This research continues and expands our analysis of the interaction between gender, migration, and HIV risks among Hispanics. Despite advances in controlling the diffusion of HIV among the general population of the U.S., the epidemic remains a serious threat to the Hispanic community. There is also evidence of the disease spreading across migrant sending areas in Latin America. Even though the relationship between Latin American migration and the HIV/AIDS epidemic is increasingly evident, a lack of systematic information about the social processes fueling the diffusion of the disease has limited the development of successful interventions. Moreover, it is unclear how migration and gender dimensions interact to affect HIV risks among migrants and how these factors vary across national origin groups. We argue that a key to understanding HIV risks among migrant groups lies in the intersection of gender, culture, and migration. Our theoretical framework integrates migration into the Theory of Gender and Power to understand the gender and migration related factors affecting sexual risk behaviors among the Hispanic population.
The specific aims are to: 1) Compare prevalent sexual behaviors among Hispanic migrants in Durham, NC and their counterparts in sending communities. 2) Identify and compare the impact of migration on the gender structures of labor, power, and cathexis. 3) Model empirically the gender and migration related determinants of sexual behaviors. 4) Explicitly compare the relationship between gender, migration, and HIV risk across the Mexican and Honduran populations to evaluate the heterogeneity of Hispanic groups. 5) Construct and refine a data-derived, culture, gender, and national-origin specific model of sexual behavior in collaboration with community members to inform HIV interventions for at-risk Hispanic migrants. Data for the analysis will come from a tri-national survey conducted in Durham, NC and sibling communities in Honduras and Mexico, supplemented with in depth interviews in the U.S. Relevance: Understanding the social factors affecting HIV risk behaviors among Hispanics is a major public health concern, with important implications for containing the spread of HIV across the Americas. Findings from the study will provide culturally grounded and reliable information on gender, migration, and sexual behavior vital for the development of successful HIV interventions targeting Hispanic groups.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR008052-06
Application #
7127689
Study Section
Behavioral and Social Science Approaches to Preventing HIV/AIDS Study Section (BSPH)
Program Officer
Hosseini, Jeanette M
Project Start
2001-09-30
Project End
2009-06-30
Budget Start
2006-07-01
Budget End
2007-06-30
Support Year
6
Fiscal Year
2006
Total Cost
$518,552
Indirect Cost
Name
Duke University
Department
Social Sciences
Type
Schools of Arts and Sciences
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705
Flippen, Chenoa A (2016) Shadow Labor: Work and Wages among Immigrant Hispanic Women in Durham, North Carolina. Ann Am Acad Pol Soc Sci 666:110-130
Flippen, Chenoa A; Parrado, Emilio A (2015) Perceived discrimination among Latino immigrants in new destinations: The case of Durham, NC. Sociol Perspect 58:666-685
Flippen, Chenoa A; Parrado, Emilio A (2015) A tale of two contexts: U.S. migration and the labor force trajectories of Mexican women. Int Migr Rev 49:232-259
Parrado, Emilio A; Flippen, Chenoa A (2014) Migration, Social Organization, and the Sexual Partners of Mexican Men. Soc Probl 61:380-401
Flippen, Chenoa (2014) Intersectionality at Work: Determinants of Labor Supply among Immigrant Latinas. Gend Soc 28:404-434
Flippen, Chenoa A (2012) Laboring Underground: The Employment Patterns of Hispanic Immigrant Men in Durham, NC. Soc Probl 59:21-42
Parrado, Emilio A; Flippen, Chenoa A (2012) Hispanic fertility, immigration, and race in the twenty-first century. Race Soc Probl 4:18-30
Flippen, Chenoa A; Parrado, Emilio A (2012) Forging Hispanic communities in new destinations: A case study of Durham, NC. City Community 11:1-30
Parrado, Emilio A; Flippen, Chenoa A (2010) Migration and Sexuality: A Comparison of Mexicans in Sending and Receiving Communities. J Soc Issues 66:175-195
Parrado, Emilio A; Flippen, Chenoa (2010) Community attachment, neighborhood context, and sex worker use among Hispanic migrants in Durham, North Carolina, USA. Soc Sci Med 70:1059-69

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