Document Detail


HIV sexual risk behaviors and multilevel determinants among male labor migrants from Tajikistan.
MedLine Citation:
PMID:  23054537     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to investigate HIV risk behaviors and their multilevel determinants in male labor migrants from Tajikistan to Moscow. In Russia and Central Asia, where AIDS rates are amongst the world's highest, conditions in both sending and receiving countries pose serious challenges to HIV prevention. A survey of Tajik married male seasonal labor migrants in Moscow was completed by 200 workers from 4 bazaars and 200 workers from 18 construction sites as part of a mixed method study. The quantitative results indicated that male labor migrants were at risk for HIV due to higher sexual behaviors including sexual relations with sex workers (92 %), multiple partnering in the past month (86 %), unprotected sex with sex workers (33 %), and reduced frequency of condom use while drinking alcohol (57 %). Multivariate tests indicated the multilevel factors that increased HIV sexual risks including: pre-migration factors (e.g. used sex workers in Tajikistan); migrant work and lifestyle factors (e.g. greater number of times visited Moscow); migrant sexual and relational factors (e.g. regular partner in Moscow); and migrant health and mental health factors (e.g. increased frequency of alcohol use). Qualitative findings from longitudinal ethnographic interviews and observations of a subset of 40 purposively sampled Tajik male migrants demonstrated how these multilevel pre-migration and migration factors account for HIV risk and protective behaviors in context. These findings underscore the seriousness of HIV risk for labor migrants and call both for multilevel approaches to prevention and for further study.
Authors:
Stevan Weine; Mahbat Bahromov; Sana Loue; Linda Owens
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of immigrant and minority health / Center for Minority Public Health     Volume:  15     ISSN:  1557-1920     ISO Abbreviation:  J Immigr Minor Health     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-02     Completed Date:  2014-05-19     Revised Date:  2014-08-06    
Medline Journal Info:
Nlm Unique ID:  101256527     Medline TA:  J Immigr Minor Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  700-10     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Alcohol Drinking
Condoms / utilization
Data Collection
Emigrants and Immigrants*
Employment
HIV Infections / ethnology*,  transmission*
Humans
Life Style
Male
Moscow / epidemiology
Multivariate Analysis
Risk-Taking*
Sexual Partners
Tajikistan / ethnology
Unsafe Sex*
Grant Support
ID/Acronym/Agency:
K24 HD067095/HD/NICHD NIH HHS; P30 AI082151/AI/NIAID NIH HHS; R01HD056954/HD/NICHD NIH HHS
Comments/Corrections

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