AIDS and Behavior
Volume 22, Issue 11, 2018, Pages 3480-3490

Traumatic Events and HIV Sexual Risk Behaviors Among Migrant and Non-Migrant Male Market Workers in Central Asia (Article)

Michalopoulos L.M.* , Jiwatram-Negron T. , Gilbert L. , Shaw S.A. , Brelsford A. , Terlikbayeva A. , Primbetova S. , El-Bassel N.
  • a Social Intervention Group, Global Health Research Center of Central Asia, Global Health and Mental Health Unit of the Social Intervention Group, Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY, United States
  • b Curtis Center, School of Social Work, University of Michigan, Ann Arbor, MI, United States
  • c Social Intervention Group, Global Health Research Center of Central Asia, Columbia University School of Social Work, New York, NY, United States
  • d School of Social Work, Brigham Young University, Provo, UT, United States
  • e Columbia University School of Social Work, New York, NY, United States
  • f Social Intervention Group, Global Health Research Center of Central Asia, Columbia University School of Social Work, Almaty, Kazakhstan
  • g Social Intervention Group, Global Health Research Center of Central Asia, Columbia University School of Social Work, Almaty, Kazakhstan
  • h Social Intervention Group, Global Health Research Center of Central Asia, Columbia University School of Social Work, New York, NY, United States

Abstract

We examined potentially traumatic events (PTEs) and the relationship between PTEs and HIV risk behaviors among male market workers in Kazakhstan, comparing Kazakhstani to external migrants. Using respondent-driven sampling, participants were 1342 male marketplace workers in Almaty, Kazakhstan. Univariate, bivariate, and logistic regressions were conducted. We found high prevalence of PTEs among participants, and significant differences between PTEs and HIV risk by migrant status. Kazakhstanis reporting 1–2 or three-or-more traumatic events were more likely to report engaging in sex trading, compared to Kazakhstanis who reported no PTEs (OR = 3.65, CI 1.20–11.11, p = 0.022; OR = 8.17, 95% CI 2.66–25.09, p = 0.000, respectively). Kazakhstanis who reported three-or-more PTEs were more likely to report unprotected sex (OR = 2.17, CI 2.17–3.89, p = 0.009). Results did not support this relationship among external migrants. Findings underscore the need for attention on services that address trauma and HIV risk among this population and more research to understand differences by migrant status. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Potentially traumatic events Central Asia HIV sexual risk Migration

Index Keywords

HIV Infections sexual behavior Human immunodeficiency virus infection human middle aged Asia statistics and numerical data Asia, Central Logistic Models ethnology Unsafe Sex Cross-Sectional Studies Young Adult cross-sectional study Humans psychology male prevalence high risk behavior Risk-Taking adult migration statistical model Transients and Migrants Kazakhstan
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041561080&doi=10.1007%2fs10461-018-2047-z&partnerID=40&md5=001f99d3de496233f1ded21b54769cf6
DOI: 10.1007/s10461-018-2047-z
ISSN: 10907165
Cited by: 1
Original Language: English