Du, H., and Li, X. Health Psychology Review (March 2015), Vol. 9 No. 1, pp. 103–122, doi:10.1080/17437199.2013.840952.
This systematic review and meta-analysis of 64 studies examined the associations between acculturation among migrants and HIV-related sexual behaviors, including condom use, multiple partnerships, unsafe sex, and the presence of sexually transmitted infections (STIs). The authors categorized the effects of acculturation by gender, ethnicity, and degree of acculturation (including length of time living in the host culture and language use). They found no associations between acculturation and condom use. However, increased acculturation was positively associated with multiple partnerships, early sexual initiation, STIs, and unsafe sex, with greater risk for women. The authors concluded that acculturation was a high risk factor for HIV and called for the implementation of culturally appropriate prevention and intervention programs among growing immigrant populations.