Module #1     HIV/AIDS in Hispanics
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Risk Behaviors in Hispanic Men & Women
By David Acosta, M.D., FAAFP

Condom use is not a common method of contraceptive among Hispanics.  Hispanic women are less likely to use condoms in committed relationships or in long-term relationships. As a consequence, many Hispanic women are at increased risk of exposure to HIV.  It has also been shown that many Hispanic men are more likely then non-Hispanic men to have multiple sex partners outside of their primary relationship which further increases the risk of transmission (16). Table 1 shows the risk factors for Hispanic women.
 

Table 1. HIV Risk Factors for Hispanic Women
Abusive relationships and/or history of victimization
Prostitution
Multiple partnering
Casual sex encounters
Risky sex partners
Teen pregnancy
Substance use
Low condom use
Rape or coerced sexual intercourse in a relationship

What shapes HIV risk among Hispanics? See Table 2.
 

Table 2. What Shapes HIV Risk Among Latinos?
Age Relationship power (16)
Misconceptions about AIDS Social & cultural factors
Level of acculturation Traditional sex role socialization
Attitudes & beliefs about condoms Low economic status that is associated with lack of knowledge
Type of relationship Limited parent-child communication about contraceptive use
Perceived risk Limited exposure to sex education & health education in school and community based settings (17)

Hispanic teens are another group that are not only at risk of HIV infection, but who tend to participate in certain risky behaviors.  Many of these behaviors include consumption of alcohol, use of drugs, participation in unprotected intercourse at a young age and having multiple partners (18).  Masculinity (machismo) also has an important influence on sexual behavior.  Young males with strong attitudes toward the male gender role are more likely to use condoms less often, have more sexual partners, and feel that getting a woman pregnant is a sign of masculinity (18). 

There are several factors that also increase the vulnerability to HIV infection among Hispanics.  There may be more permissive sexual norms, more widespread use of IV drugs, lack of prevention campaigns in Spanish and limited access to health services to name a few (19).  Also, poverty may impact vulnerability to HIV in several ways. 

Poverty and socioeconomic hardships may lead to an increased risk of prostitution and an increased risk of HIV and STDs (20).  The lack of financial support also continues to keep Hispanics from seeking necessary services or medications and further delaying care (21). 
 


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