Knowledge on HIV/AIDS in young people from farming workers of immigrated native families
Main Article Content
Keywords
Adolescent, HIV, Acquired Immunodeficiency Syndrome, Transients and Migrants
Abstract
Objective: to explore the pattern of knowledge about HIV/AIDS among young native migrant farm workers.
Methods: analytical crosscut study. Sample: 135 young people selected by propositive sampling. A questionnaire about knowledge of HIV/AIDS and socio-demographics was applied. A descriptive analysis was made and a knowledge pattern was estimated by means of factorial analysis.
Results: average age 19.9 ± 5.8, men 54.8 %, bilingual 79.4 %, elementary or no education, 78.7 %, single 60.4 %, Catholic 67.6 %, two or more work trips 61.8 %; 80.7 % had heard about HIV/AIDS, especially from informal information sources (72 %). Know-ledge pattern was homogenous (greater consensus in Nayarit than in Colima: 6.2 versus 3.8) and directed towards building risk identities based on personage (prostitutes 88.1%, men having sex with other men 45 %) and urban setting (78 %). It includes uncer-tainty about the effectiveness of condoms, the mosquito as a vector, and dentists as transmitters. The pattern showed significant differences according to sex, education and migrant experience.
Conclusions: the knowledge of young people does not favor safe sex practices, and the low risk per-ception could favor their vulnerability to HIV/AIDS.
References
Kompass A, Diagnóstico sobre la situación de los derechos humanos en México. México: Oficina del Alto Comisionado de las Naciones Unidas en México; 2003.
Ramírez-Jordán M. Situación de vulnerabilidad de los niños y niñas migrantes en México. En: del Río Lugo N, coordinador. La infancia vulnerable de México en un mundo globalizado. México: UAM-UNICEF; 2000. p. 55-78.
Méndez-Morales S. Características de la migración femenina temporal en la mixteca oaxaqueña. En: Barrera BD, Oehmichen BC, editores. Migración y relaciones de género en México. México: GIMTRAP/ Instituto de Investigaciones Antropológicas, UNAM; 2000. p. 251-280.
Yáñez-Pozo J. Promoción de la salud sexual y prevención del VIH/sida y de las ITS en pueblos indígenas de las Américas. Washington, DC: OPS/ Asociación Mundial de Sexología; 2003.
Cabral-Soto J, Flores-Alvarado A, Baltazar-Rivas MC, García-Vargas F, Orozco-Melnecke MC, Brambila-Paz C. Salud sexual y reproductiva en jóvenes indígenas de las principales etnias de México. México: Programa IMSS-Solidaridad; 1999.
Castañeda X, Brindis C, Castañeda I. Nebulous margins: sexuality and social constructions of risks in rural areas of Central Mexico. Cult Health Sex 2001;3(2):203-219.
Rodríguez G, de Keijzer B. La noche se hizo para los hombres. Sexualidad en los procesos de cortejo entre jóvenes campesinas y campesinos. México: Population Council; 2002.
Bravo E, Magis C. El sida en el área rural. En: Magis C, Bravo E, Carrillo AM, editores. La otra epidemia: el sida en el área rural. México: Censida; 2003. p. 11-18.
Magis C, Del Río-Chiriboga C. Epidemiología del VIH y del sida en México. En: Ponce-de León S. Rangel MS, editores. Sida. Aspectos clínicos y terapéuticos. México: McGraw-Hill-Interamericana; 2000. p. 1-10.
Gayet CI, Magis-Rodríguez C. Inmigración y sida en los municipios conurbados del área metropolitana de la ciudad de México. Economía, Sociedad y Territorio 2000;II(8):641-686.
Weller SC. Cultural consensus theory: applications and frequently asked questions. Field Methods 2007;19(4):339.368.
Weller SC, Romney AK. Reliability, consensus, and sample size. En: Weller SC, Kimbal RA, editores Systematic data collection. Newbury Park: Sage Publications; 1988. p. 69-78. (Qualitative Research Methods Vol. 10).
Kuzel A. Sampling in qualitative inquiry. En: Crabtree B, Miller W, editores. Doing qualitative research. London: Sage; 1999. p. 33-46.
World Health Organization. Research package: Knowledge, attitudes, beliefs and practices on AIDS survey (KABp). Appendix: Questionnaire. Washington, DC: WHO; 1990.
Weller SC, Mann NC. Assessing rater performance without a gold standard using consensus theory. Med Decision Making 1997;17(1):71-79.
Zavaleta C, Fernández C, Konda K, Valderrama Y, Vermund SH, Gotuzzo E. High prevalence of HIV and syphilis in a remote native community of the Peruvian Amazon. Am J Trop Med Hyg 2007;76(4): 703-705.
Wright MR, Giele CM, Dance PR, Thompson SC. Fulfilling prophecy? Sexually transmitted infections and HIV in Indigenous people in Western Australia. Med J Aust 2005;183(3):124-128.
Guimaraes PN, Martín D, Quirino J. AIDS em área rural de Minas Gerais: abordagem cultural. Rev Saude Publica 2007;41(3):412-418.
United Nations Children’s Fund, Joint United Nations Programme on HIV/AIDS and World Health Organization. Young people and HIV/AIDS. Opportunity in crisis. New York: UNICEF-UNAIDS-WHO; 2002. Disponible en http://data.unaids.org/Topics/Young-People/youngpeoplehivaids_en.pdf
Dehne KL, Riedner G. Barriers to effective STI care for adolescents. En: Sexually transmitted infections among adolescents: the need for adequate health services. Geneva: WHO; 2005. p. 17-24.
Parker R, Aggleton P. HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action. Soc Sci Med 2003;57(1):13-24.
Flores-Palacios FR, Leyva-Flores R. Representación social del sida en estudiantes de la Ciudad de México. Salud Publica Mex 2003;45(Suppl 5): S624- S631.
Blum R. Risk and protective factors affecting adolescent reproductive health in developing countries. Geneva: WHO; 2004.
Liddell C, Barrett L, Bydawell M. Indigenous beliefs and attitudes to AIDS precautions in a rural South African community: an empirical study. Ann Behav Med 2006;32(3):218-225.
Caballero-Hoyos R, Villaseñor-Sierra A. Conocimientos sobre VIH/sida en adolescentes urbanos: consenso cultural de dudas e incertidumbres. Salud Publica Mex 2003;45(Suppl 1):S108-S114.