AIDS Care
Rolando M VianiStephen A Spector

Abstract

To compare HIV prevalence and HIV acquisition risk behaviors between pregnant women residents and migrants. A cross-sectional study of pregnant women of unknown HIV status seeking care at Tijuana General Hospital, Mexico. Pregnant women attending the labor and delivery unit or the prenatal clinic had a rapid HIV test drawn, with positive results confirmed by Western blot. Migrants were defined as women who had resided in Tijuana for less than 5 years. Between 2007 and 2008, a total of 3331 pregnant women consented to participate. The HIV seroprevalence did not differ between Tijuana residents (18 of 2502, 0.72%) and migrants (3 of 829, 0.36%, P = .32). In multivariate regression analyses, HIV acquisition risk behaviors included methamphetamine use (adjusted odds ratio [OR]: 6.03, 95% confidence interval [CI]: 2.3-15.8, P < .001) and first presentation at labor (adjusted OR: 5.0, 95% CI: 1.6-15.3, P = .005), adjusted for migrant status, age, and history of sexually transmitted infections. The overall HIV seroprevalence was 0.63% and did not differ between Tijuana residents and migrants.

References

Feb 22, 2005·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Carlos Magis-RodríguezMario Bronfman
Dec 13, 2005·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Heng SopheabNigel O'Farrell
Dec 13, 2005·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Rolando M VianiStephen A Spector
Jan 27, 2007·AIDS·Megan CoffeeGeoff P Garnett
May 16, 2009·Journal of Acquired Immune Deficiency Syndromes : JAIDS·C Magis-RodríguezE Bravo-García
Aug 13, 2011·Journal of Immigrant and Minority Health·Victoria D OjedaCarlos Magis-Rodriguez
May 9, 2012·AIDS and Behavior·M Gudelia RangelCarlos Magis-Rodriguez
Sep 29, 2012·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Melissa A SanchezGeorge F Lemp

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