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Circular migration by Mexican female sex workers who are injection drug users: implications for HIV in Mexican sending communities

Ojeda, V.D.; Burgos, Jé.Luis.; Hiller, S.P.; Lozada, R.; Rangel, G.; Vera, A.; Artamonova, I.; Magis-Rodriguez, C.

Journal of Immigrant and Minority Health 14(1): 107-115

2012

ISSN/ISBN: 1557-1912
PMID: 21833727
DOI: 10.1007/s10903-011-9512-3
Document Number: 552954
Circular migration and injection drug use increase the risk of HIV transmission in sending communities. We describe female sex workers who are injection drug users' (FSW-IDUs) circular migration and drug use behaviors. Between 2008-2010, 258 migrant FSW-IDUs residing in Tijuana and Ciudad Juarez, Mexico responded to questionnaires. 24% of FSW-IDUs were circular migrants. HIV prevalence was 3.2% in circular migrants and 6.1% in non-circular migrants; 50% of circular and 75% of non-circular migrants were unaware of their HIV infection. Among circular migrants, 44% (n = 27) consumed illicit drugs in their birthplace; 74% of these (n = 20) injected drugs and one-half of injectors shared injection equipment in their birthplace. Women reporting active social relationships were significantly more likely to return home. Circular migrant FSW-IDUs exhibit multiple HIV risks and opportunities for bridging populations. Regular HIV testing and treatment and access to substance use services is critical for FSW-IDUs and their sexual/drug-using contacts.

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Circular migration by Mexican female sex workers who are injection drug users: implications for HIV in Mexican sending communities

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