Social Determinants of Health Associated to HIV of Indigenous Women in North Oaxaca, México

The vulnerability to the human immunodeficiency virus (HIV) infection may increase based on specific social determinants of health, which can also affect the lack of adherence to a safe sexual behavior and access to antiretroviral treatment in indigenous women. Consequently, it is necessary to review, through a documentary study, what are those determinants in the case of a group of indigenous women from the North of Oaxaca and how these aspects affect those women, as well as the important role of nursing for the best approach. 

Social determinants are classified into 3 levels: macro (socioeconomic status, income, migration and education), meso (culture, gender and access to health services) and micro (lifestyles and adoption of safe sex). Indigenous women with limited resources become easy targets of HIV by engaging in risky sexual behaviors inadvertently. The nurse is a key professional who can influence behaviors of women through effective interventions that help foster self-confidence and empowerment, using the resources that the person possesses.

Purchase full article [in Spanish] at:  http://goo.gl/6dRjSz

By:   Juan-Martínez B¹, Castillo-Arcos LD².

¹División Ciencias de la Salud e Ingenierías, Universidad de Guanajuato, Celaya, Guanajuato, México.

²Facultad Ciencias de la Salud, Universidad Autónoma del Carmen, Ciudad del Carmen, Campeche, México. Electronic address: lubiacastilloa@gmail.com.

Enferm Clin. 2015 Dec 17. pii: S1130-8621(15)00180-1. doi: 10.1016/j.enfcli.2015.11.003.

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Trend Analysis of Acquired Syphilis in Mexico from 2003 to 2013

To identify the population group in which syphilis increase was concentrated.

The information was collected from the Mexico health statistical yearbooks. The information disaggregated by sex, age group and state during the period 2003 to 2013 was used to form different databases. Linear regression analysis with confidence interval at 95% was used to evaluate changes over time in different population groups.

• An increase of 0.67 cases per 100,000 population in men was detected from 2010. 
• The increase was concentrated in each group of 20-24 and 25-44. 
• The highest incidence of acquired syphilis was reported in the last two years: 2012 and 2013. 
• The last year reported a 1.85 times higher incidence than reported in 2003. 
• Aguascalientes, Distrito Federal, Durango, Mexico, Oaxaca, Puebla, Quintana Roo, Yucatan and Zacatecas reported that syphilis increased during the study period.

Acquired syphilis may be reemerging in our country among young men; this increase is not uniform across the country, it is necessary to focus intervention measures for this sexually transmitted infection.

Via: http://ht.ly/SDo7u Full article in Spanish [Análisis de la tendencia de sífilis adquirida en México durante el periodo 2003-2013]: http://ht.ly/SDp7l 

By: Herrera-Ortiz A1, Uribe-Salas FJ2, Olamendi-Portugal ML1, García-Cisneros S1, Conde-Glez CJ3, Sánchez-Alemán MA1.

• 1Centro de Investigación sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
• 2El Colegio de la Frontera Norte, Tijuana, Baja California, México.
• 3Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.

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