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.
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.
- Content Type Journal Article
- Pages 1-17
- DOI 10.1007/s10903-011-9505-2
- Authors
- Shira M. Goldenberg, University of California San Diego, School of Medicine, Division of Global Public Health, Mail Code 0507, 10111 N. Torrey Pines Rd., San Diego, La Jolla, CA 92093–0507, USA
- Steffanie A. Strathdee, Division of Global Public Health, University of California, San Diego, La Jolla, CA, USA
- Maria D. Perez-Rosales, STI/HIV Unit, Pan American Health Organization/World Health Organization, San Salvador, El Salvador
- Omar Sued, HIV/STI Project, Family and Community Health, Pan American Health Organization/World Health Organization, Washington, DC, USA
- Journal Journal of Immigrant and Minority Health
- Online ISSN 1557-1920
- Print ISSN 1557-1912