HIV and sexually transmitted disease risk among male Hispanic/Latino migrant farmworkers in the Southeast: Findings from a pilot CBPR study

Authors

  • Scott D. Rhodes PhD, MPH,

    Corresponding author
    1. Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine,Winston-Salem, North Carolina
    2. Section on Infectious Diseases, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
    • Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Boulevard,Winston-Salem, NC 27157-1063.
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  • Werner E. Bischoff MD, MS, PhD,

    1. Section on Infectious Diseases, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
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  • Jacqueline M. Burnell BS,

    1. Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
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  • Lara E. Whalley BA,

    1. Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
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  • Michael P. Walkup MS,

    1. Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest University School of Medicine,Winston-Salem, North Carolina
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  • Quirina M. Vallejos MPH,

    1. Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
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  • Sara A. Quandt PhD,

    1. Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, North Carolina
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  • Joseph G. Grzywacz PhD,

    1. Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
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  • Haiying Chen PhD,

    1. Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest University School of Medicine,Winston-Salem, North Carolina
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  • Thomas A. Arcury PhD

    1. Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
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Abstract

Background

Little is known about the HIV and sexually transmitted disease (STD) risk behaviors of Hispanic/Latino farmworkers. This study was designed to describe risk factors for HIV and STD infection, explore personal characteristics associated with condom use, and evaluate the feasibility of collecting self-report and biomarker data from farmworkers.

Methods

Self-report and biomarker data were collected from a sample of male farmworkers living in 29 camps in North Carolina during the 2008 growing season.

Results

Over half of the 100 male workers, mean age 37.1 (range 19–68) years, reported binge drinking during the past 12 months. Forty percent of those who reported having had sex during the past 3 months indicated that they were under the influence of alcohol. Knowledge of HIV and STD transmission and prevention was low. Among the 25 workers who reported having had sex during the past 3 months, 16 and 2 reported using a condom consistently during vaginal and anal sex, respectively, and nearly 1 out of 6 workers reported paying a woman to have sex. Two workers tested positive for syphilis.

Conclusions

Farmworkers in this sample demonstrated significant HIV and STD risks; however, when exploring potential bivariate associations with consistent condom use no statistically significant associations were identified perhaps due to the small sample size. Because it was feasible to collect self-report and biomarker data related to HIV and STDs from Hispanic/Latino farmworkers, research needed to further explore risks and develop interventions to reduce disease exposure and transmission among this vulnerable population. Am. J. Ind. Med. 53:976–983, 2010. © 2010 Wiley-Liss, Inc.

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