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The Silk Road Health Project: How Mobility and Migration Status Influence HIV Risks among Male Migrant Workers in Central Asia

Author

Listed:
  • Nabila El-Bassel
  • Louisa Gilbert
  • Stacey A Shaw
  • Gaukhar Mergenova
  • Assel Terlikbayeva
  • Sholpan Primbetova
  • Xin Ma
  • Mingway Chang
  • Leyla Ismayilova
  • Tim Hunt
  • Brooke West
  • Elwin Wu
  • Chris Beyrer

Abstract

Objectives: We examined whether mobility, migrant status, and risk environments are associated with sexually transmitted infections (STIs) and HIV risk behaviors (e.g. sex trading, multiple partners, and unprotected sex). Methods: We used Respondent Driven Sampling (RDS) to recruit external male migrant market vendors from Kyrgyzstan, Uzbekistan, and Tajikistan as well internal migrant and non-migrant market vendors from Kazakhstan. We conducted multivariate logistic regressions to examine the effects of mobility combined with the interaction between mobility and migration status on STIs and sexual risk behaviors, when controlling for risk environment characteristics. Results: Mobility was associated with increased risk for biologically-confirmed STIs, sex trading, and unprotected sex among non-migrants, but not among internal or external migrants. Condom use rates were low among all three groups, particularly external migrants. Risk environment factors of low-income status, debt, homelessness, and limited access to medical care were associated with unprotected sex among external migrants. Conclusion: Study findings underscore the role mobility and risk environments play in shaping HIV/STI risks. They highlight the need to consider mobility in the context of migration status and other risk environment factors in developing effective prevention strategies for this population.

Suggested Citation

  • Nabila El-Bassel & Louisa Gilbert & Stacey A Shaw & Gaukhar Mergenova & Assel Terlikbayeva & Sholpan Primbetova & Xin Ma & Mingway Chang & Leyla Ismayilova & Tim Hunt & Brooke West & Elwin Wu & Chris , 2016. "The Silk Road Health Project: How Mobility and Migration Status Influence HIV Risks among Male Migrant Workers in Central Asia," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-16, March.
    • Handle: RePEc:plo:pone00:0151278
    DOI: 10.1371/journal.pone.0151278
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    References listed on IDEAS

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    1. Daniel Fu Keung Wong & He Xue Song, 2008. "The Resilience of Migrant Workers in Shanghai China: the Roles of Migration Stress and Meaning of Migration," International Journal of Social Psychiatry, , vol. 54(2), pages 131-143, March.
    2. Joana Godinho & Adrian Renton & Viatcheslav Vinogradov & Thomas Novotny & Mary-Jane Rivers & George Gotsadze & Mario Bravo, 2005. "Reversing the Tide: Priorities for HIV/AIDS Prevention in Central Asia," World Bank Publications - Books, The World Bank Group, number 7354, December.
    3. El-Bassel, N. & Gilbert, L. & Terlikbayeva, A. & West, B. & Bearman, P. & Wu, E. & Zhussupov, B. & Platais, I. & Brisson, A., 2011. "Implications of mobility patterns and HIV risks for HIV prevention among migrant market vendors in Kazakhstan," American Journal of Public Health, American Public Health Association, vol. 101(6), pages 1075-1081.
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    Cited by:

    1. Sajana Ghimire & Jonathan Hallett & Corie Gray & Roanna Lobo & Gemma Crawford, 2019. "What Works? Prevention and Control of Sexually Transmitted Infections and Blood-Borne Viruses in Migrants from Sub-Saharan Africa, Northeast Asia and Southeast Asia Living in High-Income Countries: A ," IJERPH, MDPI, vol. 16(7), pages 1-17, April.
    2. Mary Ellen Mackesy-Amiti & Judith A. Levy & Mahbatsho Bahromov & Jonbek Jonbekov & Casey M. Luc, 2023. "HIV and Hepatitis C Risk among Tajik Migrant Workers Who Inject Drugs in Moscow," IJERPH, MDPI, vol. 20(11), pages 1-12, May.

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