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HIV and Hepatitis C Risk among Tajik Migrant Workers Who Inject Drugs in Moscow

Author

Listed:
  • Mary Ellen Mackesy-Amiti

    (School of Public Health, University of Illinois at Chicago, Chicago, IL 60612, USA)

  • Judith A. Levy

    (School of Public Health, University of Illinois at Chicago, Chicago, IL 60612, USA)

  • Mahbatsho Bahromov

    (PRISMA Research Center, Dushanbe 734029, Tajikistan)

  • Jonbek Jonbekov

    (PRISMA Research Center, Dushanbe 734029, Tajikistan)

  • Casey M. Luc

    (School of Public Health, University of Illinois at Chicago, Chicago, IL 60612, USA)

Abstract

The human immunodeficiency virus (HIV) epidemic in Eastern Europe and Central Asia continues to grow with most infections occurring in high-risk groups including people who inject drugs and their sexual partners. Labor migrants from this region who inject drugs while in Russia are at especially high HIV risk. Male Tajik migrant workers who inject drugs in Moscow (N = 420) were interviewed prior to a randomized trial of the Migrants’ Approached Self-Learning Intervention in HIV/AIDS (MASLIHAT) peer-education HIV-prevention intervention. Participants were interviewed about their sex and drug use behavior and tested for HIV and hepatitis C (HCV) prior to the intervention. Only 17% had ever been tested for HIV. Over half of the men reported injecting with a previously used syringe in the past month, and substantial proportions reported risky sexual behavior. Prevalence rates of HIV (6.8%) and HCV (2.9%) were elevated, although lower than expected when compared to estimates of prevalence among people who inject drugs at the national level in Tajikistan. Risk behavior in diaspora varied across the men’s regional area of origin in Tajikistan and occupation in Moscow, with HIV prevalence rates highest among those working at the bazaars. Evidence-based prevention approaches and messaging that specifically address the drug- and sex-related risk behavior of migrants with varying backgrounds are needed.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:11:p:5937-:d:1154314
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    References listed on IDEAS

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    1. Marlène Guillon & Michel Celse & Pierre-Yves Geoffard, 2018. "Economic and public health consequences of delayed access to medical care for migrants living with HIV in France," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(3), pages 327-340, April.
    2. 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.
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