Social and structural risks for HIV among migrant and immigrant men who have sex with men in Moscow, Russia: implications for prevention.
Social and structural risks for HIV among migrant and immigrant men who have sex with men in Moscow, Russia: implications for prevention.
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在俄罗斯莫斯科与男人发生性关系的移民和移民男人中艾滋病毒的社会和结构性风险：对预防的影响。
DOI：
10.1080/09540121.2013.819407
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发表时间：
2014
期刊：
影响因子：
1.7
通讯作者：
Beyrer C
中科院分区：
文献类型：
--
作者：
Wirtz AL;Zelaya CE;Peryshkina A;Latkin C;Mogilnyi V;Galai N;Dyakonov K;Beyrer C
Moscow has a large population of immigrants and migrants from across the Former Soviet Union. Little is studied about men who have sex with men (MSM) within these groups. Qualitative research methods were used to explore identities, practices, and factors affecting HIV prevention and risks among immigrant/migrant MSM in Moscow. Nine interviews and three focus group discussions were conducted between April–June 2010 with immigrant/migrant MSM, analyzed as a subset of a larger population of MSM who participated in qualitative research (n=122). Participants were purposively selected men who reported same sex practices (last 12 months). Migrants were men residing in Moscow but from other Russian regions and immigrants from countries outside of Russia. A socio-ecological framework was used to describe distal to proximal factors that influenced risks for HIV acquisition. Stigma and violence related to homophobia in homelands, and concerns about xenophobia and distrust of migrants in Moscow emerged as key themes. Participants reported greater sexual freedom in Moscow but feared relatives in homelands would learn of behaviors in Moscow, often members of their own ethnicity. Internalized homophobia was prevalent and linked to traditional sexual views. MSM ranged from heterosexual to gay-identified. Sexual risks included sex work, high numbers of partners, and inconsistent condom use. Avoidance of HIV testing or purchasing false results was related to reporting requirements in Russia, which may bar entry or expel those testing positive. HIV prevention for MSM should consider immigrant/migrant populations, the range of sexual identities, and risk factors among these men. The willingness of some men to socialize with immigrants/migrants of other countries may provide opportunities for peer-based prevention approaches. Immigrants/migrants comprise important proportions of the MSM population, yet rarely acknowledged in research. Understanding their risks and how to reach them may improve the overall impact of prevention for MSM and adults in Russia.
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影响因子：
1.5
作者：
Baral, Stefan;Sifakis, Frangiscos;Beyrer, Chris
通讯作者：
Beyrer, Chris
影响因子：
1.9
作者：
Amirkhanian, Yuri A.;Kuznetsova, Anna V.;Kelly, Jeffrey A.;DiFranceisco, Wayne J.;Musatov, Vladimir B.;Avsukevich, Natalya A.;Chaika, Nikolay A.;McAuliffe, Timothy L.
通讯作者：
McAuliffe, Timothy L.
影响因子：
4.4
作者：
Amirkhanian, Yuri A.;Kelly, Jeffrey A.;Kuznetsova, Anna V.;DiFranceisco, Wayne J.;Musatov, Vladimir B.;Pirogov, Dmitry G.
通讯作者：
Pirogov, Dmitry G.
影响因子：
3.1
作者：
Burchell, Ann N.;Calzavara, Liviana M.;Ladnaya, Natalia N.
通讯作者：
Ladnaya, Natalia N.
影响因子：
5.4
作者：
Rhodes, T;Mikhailova, L;Renton, A
通讯作者：
Renton, A