Background: Due to a high prevalence of sexual risk behaviors, migrant and immigrant Hispanic women are at increased risk for infection by HIV or other sexually transmitted diseases (STDs).
Objectives:To better understand factors associated with inconsistent condom use (ICU) that may assist in tailoring HIV/STD prevention interventions for this population.
Methods: From March 2005 to February 2007, 1081 participants were recruited from among women who received an HIV test at community-based organizations offering services to migrant and immigrant communities in
Results: Of 1015 women reporting sex with a man in the past 12 months, 445 (44%) reported ICU during vaginal sex, 118 (12%) reported ICU during anal sex, 50 (5%) had received an STD diagnosis, and 1 (0.1%) tested positive for HIV. Women who reported knowing the HIV status of their sex partner had 4.5 times the odds (95% Confidence Interval [CI]=2.9-6.8) of reported ICU during vaginal sex than those who did not. Additionally, participants reporting sex with a person who uses injection street drugs, having anonymous sex, and transactional sex had 3.1 times (95% [CI]=1.3-7.0), 3.1 times (95% [CI]=1.4-6.4), and 4.2 times (95% [CI]=1.7-10.2) the odds, respectively, of reported ICU during anal sex than those who did not report those behaviors.
Conclusions: Several high risk sexual behaviors were associated with ICU during anal sex. Knowledge of partner’s serostatus was associated with ICU during vaginal sex.
Implications for Programs, Policy, and/or Research: HIV/STD programs should stress consistent condom use during anal sex for migrant/immigrant Hispanic women engaging in high-risk sexual behaviors identified in this study.