Concurrence and selection of sexual partners as predictors of condom use among Mexican indigenous migrant workers

Objective To identify if the selection of mixed sexual partners and the existence of concurrent partners are predictors of condom use in indigenous migrant agricultural workers from Colima, Mexico.Methods Analytical cross-sectional study using an egocentric sexual network approach. Community intervi...

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Bibliographic Details
Authors: Jose R. Caballero Hoyos, Joel Monárrez Espino
Format: article
Status:Published version
Publication Date:2018
Country:México
Institution:Instituto Mexicano del Seguro Social
Repository:Redalyc-IMSS
OAI Identifier:oai:redalyc.org:42258458004
Online Access:https://www.redalyc.org/articulo.oa?id=42258458004
https://www.redalyc.org/journal/422/42258458004/
https://www.redalyc.org/journal/422/42258458004/html/
https://www.redalyc.org/journal/422/42258458004/42258458004.epub
https://www.redalyc.org/journal/422/42258458004/movil
Access Level:Open access
Keyword:Salud
NLM)
Condoms
sexual partners
indigenous population
transients and migrants
Description
Summary:Objective To identify if the selection of mixed sexual partners and the existence of concurrent partners are predictors of condom use in indigenous migrant agricultural workers from Colima, Mexico.Methods Analytical cross-sectional study using an egocentric sexual network approach. Community interviewers applied a structured questionnaire to 192 indigenous migrant workers in a sugarcane agro-industrial context. Data were analyzed with binary logistic regression; odds ratios (OR) and 95% confidence intervals (CI 95%) were estimated.Results In the logistic regression model, adjusted odds (OR; 95% CI) of steady condom use were lower within partnerships of the same indigenous ethnicity compared to other partnerships (0.30; 0.17-0.53), partnerships that were concurrent to other partnerships (0.27; 0.15-0.50), and partnerships that used illegal drugs during sex to other partnerships (0.23; 0.11-0.49). Those variables were actually associated with increased risk of unprotected sex (occasionally or never using condoms), and therefore exposures were unprotected.Conclusion Sexual partners of the same ethnicity, concurrent partnerships and partnerships that use illegal drugs favor the low frequency of constant condom use and, in turn, the vulnerability to STIs and HIV transmission in indigenous migrant agricultural workers.