Social determinants and sexual risk behaviors within Immunodeficiency Virus cases in Solidaridad, Quintana Roo, Mexico

Gabriel Chavira-Trujillo; Leonardo Llamas Ramos; Aida Jiménez Corona; Rudolf Geers; Antonio Reyna Sevilla; Gabriela Alejandra Grover Baltazar; María Eugenia  Jiménez Corona

doi:10.19136/hs.a22n2.5283

Autores/as

Gabriel Chavira-Trujillo University of Guadalajara https://orcid.org/0000-0001-9918-1822
Leonardo Llamas Ramos Department of Physical and Mental Health, Municipality of Solidaridad Quintana Roo, Mexico https://orcid.org/0000-0001-7112-8245
Aida Jiménez Corona Department of Physical and Mental Health, Municipality of Solidaridad Quintana Roo, Mexico https://orcid.org/0000-0001-9565-4178
Rudolf Geers Department of Physical and Mental Health, Municipality of Solidaridad Quintana Roo, Mexico https://orcid.org/0000-0003-2739-2035
Antonio Reyna Sevilla Department of Physical and Mental Health, Municipality of Solidaridad Quintana Roo, Mexico https://orcid.org/0000-0001-7842-0388
Gabriela Alejandra Grover Baltazar Department of Physical and Mental Health, Municipality of Solidaridad Quintana Roo, Mexico https://orcid.org/0000-0002-2100-2879
María Eugenia Jiménez Corona Department of Physical and Mental Health, Municipality of Solidaridad Quintana Roo, Mexico https://orcid.org/0000-0002-3804-9761

DOI:

https://doi.org/10.19136/hs.a22n2.5283

Resumen

Objetivo: Determinar la prevalencia de VIH en personas analizando la influencia de los determinantes sociales y las conductas sexuales de riesgo, para estimar los riesgos crudos y ajustados para ser VIH positivo en el municipio Solidaridad, estado de Quintana Roo, México.

Método y Materiales: Se realizó un estudio transversal en el municipio de Solidaridad, Quintana Roo, México. Se realizaron pruebas rápidas de VIH de tercera y cuarta generación. Se calcularon las estadísticas descriptivas, las medidas de asociación (OR e IC del 95 %) y el valor de p para cada estrato. Se realizaron modelos de regresión logística para determinar los factores de riesgo asociados con ser VIH positivo en las pruebas.

Resultados: La muestra estuvo compuesta por 4,800 personas de las cuales; 3,030 hombres (63.12%); la edad promedio fue de 32.6 años (D.E. 14.96). Las variables incluidas en el modelo multivariado para ser VIH positivo son: hombres que tienen sexo con hombres con OR=61.20, edad 30-39 años OR=1.72, tener sexo anal OR=2.21, y como factor protector contar con servicio de salud OR =0.42.

Conclusiones: Este estudio confirma determinantes sociales ya conocidos como el ser hombre y estar en edad económicamente activa y prácticas sexuales como: el tener sexo anal y hombres con hombres. Contar con derechohabiencia se muestra como único factor protector.

Palabras clave: Factores Epidemiológicos; Sexualidad; VIH; Epidemiología.

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Biografía del autor/a

Gabriel Chavira-Trujillo, University of Guadalajara

PhD. Chavira-Trujillo, Gabriel - Health science Doctor and psychologist. Specialist in methodology and data analyses in quantitative and qualitative methods, currently working in health sciences research within interdisciplinary approaches. Member of the National System of Researchers (SNI-Candidate) since 2023.
Leonardo Llamas Ramos, Department of Physical and Mental Health, Municipality of Solidaridad Quintana Roo, Mexico

MD. Llamas-Ramos, Leonardo- Epidemiologist with a Master in health management. Currently working as a public health professional for Solidaridad City Council.
Aida Jiménez Corona, Department of Physical and Mental Health, Municipality of Solidaridad Quintana Roo, Mexico

Maestra en Epidemiología (UNAM) y Doctora de Salud Pública (INSP). Medical Doctor, Master´s in Epidemiology (UNAM) and Doctorate in Epidemiology (INSP). Postdoctorate at the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK-NIH, Phoenix AZ, USA) and Postdoctorate at the Institute Gustave Roussy (IGR-INSERM, Villejuif, France). Areas of expertis: methodological and statistical methods on chronic diseases. Research areas on diabetes and micro- and macrovascular complications, and preventable visual impairment and blindness. National Researcher level II (SNI-II).
Rudolf Geers, Department of Physical and Mental Health, Municipality of Solidaridad Quintana Roo, Mexico

MD. Llamas-Ramos, Leonardo- Epidemiologist with a Master in health management. Currently working as a public health professional for Solidaridad City Council.
Antonio Reyna Sevilla, Department of Physical and Mental Health, Municipality of Solidaridad Quintana Roo, Mexico

Doctor en Ciencias de la Salud por la Universidad de Guadalajara. PhD. Reyna Sevilla, Antonio - MSc and PhD in Public Health Sciences, Geographer. Analysis, integration and visualization of geospatial information; use of geographic information systems in public health and spatial epidemiology. Mexican Institute of Social Security; Candidate for National Researcher, National Research Sy
Gabriela Alejandra Grover Baltazar, Department of Physical and Mental Health, Municipality of Solidaridad Quintana Roo, Mexico

Doctora en Ciencias de la Salud por la Universidad de Guadalajara. PhD. Grover Baltazar, Gabriela Alejandra- PhD in Public Health Sciences, nutricionist. Currently working in develop academic procesees for human lactation.
María Eugenia Jiménez Corona, Department of Physical and Mental Health, Municipality of Solidaridad Quintana Roo, Mexico

Maestra y Doctora en Epidemiología por la UNAM. Medical Doctor, Master´s and PhD degrees in Epidemiology, Certification course in Vaccinology at the Pasteur Institute and Certification course at the Epidemiology Program for Health Managers at Johns Hopkins University. Areas of expertise: epidemiological methods, infectious diseases; emerging and re-emerging diseases and global health. National Researcher level II (SNI-II).