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To illustrate the pathways through which policies across multiple sectors are relevant to HIV vulnerability, we describe how policies shape 2 mediating domains (a climate of hostility toward Latino migrants and the relative ease or difficulty of access to beneficial institutions) and how those domains influence behavioral risk practices, which increase vulnerability to HIV. This argument demonstrates the utility of considering the policy context as a modifiable element of the meso-level through which structural factors shape vulnerability to HIV. This approach has specific relevance to the consideration of HIV prevention for Latino migrants, and more generally, to structural approaches to HIV prevention. <\/jats:p>","DOI":"10.2105\/ajph.2016.303081","type":"journal-article","created":{"date-parts":[[2016,3,17]],"date-time":"2016-03-17T19:57:05Z","timestamp":1458244625000},"page":"800-807","source":"Crossref","is-referenced-by-count":31,"title":["State and Local Policies as a Structural and Modifiable Determinant of HIV Vulnerability Among Latino Migrants in the United States"],"prefix":"10.2105","volume":"106","author":[{"given":"Megan","family":"Galeucia","sequence":"first","affiliation":[{"name":"At the time of the study, both authors were with the Department of Sociomedical Sciences at Columbia University\u2019s Mailman School of Public Health, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer S.","family":"Hirsch","sequence":"additional","affiliation":[{"name":"At the time of the study, both authors were with the Department of Sociomedical Sciences at Columbia University\u2019s Mailman School of Public Health, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2010.08.001"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-012-0183-4"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2013.06.005"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2013.10.021"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1525\/srsp.2004.1.3.58"},{"key":"bib9","doi-asserted-by":"crossref","DOI":"10.1525\/9780520935839","volume-title":"A Courtship After Marriage. 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