Migration-related Inequities in Health among Refugee and Asylum-Seeking Women (MIHRA) Phase 2: Sexual Health and Infectious Disease Syndemics

The quantitative arm of the MIHRA study assesses the structural determinants of health and its outcomes of sexual and reproductive health needs focusing on TB, HIV and STIs and related health outcomes among 151 asylum-seeking women at the Mexico-U.S. border.

To complement phase 1 and phase 2 and better understand the evolving reproductive and health outcomes of 28 in-transit women seeking safety in the United States, we conducted in-depth qualitative interviews evaluating the impacts of socio-structural risk exposures on STI and HIV risk among cisgender and transgender women seeking asylum before and after crossing the Mexico-U.S. border.

Participants received a modest honorarium as well as information and referrals to health and humanitarian resources in the United States or Mexico.

Study Aim

Aim 1

To evaluate the association between migration experiences and related health environments (including physical, social, policy, and economic features) on outcomes of sexual and reproductive health needs and related health outcomes (e.g., HIV, TB) among migrant women seeking safety in the U.S.

Aim 1B

To examine the lived experiences of how physical, social, policy, and economic features of the ‘risk environment’ shape sexual and reproductive health and related health outcomes (e.g., HIV, TB) among migrant women seeking safety in the U.S

Dates

  • December 2023 – July 2024

Location

  • Tijuana, Baja California, Mexico

Principal Investigators

Dr. Shira Goldenberg
Associate Professor, Division of Epidemiology and Biostatistics
San Diego State University
[email protected]

Dr. Ietza Bojorquez
El Colegio de la Frontera Norte
Tijuana, Mexico
[email protected]

Funding

Publications

Flyers