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AJPH First Look, published online ahead of print Mar 19, 2009
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AJPH.2007.122283v1
99/5/802    most recent
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May 2009, Vol 99, No. 5 | American Journal of Public Health 802-810
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2007.122283

FRAMING HEALTH MATTERS

Loneliness as a Sexual Risk Factor for Male Mexican Migrant Workers

Miguel Muñoz-Laboy, DrPH, Jennifer S. Hirsch, PhD and Arturo Quispe-Lazaro, MA

Miguel Muñoz-Laboy, Jennifer S. Hirsch, and Arturo Quispe-Lazaro are with the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY.

Correspondence: Requests for reprints should be sent to Miguel Muñoz-Laboy, Department of Sociomedical Sciences, Columbia University, 722 West 168th St, 5th Floor, New York, NY 10032 (e-mail: mam172{at}columbia.edu).

HIV/AIDs risk among migrant workers is often examined through individual determinants with limited consideration of social context. We used data from systematic ethnographic observations, structured interviews (n = 50), and life history interviews (n = 10) to examine the relationship between loneliness and HIV/AIDS risk for recently arrived (within the last 3 years) male Mexican migrant workers in New York City. Higher levels of loneliness were strongly associated with frequency of sexual risk behavior (r = 0.64; P = .008). From our ethnographic observations, we found that loneliness was a dominant element in workers' migration experience and that 2 different kinds of social spaces served as supportive environments for dealing with loneliness: bars or dance clubs and Catholic churches. Loneliness should be addressed as a critical factor in reducing HIV/AIDS risk among Mexican male migrant workers.






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