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. 2015 Apr 10;10(4):e0123631.
doi: 10.1371/journal.pone.0123631. eCollection 2015.

Identifying opportunities to increase HIV testing among mexican migrants: a call to step up efforts in health care and detention settings

Ana P Martínez-Donate  1 , Maria Gudelia Rangel  2 , Natalie Rhoads  1 , Xiao Zhang  1 , Melbourne Hovell  3 , Carlos Magis-Rodriguez  4 , Eduardo González-Fagoaga  2
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Identifying opportunities to increase HIV testing among mexican migrants: a call to step up efforts in health care and detention settings

Ana P Martínez-Donate et al. PLoS One. .

Abstract

HIV testing and counseling is a critical component of HIV prevention efforts and core element of current "treatment as prevention" strategies. Mobility, low education and income, and limited access to health care put Latino migrants at higher risk for HIV and represent barriers for adequate levels of HIV testing in this population. We examined correlates of, and missed opportunities to increase, HIV testing for circular Mexican migrants in the U.S. We used data from a probability-based survey of returning Mexican migrants (N=1161) conducted in the border city of Tijuana, Mexico. We estimated last 12-months rates of HIV testing and the percentage of migrants who received other health care services or were detained in an immigration center, jail, or prison for 30 or more days in the U.S., but were not tested for HIV. Twenty-two percent of migrants received HIV testing in the last 12 months. In general, utilization of other health care services or detention for 30 or more days in the U.S. was a significant predictor of last 12-months HIV testing. Despite this association, we found evidence of missed opportunities to promote testing in healthcare and/or correctional or immigration detention centers. About 27.6% of migrants received other health care and/or were detained at least 30 days but not tested for HIV. Health care systems, jails and detention centers play an important role in increasing access to HIV testing among circular migrants, but there is room for improvement. Policies to offer opt-out, confidential HIV testing and counseling to Mexican migrants in these settings on a routine and ethical manner need to be designed and pilot tested. These policies could increase knowledge of HIV status, facilitate engagement in HIV treatment among a highly mobile population, and contribute to decrease incidence of HIV in the host and receiving communities.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Last 12-month HIV testing, healthcare receipt and incarceration in the U.S. among Mexican Migrants.
See this image and copyright information in PMC

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References

    1. Cohn D. Mexican Immigrants: How Many Come? How Many Leave? In: Pew Hispanic Center [Internet]. 22 Jul 2009 [cited 10 Feb 2014]. Available: http://www.pewhispanic.org/2009/07/22/mexican-immigrants-how-many-come-h...
    1. El Colegio de la Frontera Norte. Bases de Datos. Encuesta de Migracion en la Frontera Norte [Internet]. 2013 [cited 6 Nov 2014]. Available: http://www.colef.mx/emif/bases.php
    1. Martinez-Donate A, Hovell MF, Rangel M, Zhang X, Sipan C, Magis-Rodriguez C, et al. Migrants in Transit: The Importance of Monitoring HIV Risk Among Migrant Flows Converging on the Mexico-U.S. Border. Am J Public Health. March 2015; 105(3):497–509. 10.2105/AJPH.2014.302336 - DOI - PMC - PubMed
    1. Gayet C, Magis C, Bronfman M. Aspectos conceptuales sobre la relación entre migración y SIDA en México. Enferm Infecc Microbiol Clin. 2000;20: 134–140.
    1. Hirsch JS, Higgins J, Bentley ME, Nathanson CA. The social constructions of sexuality: marital infidelity and sexually transmitted disease-HIV risk in a Mexican migrant community. Am J Public Health. 2002;92: 1227–1237. - PMC - PubMed

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