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ABSTRACT: Provide an overview of the relation between migration to the United States and AIDS cases in Mexico. Characterize the sexual behaviors of Mexican migrants. Describe HIV/AIDS prevention and clinical attention actions developed.
The following were analyzed: AIDS cases databases, various prevalence studies, the migrants survey, and information of the Ministries of the Interior and of Health. A documental analysis was undertaken of works published between 1992 and 2000 on migration and AIDS.
In terms of their sexual practices, migrants in the past year had more sexual partners, tended to use a condom in their most recent relation in greater proportion, and had greater use of injected medicines and drugs. Two bi-national programs undertake epidemiological surveillance activities, while several initiatives have used innovative formats to provide prevention information to migrants. Imminent universal coverage leaves the challenge to assure quality of attention for migrants.
Studies to evaluate the impact of international migration on distribution of infected persons will be indispensable to establish priorities in prevention and attention among migrants. More information is needed on bi-national health projects to understand the impact they may have in prevention, while continuity of the prevention initiatives must be guaranteed. Attention to migrants in bi-national contexts requires information exchange agreements on migrants living with the HIV/AIDS.
JAIDS Journal of Acquired Immune Deficiency Syndromes 12/2004; 37 Suppl 4:S215-26. · 4.43 Impact Factor
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ABSTRACT: The objective of this article is to provide a comprehensive overview of the evolution of the Mexican HIV/AIDS surveillance system between 1986 and 2001.
All information was collected through an extensive literature search.
Databases such as the Mexican National AIDS Programmes RIMSIDA (Registry of Mexican AIDS Research), MedLINE, PopLine, and AIDSLINE were used. Databases, keywords, and MeSH headings to search were discussed and agreed upon before and during the literature search.
Two hundred and twenty articles and conference abstracts were reviewed and showed that the Mexican surveillance system has undergone many adaptations. The HIV/AIDS surveillance system began in 1986, when the focus was on identifying AIDS cases. This period was followed by special studies among risk groups, and served as the basis for the sentinel surveillance system that was adopted in 1990. The system now requires HIV and AIDS case reporting as well as sentinel surveillance. Mexico has also carried out the piloting of the behavioural surveillance component of Second Generation Surveillance.
The Mexican experience illustrates how surveillance systems need to be dynamic in order to monitor trends in HIV over time. This review also demonstrates that middle-income countries can successfully implement surveillance systems. However, although Mexico has had many successes, a need exists to address issues that limit its ability to implement AIDS case and behavioural surveillance fully and consistently.
AIDS 01/2003; 16 Suppl 3:S13-7. · 6.24 Impact Factor
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ABSTRACT: Objetivo. Establecer si ciertas características de los jóvenes influyen en la elección de las personas con quienes hablan sobre el SIDA. Material y métodos. A partir de una encuesta realizada por el Consejo Nacional para la Prevención y Control del SIDA (CONASIDA) en 1997 se hizo una regresión logística multinomial. El estudio abarca a 4 886 jóvenes de uno u otro sexo, de 15 a 19 años, en 13 entidades federativas de México. Resultados. El modelo, que incluye las variables sexo, actividad sexual, condición de actividad laboral y escolaridad del padre resultó significativo y altamente predictor de las personas con quienes los jóvenes hablan del SIDA, siempre en comparación con los jóvenes que no hablan con nadie. Los hombres jóvenes hablan del SIDA con su padre más que las mujeres, y las mujeres más con su madre. Los sexualmente activos hablan más con los amigos, y algo menos con los maestros, que los sexualmente inactivos. A mayor escolaridad del padre, los jóvenes tienen más interlocutores y hablan más sobre el SIDA en el ámbito familiar, comparados con los que tienen padre sin escolaridad. Conclusiones. Se sugiere diseñar estrategias diferenciadas de educación en salud sexual de acuerdo con las características de las subpoblaciones.
Salud Pública de México. 01/2002;
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ABSTRACT: Obra de divulgación dirigida a adolescentes y jóvenes, en que se exponen las características del SIDA, así como las vías de contagio y las medidas preventivas contra el contagio del virus de inmunodeficiencia adquirida. Incluye reflexiones sobre el rechazo social y familiar que sufren quienes viven con el virus y quienes ya han desarrollado la enfermedad.
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ABSTRACT: To establish whether certain characteristics of the young influence their choice of people with whom to discuss AIDS.
A national survey was conducted in 1997 by the Consejo Nacional para la Prevención y Control del SIDA (CONASIDA, Mexican Council for AIDS Prevention and Control). Study subjects were 4886 male and female 15-19 year-old teenagers. Multinomial logistic regression was used to analyze data.
A model including the variables sex, sexual activity, work conditions, and father's schooling level, turned out to be significant and highly predictive of people with whom teenagers discuss AIDS, as compared to teenagers speaking with no one. Male teenagers discuss AIDS with their fathers more than female teenagers, and female teenagers discuss AIDS more with their mothers. Sexually active teenagers discuss AIDS more with their friends and less with their teachers than sexually inactive teenagers. The greater schooling level the father has, the more people teenagers have with whom to discuss AIDS and the more they discuss AIDS at home, compared to teenagers with fathers without schooling.
Differentiated sexual education training strategies should be designed in accordance with subpopulations' characteristics. The English version of this paper is available at: http://www.insp.mx/salud/index.html.
Salud publica de Mexico 44(2):122-8. · 0.94 Impact Factor
