Journal of Immigrant and Minority Health

, Volume 12, Issue 6, pp 894–899 | Cite as

Behavioural Risks for HIV Infection Among Quebec Residents of Haitian Origin

  • Alix Adrien
  • Joseph Cox
  • Pascale Leclerc
  • Jean-François Boivin
  • Chris Archibald
  • David Boulos
  • Joseph Jean-Gilles
  • Gabriel Joseph
  • Claude Tremblay
Original Paper


Quebecers of Haitian origin (QHO) have the highest HIV prevalence of all immigrant groups in the province. We conducted a study among QHO to document the behavioural risk factors for HIV transmission. Male respondents were significantly more likely than female respondents to have at leastone casual heterosexual partner in the past 12 months (39.7 vs. 18.8%, p < 0.001). Males were more likely to have used a condom at last sexual intercourse with a casual partner (78.9 vs. 53.7%; p = 0.002). However, among men who never, casually, or rarely used condoms with their regular female partner, 27.3% did not use a condom at last sexual intercourse with a casual partner. In the multivariable logistic regression analysis, having at least one casual heterosexual partner in the past 12 months was associated with being younger than 29 years, being male, being single, and being a second-generation QHO. This study allows us to identify subgroups whose behaviours can result ingreater vulnerability to HIV infection and other STIs.


Migrants Haiti HIV transmission Risk behaviors 



The authors thank the Public Health Agency of Canada for their financial support. This study was a collaborative project with the Groupe d’action pour la prévention de la transmission du VIH et l’éradication du sida (GAP-VIES) and the authors are particularly grateful for their support and assistance. We are indebted to the following members of the Advisory Committee for facilitating our contact with the Haitian community in Quebec: Ms. Marie-Suzie Wèche (Centre haïtien d’action familiale), Ms. Edith Duterville (Institut thoracique de Montréal), and Mr. Keder Hyppolite (Conseil national des citoyens et citoyennes d’origine haïtienne). We thank our research assistant Jenny-Ingrid Lebounga Vouma.


