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MASLIHAT Intervention for Tajik Male Migrants Who Inject Drugs

MASLIHAT 对注射毒品的塔吉克男性移民的干预

基本信息

批准号：
10064256
负责人：
MARY ELLEN MACKESY-AMITI
金额：
$ 60.17万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-08-01 至 2024-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10064256
关键词：
AIDS prevention AIDS/HIV problem Acquired Immunodeficiency Syndrome Address Adopted Alcohol consumption Alcohols Awareness Behavior Behavior Therapy Behavioral Behavioral Mechanisms Belief Centers for Disease Control and Prevention (U.S.)Central Asia China Cluster randomized trial Cognitive Control Groups Country Destinations Development Disease model Drug usage Education Enrollment Epidemic Evaluation Evidence based intervention HIV HIV risk HIV/HCV Heavy Drinking Home environment Individual Influentials Injecting drug user Intercept Intervention Knowledge Labor Migrations Learning Life Linear Regressions Logistic Regressions Measures Mediation Mediator of activation protein Migrant Modeling Moscow Movement Needle Sharing Network-based Outcome Participant Personal Satisfaction Persons Pharmaceutical Preparations Population Populations at Risk Prevention Preventive Intervention Preventive service Randomized Clinical Trials Research Risk Risk Behaviors Russia Self Efficacy Sex Behavior Sexual Partners Social Network South Africa Southeastern Asia Tajikistan Testing Theoretical model Training Unemployment United States Unsafe Sex Vulnerable Populations Work Yang alcohol behavior behavior change behavior influence design efficacy testing evidence base group intervention health care availability health care service high risk improved injection drug use interest male member men migration peer post intervention psychosocial recruit role model self help sexual risk behavior social social culture social exclusion theories transmission process

项目摘要

PROJECT SUMMARY Labor migration is a major contributor to fueling the global AIDS epidemic and also the movement of HIV across country borders and populations. Migrants who inject drugs while in a host country are at especially high risk. Tajikistan, a small country in Central Asia, exports more than a million Tajiks annually, many of whom inject drugs, to work temporarily outside of their own country. Our earlier research on Tajik labor migrants in Moscow showed them to be at alarmingly high normative and behavioral risk for HIV due to risky drug use, needle sharing, alcohol consumption, and unsafe sex with casual and paid sex partners. To help curb transmission in this vulnerable population, we developed and pilot tested the "Migrants' Approached Self- Learning Intervention in HIV/AIDS for Tajiks" (MASLIHAT) prevention model. The model recruits and trains current and former Tajik migrants who inject drugs as "peer educators" in delivering the intervention to others in their social networks while simultaneously reducing their own risk. The MASLIHAT Intervention and our research efforts build synergistically on 3 theoretical models: social-cognitive-behavioral theory, social network theory and Yang's Theory of Migration. The model itself culturally adapts the successful SHIELD model, which is a CDC- designated evidence-based best practice intervention in the U.S., for use with Tajik labor migrants in Russia who inject drugs. This study will test the efficacy of the MASLIHAT intervention against a control condition designed to be equal to the intervention condition in the number of sessions, duration, and interest level. We will deliver MASLIHAT and control group interventions over 5 sessions with groups of 5 to 9 Tajik male migrants who inject drugs for a total of 10 groups for each intervention. The peer educators will share what they learned with others in their social networks, including the 2 network members who inject drugs whom they recruited for enrollment in the study. We will assess MASLIHAT and control participants and their Tajik male social network members at baseline and at 3, 6, 9 and 12 months post-intervention. We will conduct repeated measures linear and logistic regressions using mixed effect models with random person intercepts to test: (1) if greater changes in HIV risk behaviors, prevention self-efficacy, and behavioral norms occur among MASLIHAT participants (peer educators) compared to control participants, and (2) if greater changes in HIV risk behaviors, prevention self-efficacy, and behavioral norms occur among peer educator network members compared to control group network members. By transforming their own risk behavior, and encouraging others at risk to do so as well, migrant peer educators can initiate positive changes at the individual and social network levels in both their host country and also their home country when they return. The impact of the proposed study lies in the development of a much needed scientifically tested intervention that reduces HIV transmission among migrants who inject drugs within and across country borders.

项目总结