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Explanations of immigrant health that ascribe to culture a fundamental causal role neglect the broader structural and contextual factors with which culture intersects. Based on a qualitative study of Indian immigrants’ vulnerability to HIV in Canada, this paper presents a contextualised understanding of these individuals’ understanding of, perceptions about, and responses to the HIV risk in their post-immigration lives. The study reveals that although culture – both traditional values and the norms of the diaspora community – appears to have constrained Indian immigrants’ capacities to respond to the risk, this effect can be properly understood only by situating such constraint in the context of the settlement process that has shaped participants’ living conditions, including their relationship with the diasporic community in Canada. We argue that HIV vulnerability should be conceptualised as a health inequality associated with broader systems of power relations (eg socio-economic marginalisation, gender inequality, discrimination, and racism). This more holistic conceptualisation of the intersection of culture, integration, and HIV vulnerability will facilitate exploration of HIV prevention strategies, through which interconnected inequalities of gender, race, and access to knowledge and resources can be challenged. [ABSTRACT FROM PUBLISHER]

This research examines the relationship between social integration and health status (i.e., prevalence of chronic health conditions) among older first generation Asian Indian (AI) immigrants in the U.S. Data were collected through a telephone survey from 226 respondents (50 years and over) in the Southeastern U.S. The correlates of health status were determined using a Poisson regression analysis. The prevalence of major chronic conditions such as heart disease, diabetes and hypertension in this sample was similar to those found in other studies of AI immigrants. Better health was associated with greater perceived support and having relatives nearby, whereas poorer health was associated with higher body mass index, longer residence in the U.S., being older, and being female. Implications for interventions designed to address the diversity within this immigrant community are discussed. [ABSTRACT FROM AUTHOR]