  1. 1.
    Statistics Canada. 2006 Census of Canada (Special tabulations obtained from Statistics Canada). Canada: Ottawa; 2006.Google Scholar
  2. 2.
    Bitera R, Alary M, Parent R, Fauvel M. Programme de surveillance de l’infection par le virus de l’immunodéficience humaine (VIH) au Québec. Mise à jour des données au 30 juin 2009. In: Institut National de Santé Publique and Ministère de la Santé et des Services Sociaux, 2009.Google Scholar
  3. 3.
    Quebec Ministère de la Santé et des Services Sociaux. Surveillance des cas de syndrome d’immunodéficience acquise (SIDA), Cas cumulatifs 1979–2003, Mise à jour #2003–2. Canada: Quebec City; 2004.Google Scholar
  4. 4.
    Adrien A, Leaune V, Remis RS, Boivin JF, Duperval R, Noel GE. Migration and HIV: an epidemiological study of Montrealers of Haitian origin. Int J STD AIDS. 1999;10(4):237–42.CrossRefPubMedGoogle Scholar
  5. 5.
    Adrien A, Leaune V, Dassa C, Perron M. Sexual behavior, condom use and HIV risk situations in the general population of Quebec. Int J STD AIDS. 2001;12:108–15.CrossRefPubMedGoogle Scholar
  6. 6.
    Gaillard EM, Boulos LM, André Cayemittes MP, Eustache L, Van Onacker JD, Duval N, Louissaint E, Thimoté G. Understanding the reasons for decline of HIV prevalence in Haiti. Sex Transm Infect. 2006;82(Suppl 1):i14–20.CrossRefPubMedGoogle Scholar
  7. 7.
    Brockerhoff M, Biddlecom AF. Migration, sexual behaviour and the risk of HIV infection in Kenya. Int Migration Rev. 1999;33:833–56.CrossRefGoogle Scholar
  8. 8.
    Wolffers I, Fernandez I, Verghis S, Vink M. Sexual behaviour and vulnerability of migrant workers for HIV infection. Culture Health Sex. 2002;4:459–73.CrossRefGoogle Scholar
  9. 9.
    Folch C, Marks G, Esteve A, Zaragoza K, Munoz R, Casabona J. Factors associated with unprotected anal intercourse with steady male, casual male, and female partners among men who have sex with men in Barcelona, Spain. AIDS Educ Prev. 2006;18:227–42.CrossRefPubMedGoogle Scholar
  10. 10.
    Sanchez T, Finlayson T, Drake A, Behel S, Cribbin M, DiNenno E, Hall T, Kramer S, Lansky A. Human immunodeficiency virus (HIV) risk, prevention, and testing behaviors—United States, National HIV Behavioral Surveillance System: Men who have sex with men, November 2003–April 2005. Morb Mortal Wkly Rep. 2006;55(SS06):1–16.Google Scholar
  11. 11.
    Mehrotra P, Noar SM, Zimmerman RS, Palmgreen P. Understanding partner characteristics and personality factors as predictors of HIV: implications for message design. 2008. In: Paper presented at the annual meeting of the International Communication Association. Canada: Montreal; 2008. Accessed 2 February 2009.
  12. 12.
    Institut Haïtien de l’Enfance and ORC Macro. Enquête Mortalité, Morbidité et Utilisation des Services—EMMUS IV. 2006. Accessed 6 March 2008.
  13. 13.
    Cox J, Beauchemin J, Allard R. HIV status of sexual partners is more important than antiretroviral treatment related perceptions for risk taking by HIV positive MSM in Montreal, Canada. Sex Transm Infect. 2004;80(6):518–23.CrossRefPubMedGoogle Scholar
  14. 14.
    Hosmer DW, Lemeshow S. Applied logistic regression. New York: Wiley; 1989.Google Scholar
  15. 15.
    Adrien A, Boivin JF, Tousignant Y, Hankins C. Knowledge, attitudes, beliefs and practices related to AIDS among Montreal residents of Haitian origin. Revue Canadienne Santé Publique. 1990;81:129–34.Google Scholar
  16. 16.
    Adrien A, Boivin JF, Hankins C, Leaune V, Tousignant Y, Tremblay J. Utilisation de méthodes qualitative et quantitative pour étudier les attitudes et croyances reliées au sida chez les Montréalais d’origine haïtienne. Revue Canadienne Santé Publique. 1993;84:186–91.Google Scholar
  17. 17.
    Adrien A, Boivin JF, Hankins C, Leaune V, Tousignant Y, Tremblay J. AIDS-related knowledge and practices in migrant populations: the case of Montrealers of Haitian origin. Revue d’Épidémiologie Santé Publique. 1994;42:50–7.Google Scholar
  18. 18.
    Malow RM, Cassagnol T, McMahon R, Jennings TE, Roatta VG. Relationship of psychosocial factors to HIV risk among Haitian women. AIDS Educ Prev. 2000;12(1):79–92.PubMedGoogle Scholar
  19. 19.
    Harrison DF, Wambach KG, Byers JB, Imershein AW, Levine P, Maddox K, Quadagno DM, Fordyce ML, Jones MA. AIDS knowledge and risk behaviors among culturally diverse women. AIDS Educ Prev. 1991;3(2):79–89.PubMedGoogle Scholar
  20. 20.
    Remis RS, Leclerc P, Palmer RWH, Eason EL, Lebel F, Fauvel M. HIV prevalence and incidence and reported risk factors among women undergoing abortion in Montreal. In: Paper presented at 6th Annual Canadian Conference on HIV/AIDS Research (Abstract 242). Canada: Ottawa; 22–25 May 1997.Google Scholar
  21. 21.
    Kobetz E, Menard J, Blanco J, Barton B, Lifleur M, Hnatzysyzn J. Women’s intimate health and hygiene in Little Haiti: Traditional therapy options from local Botanicas. In: Paper presented at 137th Annual Canadian Conference on HIV/AIDS Research (Abstract 200286). USA: Philadelphia; 7–11 May 2009.Google Scholar
  22. 22.
    Madison A, Hung R, Jean-Louis E. The Boston Haitian Prevention Coalition formative evaluation: a participatory approach to community self-assessment. Ethn Dis. 2004;14(3 Suppl. 1):S20–6.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Alix Adrien
    • 1
    • 2
  • Joseph Cox
    • 1
    • 2
  • Pascale Leclerc
    • 1
    • 3
  • Jean-François Boivin
    • 1
    • 2
  • Chris Archibald
    • 4
  • David Boulos
    • 4
  • Joseph Jean-Gilles
    • 5
  • Gabriel Joseph
    • 1
  • Claude Tremblay
    • 1
  1. 1.Public Health DepartmentAgence de la Santé et des Services Sociaux de MontréalMontrealCanada
  2. 2.Department of Epidemiology, Biostatistics and Occupational HealthMcGill UniversityMontrealCanada
  3. 3.Département de Médecine Sociale et PréventivUniversité de MontréalMontrealCanada
  4. 4.Public Health Agency of CanadaOttawaCanada
  5. 5.Groupe d’Action pour la Prévention de la Transmission du VIH et L’éradication du SidaMontrealCanada

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