Mexico–U.S. Migration, Social Exclusion, and HIV Risk

Jennifer S. Hirsch and Emily Vasquez

in HIV Prevention with Latinos

Published in print July 2012 | ISBN: 9780199764303
Published online September 2012 | e-ISBN: 9780199950232 | DOI:
Mexico–U.S. Migration, Social Exclusion, and HIV Risk

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This chapter explores sources of HIV risk at the structural level, looking at the influence of policies across multiple sectors. The authors connect multisectoral determinants of risk to the robust critique that has emerged of individual-level behavioral interventions, arguing that a structural approach to HIV prevention should encompass policy reform relevant to housing, transportation, urban development, occupational safety, health insurance, and immigration, all of which shape the broader context of HIV risk for Mexican migrants. The chapter also draws on a systems perspective and the authors’ ethnographic encounters with Mexican migrants to think about the research, advocacy, and policy implications of HIV being only one of many threats to the well-being of Mexican migrants. Thus, structural interventions could impact not only HIV risk but several other health outcomes of considerable importance to population health, and most likely experienced by migrant communities as more pressing priorities.

Keywords: Mexican migrants; housing; transportation; urban development; occupational safety; health insurance; immigration; HIV risk

Chapter.  10320 words. 

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