This paper examines the association between alcohol consumption and sexual risk behaviors (unprotected sex, multiple sex partners, sex under influence of drugs or alcohol and commercial sex) in a sample of Central Asian migrant and non-migrant laborers in the largest marketplace in Kazakhstan. We used data from The Silk Road Health Project, conducted from 2010 to 2013 with 1342 male migrant and non-migrant market workers. Participants were selected through respondent driven sampling at the Baraholka Market in Almaty, Kazakhstan. We used regression analyses adjusting for potential confounders to examine the relationship between alcohol consumption and sexual risk behavior. We found that hazardous drinking was associated with an increase in the odds of sex under the influence of drugs (aOR = 6.09, 95% CI 3.48, 10.65; p < .001) and purchasing commercial sex (aOR = 2.02, 95% CI 1.02, 4.02; p < .05). We identified potential targets for HIV interventions to reduce sexual risk behaviors among this key population. © 2017, Springer Science+Business Media, LLC.

Central Asia Alcohol Migrants Sexual behaviors

HIV Infections Alcohol Drinking sexual behavior drinking behavior Human immunodeficiency virus infection human Asian continental ancestry group statistics and numerical data Unsafe Sex Cross-Sectional Studies cross-sectional study Humans psychology male prostitution high risk behavior Risk-Taking adult migration Sex Work Transients and Migrants Kazakhstan