American Journal of Public Health
Volume 101, Issue 6, 2011, Pages 1075-1081

Implications of mobility patterns and HIV risks for HIV prevention among migrant market vendors in Kazakhstan (Article)

El-Bassel N.* , Gilbert L. , Terlikbayeva A. , West B. , Bearman P. , Wu E. , Zhussupov B. , Platais I. , Brisson A.
  • a Global Health Research Center of Central Asia, Columbia University, School of Social Work, 1255 Amsterdam Ave., New York, NY 10027, United States
  • b Global Health Research Center of Central Asia, Columbia University, School of Social Work, 1255 Amsterdam Ave., New York, NY 10027, United States
  • c Global Health Research Center of Central Asia, Columbia University, School of Social Work, 1255 Amsterdam Ave., New York, NY 10027, United States
  • d Global Health Research Center of Central Asia, Columbia University, School of Social Work, 1255 Amsterdam Ave., New York, NY 10027, United States
  • e Department of Sociology, Columbia University, United States
  • f Global Health Research Center of Central Asia, Columbia University, School of Social Work, 1255 Amsterdam Ave., New York, NY 10027, United States
  • g AIDS Foundation East West, Almaty, Kazakhstan
  • h Global Health Research Center of Central Asia, Columbia University, School of Social Work, 1255 Amsterdam Ave., New York, NY 10027, United States
  • i Global Health Research Center of Central Asia, Columbia University, School of Social Work, 1255 Amsterdam Ave., New York, NY 10027, United States

Abstract

Objectives: We examined the relationships between mobility characteristics and sexual risk behaviors among male and female migrant market vendors in Almaty, Kazakhstan. Methods: Participants completed a structured interview covering sociodemographics, mobility characteristics, sexual behaviors, and biomarkers for HIV, HCV, and syphilis. We used multivariate analyses to examine associations between mobility patterns and HIV risks after adjusting for sociodemographics. Results: Longer duration of a participant's last trip outside Almaty increased the odds of reporting multiple sexual partners. More frequent travel to visit family or friends was associated with multiple sexual partners and unprotected sex with steady partners. More frequent travel to buy goods in the past year was associated with multiple sexual partners. Men who traveled more often to buy goods were more likely to have purchased sex within the previous 90 days. Conclusions: Relationships between mobility patterns and sexual risk behaviors underscore the need for HIV-prevention strategies targeting the specific transmission dynamics that migrant vendors are likely to present.

Author Keywords

[No Keywords available]

Index Keywords

HIV Infections sexual behavior Human immunodeficiency virus infection psychological aspect human sexuality statistics travel Sexual Partners Time Factors qualitative research Commerce Humans male female Syphilis commercial phenomena Article high risk behavior Risk-Taking adult migration Transients and Migrants Kazakhstan time hepatitis C
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-79956344781&doi=10.2105%2fAJPH.2010.300085&partnerID=40&md5=e27b5d639472e3ce8d3a5441085637ab
DOI: 10.2105/AJPH.2010.300085
ISSN: 00900036
Cited by: 22
Original Language: English