HIV and Hepatitis C Risk among Tajik Migrant Workers Who Inject Drugs in Moscow.
HIV and Hepatitis C Risk among Tajik Migrant Workers Who Inject Drugs in Moscow.
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DOI：
10.3390/ijerph20115937
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发表时间：
2023-05-24
影响因子：
--
通讯作者：
Luc, Casey M
中科院分区：
文献类型：
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作者：
Mackesy-Amiti, Mary Ellen;Levy, Judith A;Bahromov, Mahbatsho;Jonbekov, Jonbek;Luc, Casey M
人体免疫缺陷病毒（艾滋病毒）在东欧和中亚的流行继续增长，大多数感染发生在高危群体中，包括注射吸毒者及其性伴侣。来自该地区的劳工移民在俄罗斯注射毒品的风险特别高。男性塔吉克移民工人谁注射毒品在莫斯科（N = 420）进行了采访之前，移民的艾滋病毒/艾滋病（MASLIHAT）的同伴教育艾滋病毒预防干预措施的自学干预的随机试验。参与者接受了关于他们的性别和吸毒行为的采访，并在干预前进行了艾滋病毒和丙型肝炎（HCV）检测。只有17%的人接受过艾滋病毒检测。超过一半的男性报告说，在过去的一个月里，他们使用了以前使用过的注射器进行注射，相当大比例的人报告说，他们有过危险的性行为。艾滋病毒（6.8%）和丙型肝炎病毒（2.9%）的流行率有所上升，但与塔吉克斯坦国家一级注射吸毒者的流行率估计数相比，低于预期。散居在塔吉克斯坦的男性原籍地区和在莫斯科的职业地区的风险行为各不相同，在集市工作的人艾滋病毒感染率最高。需要采取循证预防办法和宣传，专门针对不同背景的移徙者与毒品和性有关的危险行为。
The human immunodeficiency virus (HIV) epidemic in Eastern Europe and Central Asia continues to grow with most infections occurring in high-risk groups including people who inject drugs and their sexual partners. Labor migrants from this region who inject drugs while in Russia are at especially high HIV risk. Male Tajik migrant workers who inject drugs in Moscow (N = 420) were interviewed prior to a randomized trial of the Migrants’ Approached Self-Learning Intervention in HIV/AIDS (MASLIHAT) peer-education HIV-prevention intervention. Participants were interviewed about their sex and drug use behavior and tested for HIV and hepatitis C (HCV) prior to the intervention. Only 17% had ever been tested for HIV. Over half of the men reported injecting with a previously used syringe in the past month, and substantial proportions reported risky sexual behavior. Prevalence rates of HIV (6.8%) and HCV (2.9%) were elevated, although lower than expected when compared to estimates of prevalence among people who inject drugs at the national level in Tajikistan. Risk behavior in diaspora varied across the men’s regional area of origin in Tajikistan and occupation in Moscow, with HIV prevalence rates highest among those working at the bazaars. Evidence-based prevention approaches and messaging that specifically address the drug- and sex-related risk behavior of migrants with varying backgrounds are needed.