AIDS and Behavior
Volume 21, Issue 8, 2017, Pages 2372-2380

What Prevents Central Asian Migrant Workers from Accessing HIV Testing? Implications for Increasing HIV Testing Uptake in Kazakhstan (Article)

Davis A.* , Terlikbayeva A. , Terloyeva D. , Primbetova S. , El-Bassel N.
  • a HIV Center, Division of Gender, Sexuality, & Health, New York State Psychiatric Institute and Columbia University Medical Center, 1051 Riverside Drive, Unit 15, New York, NY 10032, United States, Social Intervention Group, School of Social Work, Columbia University, New York, NY, United States
  • b Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan
  • c Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan
  • d Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan
  • e Social Intervention Group, School of Social Work, Columbia University, New York, NY, United States

Abstract

Several barriers prevent key populations, such as migrant workers, from accessing HIV testing. Using data from a cross-sectional study among Central Asian migrant workers (n = 623) in Kazakhstan, we examined factors associated with HIV testing. Overall, 48% of participants had ever received an HIV test. Having temporary registration (AOR 1.69; (95% CI [1.12–2.56]), having an employment contract (AOR 2.59; (95% CI [1.58–4.23]), being able to afford health care services (AOR 3.61; (95% CI [1.86–7.03]) having a medical check-up in the past 12 months (AOR 1.85; 95% CI [1.18–2.89]), and having a regular doctor (AOR 2.37; 95% CI [1.20–4.70]) were associated with having an HIV test. HIV testing uptake among migrants in Kazakhstan falls far short of UNAIDS 90-90-90 goals. Intervention strategies to increase HIV testing among this population may include initiatives that focus on improving outreach to undocumented migrants, making health care services more affordable, and linking migrants to health care. © 2017, Springer Science+Business Media New York.

Author Keywords

Structural and individual barriers Kazakhstan Migrants HIV testing

Index Keywords

HIV Infections Human immunodeficiency virus infection mass screening human Asia Asia, Central Cross-Sectional Studies Surveys and Questionnaires Young Adult cross-sectional study Humans male female questionnaire adult migration Transients and Migrants employment Kazakhstan Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85011674775&doi=10.1007%2fs10461-017-1713-x&partnerID=40&md5=ff2123b2f28971a7418f2b1347e81c74
DOI: 10.1007/s10461-017-1713-x
ISSN: 10907165
Cited by: 2
Original Language: English