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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：
10625301
负责人：
MARY ELLEN MACKESY-AMITI
金额：
$ 51.68万
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 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10625301
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Address Adopted Alcohol consumption Alcohols Awareness Behavior Behavior Therapy Behavioral Behavioral Mechanisms Belief Central Asia China Cluster randomized trial Cognitive Control Groups Country Destinations Development Disease model Disinhibition Drug usage Education Enrollment Epidemic Evaluation Evidence based intervention HIV HIV risk HIV/AIDS HIV/HCV Heavy Drinking Home Individual Influentials Injecting drug user Intercept Intervention Knowledge Labor Migrations Learning Life Linear Regressions Logistic Regressions Measures Mediation Mediator Migrant Modeling Moscow Movement Needle Sharing Network-based Outcome Participant Persons Pharmaceutical Preparations Population Populations at Risk Prevention Preventive service 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 alcohol behavior behavior change behavior influence cluster randomized design comparison control design efficacy testing evidence base group intervention health care availability health care service high risk improved injection drug use interest male marginalization marginalized population member men migration peer pilot test post intervention preventive intervention psychosocial psychosocial wellbeing randomized, clinical trials recruit role model self help sexual risk behavior social social culture 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.

项目摘要劳动力迁移是助长全球艾滋病流行和艾滋病毒传播的主要因素跨越国界和人口。在东道国注射毒品的移徙者特别容易受到高风险。塔吉克斯坦是中亚的一个小国，每年出口100多万塔吉克人，其中许多人注射毒品，暂时在国外工作。我们对塔吉克劳动力移民的早期研究莫斯科表明，由于危险的药物使用，他们感染艾滋病毒的标准和行为风险高得惊人，共用针头、饮酒以及与临时性伴侣和有偿性伴侣发生不安全性行为。以帮助遏制在这个脆弱的人群中传播，我们开发并试点测试了“移民接近自我，塔吉克人艾滋病毒/艾滋病学习干预”（MASLIHAT）预防模式。模特招募和训练注射毒品的当前和前塔吉克移民作为“同伴教育者”向他人提供干预措施在他们的社交网络中，同时降低他们自己的风险。MASLIHAT干预和我们的研究工作建立在三个理论模型上：社会认知行为理论，社会网络论和杨移民思想。模型本身在文化上适应了成功的SHIELD模型，是美国疾控中心指定的循证最佳实践干预措施，塔吉克斯坦移民劳工使用，俄罗斯人注射毒品。这项研究将测试MASLIHAT干预对对照组的有效性。在会话数量、持续时间和兴趣方面与干预条件相同的条件水平我们将提供MASLIHAT和控制组干预超过5个会议与组5至9塔吉克每项干预措施共对10组注射毒品的男性移徙者进行调查。同伴教育者将分享他们在社交网络中从其他人那里学到了什么，包括两名注射毒品的网络成员，他们招募了一些人参与这项研究。我们将评估MASLIHAT和对照组参与者及其塔吉克族男性社交网络成员在基线和干预后3，6，9和12个月。我们会进行重复测量线性和logistic回归，使用混合效应模型，随机人截距，测试：（1）如果艾滋病毒危险行为、预防自我效能和行为规范发生较大变化， MASLIHAT参与者（同伴教育者）与对照参与者相比，（2）如果艾滋病毒的变化更大，同伴教育者网络成员存在危险行为、预防自我效能和行为规范与对照组网络成员相比。通过改变自己的风险行为，并鼓励他人移民同伴教育者可以在个人和社会层面发起积极的变革，网络水平在他们的东道国和他们的祖国，当他们返回。的影响一项拟议的研究在于开发一种急需的科学测试干预措施，在国内和跨国界注射毒品的移民中传播。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

HIV and Hepatitis C Risk among Tajik Migrant Workers Who Inject Drugs in Moscow.

DOI：
10.3390/ijerph20115937
发表时间：
2023-05-24
期刊：
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
影响因子：
0
作者：
Mackesy-Amiti, Mary Ellen;Levy, Judith A;Bahromov, Mahbatsho;Jonbekov, Jonbek;Luc, Casey M
通讯作者：
Luc, Casey M

HIV knowledge, self-perception of HIV risk, and sexual risk behaviors among male Tajik labor migrants who inject drugs in Moscow.

DOI：
10.1186/s12889-023-17543-1
发表时间：
2024-01-11
期刊：
BMC PUBLIC HEALTH
影响因子：
4.5
作者：
Luc, Casey Morgan;Levy, Judith;Bahromov, Mahbat;Jonbekov, Jonbek;Mackesy-Amiti, Mary E.
通讯作者：
Mackesy-Amiti, Mary E.