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Community attachment, neighborhood context, and sex worker use among Hispanic migrants in Durham, North Carolina, USA

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  • Parrado, Emilio A.
  • Flippen, Chenoa

Abstract

We build on social disorganization theory to formulate and test a hierarchical model of sex worker use among male Hispanic immigrants in the Durham, North Carolina area. The study considers both individual and neighborhood level dimensions of community organization as central factors affecting immigrants' exposure to sexual risks. At the individual level, we find support for the systemic model of community attachment, as time in the U.S. affects sex worker use, although the pattern is non-linear. At the neighborhood level we find that structural social disorganization, external social disorganization (or broken windows), and collective efficacy all correlate with sex worker use in the expected direction. In addition, we extend power-control theory to the community level to show that neighborhood gender imbalances are a central dimension of migrant men's heightened sex worker use, a factor not systematically considered in research on neighborhoods and health. When taken together, collective efficacy and gender imbalances stand out as central mediators between other dimensions of social disorder and sex worker use. Overall, we stress the importance of considering the neighborhood context of reception as an added dimension for understanding and improving immigrant health.

Suggested Citation

  • Parrado, Emilio A. & Flippen, Chenoa, 2010. "Community attachment, neighborhood context, and sex worker use among Hispanic migrants in Durham, North Carolina, USA," Social Science & Medicine, Elsevier, vol. 70(7), pages 1059-1069, April.
    • Handle: RePEc:eee:socmed:v:70:y:2010:i:7:p:1059-1069
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    References listed on IDEAS

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    2. Michael, Robert T., 2004. "Sexual capital: an extension of Grossman's concept of health capital," Journal of Health Economics, Elsevier, vol. 23(4), pages 643-652, July.
    3. Pulerwitz, J. & Izazola-Licea, J.-A. & Gortmaker, S.L., 2001. "Extrarelational sex among Mexican men and their partners' risk of HIV and other sexually transmitted diseases," American Journal of Public Health, American Public Health Association, vol. 91(10), pages 1650-1652.
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    Cited by:

    1. O'Brien, Daniel T. & Farrell, Chelsea & Welsh, Brandon C., 2019. "Broken (windows) theory: A meta-analysis of the evidence for the pathways from neighborhood disorder to resident health outcomes and behaviors," Social Science & Medicine, Elsevier, vol. 228(C), pages 272-292.
    2. Chenoa A. Flippen & Rebecca A. Schut, 2022. "Migration and Contraception among Mexican Women: Assessing Selection, Disruption, and Adaptation," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(2), pages 495-520, April.

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