Tijuana, with an estimated population of 1.4 million, is the largest city on the U.S./Mexican border. In addition to being a major transportation route for migrants headed to the United States, Tijuana is also situated on a major drug trafficking route. It is home to Mexico's largest number of drug users per capita and to a thriving zona roja (red light zone), work district of the city's estimated 5,000 female sex workers.
These factors have contributed to Tijuana's growing epidemic of HIV and other sexually transmitted infections. The study compared HIV infection among male and female injection drug users (IDUs) in Tijuana, assessing a range of potential risk factors – individual, social and environmental – that might contribute to higher risk of HIV and could lead to new avenues for intervention.
Male injection drug users deported from the United States to Tijuana have four-fold higher odds of HIV infection compared to those living in Tijuana who were not deported there, according to a study to be presented at the International AIDS Conference on August 5, 2008 in Mexico City.