A Structural-Environmental Model of Alcohol and Substance-Related Sexual HIV Risk in Latino Migrant Day Laborers

A structural-environmental model of alcohol and substance-related sexual HIV risk in 344 Latino migrant day laborers, participants in a cross-sectional survey, is tested using structural equation modeling. Hypothesized pathways include: (1) direct paths between environmental conditions and both dist...

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Bibliographic Details
Published in:AIDS and behavior 2020-11, Vol.24 (11), p.3176-3191
Main Authors: Organista, Kurt C., Jung, Woojin, Neilands, Torsten B.
Format: Article
Language:English
Subjects:
Adult
Alcohol Drinking - epidemiology
Behavior, Addictive - psychology
Cross-Sectional Studies
Female
Health Psychology
Health Surveys
Hispanic or Latino - psychology
HIV Infections - epidemiology
HIV Infections - prevention & control
Humans
Infectious Diseases
Male
Medicine
Medicine & Public Health
Original Paper
Public Health
Risk Factors
Risk-Taking
Sexual Behavior - statistics & numerical data
Substance-Related Disorders - epidemiology
Transients and Migrants - psychology
Transients and Migrants - statistics & numerical data
Young Adult
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Summary:A structural-environmental model of alcohol and substance-related sexual HIV risk in 344 Latino migrant day laborers, participants in a cross-sectional survey, is tested using structural equation modeling. Hypothesized pathways include: (1) direct paths between environmental conditions and both distress related risk factors, and cultural and community protective factors; (2) indirect paths between environmental conditions and distress through cultural and community protective factors; and (3) indirect paths between environmental conditions and sexual risk through both distress risk factors and cultural and community protective factors. As hypothesized, the environmental factors, discrimination and working conditions, were indirectly related to sexual risk through the distress related factor, problem drinking, and through the protective factor, contact with family in country of origin. More specifically, as discrimination and working conditions worsen, contact with family decreases, problem drinking increases, and sexual risk increases. Implications for multi-level interventions are discussed.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-020-02876-4