Prevalence of HIV risk-related behaviors among undocumented Central American immigrant women in Houston, Texas, 2010

The primary aim of this dissertation research is to provide epidemiological data on HIV risk-related behaviors among undocumented Central American immigrant women living in Houston, Texas. Between February and May 2010, we used respondent driven sampling (RDS) to recruit 230 Guatemalan, Honduran, and El Salvadoran women, ages 18 to 50 years, living in Houston without a valid United States visa or residency papers. RDS is a probability-based sampling method that utilizes social networks to access members of hidden populations that lack a sampling frame. Participants completed an interview regarding their demographics, access to and utilization of healthcare services, HIV testing, and sexual behaviors. Data from this study were used 1) to describe the prevalence of sexual HIV risk-related behaviors among undocumented Central American immigrant women, comparing those who recently immigrated to the U.S. (within the past five years) to those with more established residency (of over five years); 2) to describe the prevalence of lifetime HIV testing and evaluate its associated factors in this target population; and 3) to describe the effectiveness of RDS to access members of this target population. ^ As described in Paper 1, there was a generally low prevalence of individual HIV risk-related behaviors (i.e., multiple, concurrent, convenience, and casual sexual partnerships) among the undocumented Central American immigrant women in this study. However, there was evidence of HIV risk due to unprotected sex with male partners who have concurrent sexual partnerships. We identified recent immigrants as the subpopulation at greatest risk, as they were significantly more likely than established immigrants to have multiple and/or concurrent sexual partners. As described in Paper 2, the lifetime prevalence of HIV testing was almost 70%. After adjusting for age, number of years living in the U.S., income security, and resource barriers, lifetime HIV testing was significantly associated with being from Honduras, having more than a sixth grade education, having a regular healthcare provider, and having knowledge of available healthcare resources. Finally, as described in Paper 3, RDS was an effective method for obtaining a diverse sample of Central American immigrant women in Houston. ^ This project is the first to use RDS to conduct an HIV behavioral survey among undocumented Central American immigrant women. Our results will inform the design of future research studies and the implementation of HIV prevention activities among undocumented Central American immigrants in the U.S.^

The JC and BK human polyoma viruses appear to be recent introductions to some South American Indian tribes: There is no serological evidence of cross-reactivity with the simian polyoma virus SV40

In an effort to understand the unusual cytogenetic damage earlier encountered in the Yanomama Indians, plasma samples from 425 Amerindians representing 14 tribes have been tested for hemagglutination inhibition antibodies to the human JC polyoma virus and from 369 Amerinds from 13 tribes for hemagglutination inhibition antibodies to the human BK polyoma virus. There is for both viruses highly significant heterogeneity between tribes for the prevalence of serum antibody titers ≥1/40, the pattern of infection suggesting that these two viruses only relatively recently have been introduced into some of these tribes. Some of these samples, from populations with no known exposure to the simian polyoma virus SV40, also were tested for antibodies to this virus by using an immunospot assay. In contrast to the findings of Brown et al. (Brown, P., Tsai, T. & Gajdusek, D. C. (1975) Am. J. Epidemiol. 102, 331–340), none of the samples was found to possess antibodies to SV40. In addition, no significant titers to SV40 were found in a sample of 97 Japanese adults, many of whom had been found to exhibit elevated titers to the JC and BK viruses. This study thus suggests that these human sera contain significant antibody titers to the human polyoma viruses JC and BK but do not appear to contain either cross-reactive antibodies to SV40 or primary antibodies resulting from SV40 infection.

A Comprehensive health plan for American Indian and Alaska native people for fiscal years 1981-1984 : the Indian Health Care Improvement Act, Public Law 94-437 /

"December 1979."

Pursuit of the horizon, a life of George Catlin, painter & recorder of the American Indian.

Mode of access: Internet.

Improvement of the American Indian Religious Freedom Act [microform] : hearing before the Select Committee on Indian Affairs, United States Senate, One Hundredth Congress, second session, on S. 2250 to ensure that federal lands are managed in a manner that does not impair the exercise of traditional American Indian religion, May 18, 1988, Washington, DC.

CIS Microfiche Accession Numbers: CIS 89 S411-4

Folk-lore and legends, North American Indian.

Mode of access: Internet.

Christian missions among the American Indians : a review of the history, progress, present distribution and needs of the American Indian missions /

At head of title: Department of the Interior.

Music of the American Indian : Northwest (Puget Sound) : from the Archive of Folk Culture /

Mode of access: Internet.

American Indian Policy Review Commission : final report submitted to Congress May 17, 1977.

Mode of access: Internet.

A compendium of materia medica and pharmacy : adapted to the London Pharmacopoeia : embodying all the new French, American, & Indian medicines : and also comprising a summary of practical toxicology /

Mode of access: Internet.

North American Indian musical styles /

Mode of access: Internet.

A bibliographical check list of North and Middle American Indian linguistics in the Edward E. Ayer collection /

Mode of access: Internet.

American Indian and Alaska Native Agricultural Conference : summary report.

Mode of access: Internet.

American Indian and Alaska Native Agricultural Conference : February 7-8, 1979, Albuquerque, New Mexico /

Report prepared by Ovid Bay, J. C. Massey, and Lauren L. Fuller.

Identifying outstanding talent in American Indian and Alaska Native students /

"Contract no. 433JAH2IP148"--T.p. verso.