Trauma exposure, PTSD, and HIV sexual risk behaviors among labor migrants from Tajikistan.
Trauma exposure, PTSD, and HIV sexual risk behaviors among labor migrants from Tajikistan.
复制标题
塔吉克斯坦劳工移民的创伤暴露、创伤后应激障碍和艾滋病毒性风险行为。
DOI：
10.1007/s10461-011-0122-9
复制
发表时间：
2012
影响因子：
4.4
通讯作者：
Owens,Linda
中科院分区：
文献类型：
--
作者：
Weine,Stevan;Bahromov,Mahbat;Loue,Sana;Owens,Linda
关于创伤和创伤后应激障碍症状在与移民相关的艾滋病风险行为中的作用知之甚少。作为混合方法（定量和定性）研究的一部分，来自4个集市的200名工人和来自18个建筑工地的200名工人对莫斯科的塔吉克已婚男性季节性劳动力移民进行了调查。平均PC-PTSD评分为1.2分，四分之一的移民评分等于或高于3分，表明可能的PTSD诊断。PC-PTSD评分与直接和间接创伤暴露直接相关，但PC-PTSD评分不能预测HIV性风险行为或HIV保护行为。HIV危险性行为与较高的间接创伤暴露相关。PC-PTSD评分与一些增加谨慎的指标相关（例如，更多地与伴侣谈论艾滋病毒和避孕套;更多地在饮酒时使用避孕套）。定性研究结果被用来说明直接和间接创伤之间的差异，在艾滋病毒的性风险。研究结果呼吁未来努力解决劳工移民的心理健康需求，并将创伤因素纳入艾滋病毒预防。
Little is known about the role of trauma and PTSD symptoms in the context of migration-associated HIV risk behaviors. 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 (quantitative and qualitative) study. The mean PC-PTSD score was 1.2 with one-quarter of migrants scoring at or above the cutoff of 3 indicating likely PTSD diagnosis. PC-PTSD score was directly correlated with both direct and indirect trauma exposure, but PC-PTSD score did not predict either HIV sexual risk behaviors or HIV protective behaviors. HIV sexual risk behavior was associated with higher indirect trauma exposure. PC-PTSD score was associated with some indicators of increased caution (e.g., more talking with partners about HIV and condoms; more use of condom when drinking). Qualitative findings were used to illustrate the differences between direct and indirect traumas in terms of HIV sexual risk. The study findings call for future efforts to address labor migrant’s mental health needs and to integrate trauma dimensions into HIV prevention.