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Reasons for Migration and Their Associations with HIV Risk and Prevention Among Cisgender Sexual Minority Men: A Latent Class Analysis.

The immigrant population in the United States (U.S.) is rapidly growing; yet there is limited knowledge about how reasons for migrating to the U.S. are associated with HIV prevention behaviors. Using data from the American Men's Internet Survey (2018–2020), we performed a Latent Class Analysis (LCA)...

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Publicado en:AIDS & Behavior Vol. 28; no. 3; pp. 974 - 985
Autores principales: Lee, Jane J., Kerani, Roxanne P., Robles, Gabriel, Sanchez, Travis H., Katz, David A.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Mar2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2024
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      pub: Springer Nature
      place: New York, New York
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        atl: Reasons for Migration and Their Associations with HIV Risk and Prevention Among Cisgender Sexual Minority Men: A Latent Class Analysis.
      aug:
        au:
          Lee, Jane J.
          Kerani, Roxanne P.
          Robles, Gabriel
          Sanchez, Travis H.
          Katz, David A.
        affil: https://ror.org/00cvxb145 School of Social Work, University of Washington, 4101 15th Avenue NE, 98105, Seattle, WA, USA
      sug:
        subj:
          HIV Infections Epidemiology
          HIV Infections Prevention and Control
          HIV Infections Risk Factors
          Cisgender Persons Psychosocial Factors
          Sexual and Gender Minorities Psychosocial Factors
          Men Psychosocial Factors
          Immigrants Psychosocial Factors
          Gay Persons Psychosocial Factors
          Risk Assessment
          Human
          Male
          Adolescence
          Adult
          Structural Equation Modeling
          United States
          Surveys
          Multivariate Analysis
          Multiple Logistic Regression
          Unsafe Sex
          Anal Intercourse
          Substance Use Disorders
          Pre-Exposure Prophylaxis
          Confidence Intervals
          Sexual Behavior
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
      ab:
        The immigrant population in the United States (U.S.) is rapidly growing; yet there is limited knowledge about how reasons for migrating to the U.S. are associated with HIV prevention behaviors. Using data from the American Men's Internet Survey (2018–2020), we performed a Latent Class Analysis (LCA) to identify patterns in reasons for migration among cisgender gay, bisexual, and other sexual minority men (SMM) who born outside the U.S. We used multivariable logistic regression controlling for demographic characteristics to assess class associations with the following in the past 12 months: condomless anal sex (CAS), illicit drug use, marijuana use, HIV testing, and PrEP use. LCA identified six distinct patterns in reasons for migration among the sample (n = 1,657): (1) Family and friends (14%); (2) Financial (17%); (3) Personal freedom related to being gay (10%); (4) Pursuit of opportunities while living openly as SMM (12%); (5) Educational purposes (18%); (6) Not my decision (29%). While HIV testing (range = 57.6–65.4%) and PrEP use (range = 15.6–21.4%) did not vary by class (p >.05 for all), CAS and illicit drug use were significantly different (p <.05). SMM who migrated to pursue opportunities while living openly and whose reasons were not their decision had greater odds of CAS than SMM who migrated for educational purposes (aOR:1.72, 95% confidence interval [95%CI]:1.15–2.59; 1.57, 1.13–2.19, respectively). Reasons for migration among SMM were associated with behaviors that can increase HIV risk, but not testing or PrEP. Push and pull factors related to migration should be considered when developing behavioral HIV interventions for immigrant SMM.
        Resumen: La población inmigrante en los Estados Unidos (EE. UU.) está creciendo rápidamente; sin embargo, hay un conocimiento limitado acerca de cómo las razones para migrar a los EE. UU. se asocian con comportamientos de prevención del VIH. Utilizando datos del American Men's Internet Survey (2018–2020), realizamos un Análisis de Clases Latentes (ACL) para identificar patrones en las razones de migración entre hombres cisgénero gays, bisexuales y otros hombres de minorías sexuales (HMS) que reportaron haber nacido fuera de los EE. UU. Utilizamos regresión logística multivariable controlando las características demográficas para evaluar las asociaciones de clases con los siguientes comportamientos en los últimos 12 meses: sexo anal sin condón (SAC), consumo de drogas ilícitas, uso de marihuana, prueba del VIH y uso de PrEP. El ACL identificó seis patrones distintos en las razones de migración en la muestra (n = 1,657): (1) Familia y amigos (14%); (2) Motivos financieros (17%); (3) Libertad personal relacionada con ser gay (10%); (4) Búsqueda de oportunidades mientras viven abiertamente como HMS (12%); (5) Propósitos educativos (18%); (6) No fue decisión propia (29%). Mientras que las pruebas del VIH (rango = 57.6–65.4%) y el uso de PrEP (rango = 15.6–21.4%) no variaron según la clase (p >.05 para todos), el SAC y el consumo de drogas ilícitas fueron significativamente diferentes (p <.05). Los HMS que emigraron para perseguir oportunidades mientras vivían abiertamente, y aquellos cuyas razones no fueron decisión propia, tuvieron mayores probabilidades de tener SAC que los HMS que emigraron con propósitos educativos (razón de probabilidades ajustada [aOR]: 1.72, intervalo de confianza del 95% [IC 95%]: 1.15–2.59; 1.57, 1.13–2.19, respectivamente). Las razones de migración a los EE. UU. entre los HMS estuvieron asociadas con comportamientos que pueden aumentar el riesgo de VIH, pero no con pruebas o PrEP. Los factores que impulsan y atraen relacionados con la migración deben considerarse al desarrollar intervenciones de prevención del VIH para HMS inmigrantes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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