HIV sexual risk behaviors and multilevel determinants among male labor migrants from Tajikistan.
HIV sexual risk behaviors and multilevel determinants among male labor migrants from Tajikistan.
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DOI：
10.1007/s10903-012-9718-z
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发表时间：
2013-08
影响因子：
1.9
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
本研究的目的是调查从塔吉克斯坦到莫斯科的男性劳工移民的艾滋病毒危险行为及其多层次决定因素。在俄罗斯和中亚，艾滋病发病率位居世界最高之列，其输出国和接收国的状况都对艾滋病毒预防构成了严峻挑战。作为混合方法研究的一部分，来自 4 个集市的 200 名工人和来自 18 个建筑工地的 200 名工人完成了对莫斯科塔吉克族已婚男性季节性劳工移民的调查。定量结果表明，男性务工人员因较高的性行为而面临艾滋病毒感染风险，包括与性工作者发生性关系（92%）、过去一个月内有多次伴侣（86%）、与性工作者发生无保护性行为（33%）以及饮酒时使用安全套频率减少（57%）。多变量测试表明，增加艾滋病毒性风险的多层次因素包括： 移民前因素（例如塔吉克斯坦的性工作者）；移民工作和生活方式因素（例如访问莫斯科的次数增多）；移民的性和关系因素（例如莫斯科的固定伴侣）；以及移民健康和心理健康因素（例如饮酒频率增加）。对 40 名塔吉克斯坦男性移民进行纵向人种学访谈和观察所得的定性结果表明，这些多层次的移民前和移民因素如何解释艾滋病毒风险和保护行为。这些发现强调了劳工移民感染艾滋病毒风险的严重性，并呼吁采取多层次的预防方法和进一步研究。
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.
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影响因子：
5.4
作者：
BEM, SL
通讯作者：
BEM, SL
影响因子：
168.9
作者：
Shakarishvili, A;Dubovskaya, LK;Ryan, CA
通讯作者：
Ryan, CA
影响因子：
1.9
作者：
Weine, Stevan;Bahromov, Mahbat;Mirzoev, Azamdjon
通讯作者：
Mirzoev, Azamdjon
DOI：
10.1300/j051v16n01_04
发表时间：
2007-01-01
影响因子：
1.6
作者：
Organista, Kurt C.
通讯作者：
Organista, Kurt C.
影响因子：
2.2
作者：
Weine, Stevan;Kulauzovic, Yasmina;Rolland, John
通讯作者：
Rolland, John