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      Newcomer Status as a Protective Factor among Hispanic Migrant Workers for HIV Risk

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          Abstract

          The HIV rate among U.S. migrant workers is 10 times that of the national rate. The highly unstable lifestyle of migrant workers places them at heightened vulnerability to sexually transmitted infections; hence, there is a need to investigate the attitudes and sexual risk factors that may play a protective role in the transmission of HIV in this population. This study examines the association between attitudes and HIV risk behaviors among Hispanic male and female migrant workers ( n = 255) and their length of stay (shorter length of stay as a protective factor) in Immokalee, FL, USA. Pearson’s correlation and regression analyses were utilized to analyze the relationship between HIV risk behaviors (intention to use condoms and alcohol use) with length of stay in Immokalee. Longer length of stay positively correlated with number of drinks ( p < 0.05) and frequency of drinks ( p < 0.01) and negatively correlated with ethnic identity search ( p < 0.05). Regression analysis showed that length of stay predicted both behavioral intention to use condoms ( p < 0.05) and alcohol consumption ( p < 0.05). The findings suggest that migrant workers who are new to Immokalee may have a higher likelihood of practicing protective HIV risk behaviors and having more favorable attitudes toward risk reduction than long-timers. This study might provide important new evidence on the drivers of multiple concurrent and potential protective factors against risky sexual behaviors among Hispanic migrant workers.

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          Most cited references38

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          The Multigroup Ethnic Identity Measure: A New Scale for Use with Diverse Groups

          J. Phinney (1992)
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            Mindfulness meditation and substance use in an incarcerated population.

            Despite the availability of various substance abuse treatments, alcohol and drug misuse and related negative consequences remain prevalent. Vipassana meditation (VM), a Buddhist mindfulness-based practice, provides an alternative for individuals who do not wish to attend or have not succeeded with traditional addiction treatments. In this study, the authors evaluated the effectiveness of a VM course on substance use and psychosocial outcomes in an incarcerated population. Results indicate that after release from jail, participants in the VM course, as compared with those in a treatment-as-usual control condition, showed significant reductions in alcohol, marijuana, and crack cocaine use. VM participants showed decreases in alcohol-related problems and psychiatric symptoms as well as increases in positive psychosocial outcomes. The utility of mindfulness-based treatments for substance use is discussed. ((c) 2006 APA, all rights reserved).
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              Causal considerations on alcohol and HIV/AIDS--a systematic review.

              The study aimed to explore the possible causal nature of the association between alcohol consumption and HIV/AIDS. A review based on meta-analyses and reviews was conducted according to standard epidemiological criteria to distinguish causality from association, examining (i) the potential impact of alcohol on the incidence of HIV and (ii) alcohol's impact on worsening the disease course. In terms of incidence of HIV, although we found a consistent and strong association with consumption, there was not enough evidence for a causal connection. In particular, it is not clear whether personality traits such as sensation seeking or sexual compulsivity and psychiatric disorders such as antisocial personality disorder impact both alcohol consumption and risky sex, subsequently creating an association between both behaviors. In terms of worsening the disease course of HIV/AIDS, we found enough evidence for a causal impact of alcohol. Alcohol affects the immune system, thus contributing to a worsened course of HIV/AIDS. In addition, alcohol negatively impacts on behaviors that include support seeking and medication adherence. A randomized controlled clinical trial targeted toward at-risk HIV-negative individuals who live in areas with high HIV prevalence is suggested to test the effects of proven effective alcohol interventions on HIV incidence.
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                Author and article information

                Contributors
                Journal
                Front Public Health
                Front Public Health
                Front. Public Health
                Frontiers in Public Health
                Frontiers Media S.A.
                2296-2565
                07 November 2014
                2014
                : 2
                : 216
                Affiliations
                [1] 1Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University , Miami, FL, USA
                [2] 2Opportunities Industrialization Centers of South Florida , Fort Lauderdale, FL, USA
                Author notes

                Edited by: Badu Sarkodie, Ghana Health Service, Ghana

                Reviewed by: Marguerite Ro, Public Health – Seattle & King County, USA; Karin Joann Opacich, University of Illinois at Chicago, USA

                *Correspondence: Muni Rubens, Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC II 559, Miami, FL 33199, USA e-mail: mrube001@ 123456fiu.edu

                This article was submitted to Public Health Education and Promotion, a section of the journal Frontiers in Public Health.

                Article
                10.3389/fpubh.2014.00216
                4224064
                cff276cc-b498-49d4-8255-4a4339026e56
                Copyright © 2014 McCoy, Shehadeh, Rubens and Navarro.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 06 May 2014
                : 15 October 2014
                Page count
                Figures: 0, Tables: 5, Equations: 0, References: 40, Pages: 7, Words: 5791
                Categories
                Public Health
                Original Research

                migrant workers,length of stay,risky sexual behavior,behavioral intention,alcohol use

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