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J Int Assoc Provid AIDS Care. 2016 May;15(3):228-31. doi: 10.1177/2325957414539043. Epub 2014 Jun 16.

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

Author information

  • 1Department of Pediatrics, University of California San Diego School of Medicine, CA, USA Division of Infectious Diseases, University of California San Diego School of Medicine, CA, USA Rady Children's Hospital-San Diego, San Diego, CA, USA rviani@ucsd.edu.
  • 2Department of Pediatrics, University of California San Diego School of Medicine, CA, USA.
  • 3Department of Pediatrics, University of California San Diego School of Medicine, CA, USA Division of Infectious Diseases, University of California San Diego School of Medicine, CA, USA Rady Children's Hospital-San Diego, San Diego, CA, USA.

Abstract

OBJECTIVE:

To compare HIV prevalence and HIV acquisition risk behaviors between pregnant women residents and migrants.

DESIGN:

A cross-sectional study of pregnant women of unknown HIV status seeking care at Tijuana General Hospital, Mexico.

METHODS:

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.

RESULTS:

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.

CONCLUSION:

The overall HIV seroprevalence was 0.63% and did not differ between Tijuana residents and migrants.

© The Author(s) 2014.

KEYWORDS:

HIV risk behavior; Mexican migrants; migration; pregnancy; rapid HIV testing

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