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A tale of two epidemics: gender differences in socio-demographic characteristics and sexual behaviors among HIV positive individuals in Mexico City

Identifieur interne : 000898 ( Pmc/Curation ); précédent : 000897; suivant : 000899

A tale of two epidemics: gender differences in socio-demographic characteristics and sexual behaviors among HIV positive individuals in Mexico City

Auteurs : Sergio Bautista-Arredondo [Mexique] ; Edson Servan-Mori [Mexique] ; Fenella Beynon [Mexique] ; Andrea González [Mexique] ; Patricia Volkow [Mexique]

Source :

RBID : PMC:4681055

Abstract

Background

To date, the HIV epidemic in Mexico has been concentrated mainly among men who have sex with men, butheterosexual transmission, particularly to women, is increasingly important. This study examine gender differences in socio-demographic characteristics and risk behaviors of HIV positive individuals in Mexico City.

Methods

We analyzed data from a cross-sectional survey of 1,490 clinic patients (male:female ratio 8:1) with HIV inMexico City in 2010. We examined socio-demographic characteristics, risk behavior, and history of HIV infection.From multivariate non-linear probability (probit) models we calculated predicted probabilities by sex of several outcomes: marginalization, demographic and sexual risk behaviors.

Results

Significant differences were found between men and women. Multivariate models suggest that women had lower schooling levels; were less likely to have been employed in the past month and earn more than the minimal wage; more likely to have children, to have been sexually abused, to never have used condoms and to report having been infected by a stable partner. Additionally, women were less likely to report having a partner with a history of migration to the USA and to have engaged in transactional sex.

Conclusion

Significant differences exist between men and women with HIV in Mexico City in terms of their socioeconomicand behavioral profiles, which translate into differences in terms of exposure to HIV infection. Women face social and economic vulnerability while men tend to have riskier sexual behavior. Gender issues must be approached in prevention and treatment efforts, using diverse methods to target those most vulnerable and at risk.


Url:
DOI: 10.1186/s12939-015-0286-4
PubMed: 26671333
PubMed Central: 4681055

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PMC:4681055

Le document en format XML

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<article-title>A tale of two epidemics: gender differences in socio-demographic characteristics and sexual behaviors among HIV positive individuals in Mexico City</article-title>
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<contrib contrib-type="author">
<name>
<surname>Bautista-Arredondo</surname>
<given-names>Sergio</given-names>
</name>
<address>
<email>sbautista@insp.mx</email>
</address>
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<name>
<surname>Servan-Mori</surname>
<given-names>Edson</given-names>
</name>
<address>
<email>eservan@insp.mx</email>
</address>
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<name>
<surname>Beynon</surname>
<given-names>Fenella</given-names>
</name>
<address>
<email>fenellajb@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>González</surname>
<given-names>Andrea</given-names>
</name>
<address>
<email>andrea.gonzalez.condesa@gmail.com</email>
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<xref ref-type="aff" rid="Aff2"></xref>
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<contrib contrib-type="author">
<name>
<surname>Volkow</surname>
<given-names>Patricia</given-names>
</name>
<address>
<email>pvolkowf@incan.edu.mx</email>
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<aff id="Aff1">
<label></label>
National Institute of Public Health, Cuernavaca, Mexico</aff>
<aff id="Aff2">
<label></label>
Mexico City’s AIDS Program, Mexico City, Mexico</aff>
<aff id="Aff3">
<label></label>
National Institute of Oncology, Mexico City, Mexico</aff>
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<pub-date pub-type="epub">
<day>16</day>
<month>12</month>
<year>2015</year>
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<pub-date pub-type="pmc-release">
<day>16</day>
<month>12</month>
<year>2015</year>
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<pub-date pub-type="collection">
<year>2015</year>
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<volume>14</volume>
<elocation-id>147</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>4</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>12</month>
<year>2015</year>
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<copyright-statement>© Bautista-Arredondo et al. 2015</copyright-statement>
<license license-type="OpenAccess">
<license-p>
<bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1">
<sec>
<title>Background</title>
<p>To date, the HIV epidemic in Mexico has been concentrated mainly among men who have sex with men, butheterosexual transmission, particularly to women, is increasingly important. This study examine gender differences in socio-demographic characteristics and risk behaviors of HIV positive individuals in Mexico City.</p>
</sec>
<sec>
<title>Methods</title>
<p>We analyzed data from a cross-sectional survey of 1,490 clinic patients (male:female ratio 8:1) with HIV inMexico City in 2010. We examined socio-demographic characteristics, risk behavior, and history of HIV infection.From multivariate non-linear probability (probit) models we calculated predicted probabilities by sex of several outcomes: marginalization, demographic and sexual risk behaviors.</p>
</sec>
<sec>
<title>Results</title>
<p>Significant differences were found between men and women. Multivariate models suggest that women had lower schooling levels; were less likely to have been employed in the past month and earn more than the minimal wage; more likely to have children, to have been sexually abused, to never have used condoms and to report having been infected by a stable partner. Additionally, women were less likely to report having a partner with a history of migration to the USA and to have engaged in transactional sex.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Significant differences exist between men and women with HIV in Mexico City in terms of their socioeconomicand behavioral profiles, which translate into differences in terms of exposure to HIV infection. Women face social and economic vulnerability while men tend to have riskier sexual behavior. Gender issues must be approached in prevention and treatment efforts, using diverse methods to target those most vulnerable and at risk.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Gender inequality</kwd>
<kwd>Social vulnerability</kwd>
<kwd>Risk behavior</kwd>
<kwd>HIV</kwd>
<kwd>Mexico City</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>
<institution>Institute of Science and Technology of Mexico City</institution>
</funding-source>
<award-id>1452895478126086</award-id>
<principal-award-recipient>
<name>
<surname>Bautista-Arredondo</surname>
<given-names>Sergio</given-names>
</name>
</principal-award-recipient>
</award-group>
</funding-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2015</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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