Condom use and intimacy among Tajik male migrants and their regular female partners in Moscow

Zabrocki, Christopher; Polutnik, Chloe; Jonbekov, Jonbek; Shoakova, Farzona; Bahromov, Mahbat; Weine, Stevan

doi:10.1080/13691058.2014.937748

Cited by 5 publications

(4 citation statements)

References 37 publications

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“…As for psychosocial-related factors, police-enacted stigma was associated with sexual activity with multiple sex partners and FSW in the last 30 days whereas depression was associated with condomless sex both in general and specifically with FSW. These findings add to the documented role of both police-enacted stigma and depression to be associated with HIV sexual risk behavior among Tajik labor migrants [35][36][37][38]. To contextualize intersectional stigma, effective HIV prevention programming among Tajik labor migrants should specifically aim to alleviate the pressure of police aggression and harassment on overall wellbeing, consistent with a separate study that recognizes the role of policing in HIV prevention programming among labor migrants [17].…”

Section: Discussionsupporting

confidence: 69%

HIV knowledge, self-perception of HIV risk, and sexual risk behaviors among male Tajik labor migrants who inject drugs in Moscow

Luc,

Levy,

Bahromov

et al. 2024

BMC Public Health

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Background The interplay of human immunodeficiency virus (HIV) knowledge and self-perception of risk for HIV among people who inject drugs is complex and understudied, especially among temporary migrant workers who inject drugs (MWID) while in a host country. In Russia, Tajik migrants make up the largest proportion of Moscow’s foreign labor. Yet, HIV knowledge and self-perceived risk in association with sexual risk behavior among male Tajik MWID in Moscow remains unknown. Objective This research examines knowledge about HIV transmission, self-perception of HIV risk, and key psychosocial factors that possibly contribute to sexual risk behaviors among male Tajik labor MWID living in Moscow. Methods Structured interviews were conducted with 420 male Tajik labor MWID. Modified Poisson regression models investigated possible associations between major risk factors and HIV sexual risk behavior. Results Of the 420 MWID, 255 men (61%) reported sexual activity in the last 30 days. Level of HIV knowledge was not associated in either direction with condom use or risky sexual partnering, as measured by sex with multiple partners or female sex workers (FSW). Lower self-perceived HIV risk was associated with a greater likelihood of sex with multiple partners (aPR: 1.79, 95% CI: 1.34, 2.40) and FSW (aPR: 1.28, 95% CI: 1.04, 1.59), but was not associated with condom use. Police-enacted stigma was associated with sex with multiple partners (aPR: 1.22, 95% CI: 1.01, 1.49) and FSW (aPR: 1.32, 95% CI: 1.13, 1.54). While depression and lower levels of loneliness were associated with condomless sex (aPR: 1.14, 95% CI: 1.05, 1.24; aPR: 0.79, 95% CI: 0.68, 0.92, respectively), only depression was associated with condomless sex with FSW (aPR: 1.26, 95% CI: 1.03, 1.54). Conclusions HIV prevention programing for male Tajik MWID must go beyond solely educating about factors associated with HIV transmission to include increased awareness of personal risk based on engaging in these behaviors. Additionally, psychological services to counter depression and police-enacted stigma are needed.

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Section: Discussionsupporting

confidence: 69%

HIV knowledge, self-perception of HIV risk, and sexual risk behaviors among male Tajik labor migrants who inject drugs in Moscow

Luc,

Levy,

Bahromov

et al. 2024

BMC Public Health

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“…Good negotiation skills will increase effective communication regarding condom use, and make it easier for FSWs to persuade clients to practice safe sex. 21 Negotiation before sex will increase FSWs’ persuasive efforts to convince clients to have safe sex by reaching an agrement throught joint decision-making. 22 Conversely, a lack of negotiation skills makes FSWs accept client demands for unprotected sex.…”

Section: Discussionmentioning

confidence: 99%

Condom-Use Negotiation, Alcohol Consumption, and Hiv-Risk Sexual Behavior among Female Sex Workers in Kupang, East Nusa Tenggara, Indonesia: A Cross-Sectional Study

Khumaidi¹,

Yona

Waluyo

2021

Journal of Public Health Research

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Background: Female sex workers play a crucial part in HIV transmission. Having unprotective condom during sexual activity can lead to HIV infection. Having lower power in condom negotiation with clients can lead FSW not to using condoms during sexual activity. Alcohol consumption was also mediated HIV risk behavior among FSW. This study aimed to evaluate the relationship between condom use-negotiation, alcohol consumption and HIV-risk sexual behavior among female sex workers (FSW) in Kupang.Design and Methods: A cross-sectional study was conducted with 125 FSWs aged 18 to 60 years recruited from Yayasan Tanpa Batas Kupang with consecutive sampling. The data were analyzed using univariate and the Chi-square test.Results: The majority of FSWs (61.6%) reported had low negotiation condom use with their clients, about 77.6% reported high levels of alcohol consumption and 64.8% had high-risk sexual behavior. Condom-use negotiation (p-value: 0.003) and alcohol consumption (p-value: 0.037) were found to be significantly associated with HIV-risk sexual behavior.Conclusions: Future interventions on HIV prevention should focus on empowering young FSWs with condom negotiation skills in order to increase condom use. It is also recommended to include information about alcohol consumption and its relationship with HIV-risk behavior in order to have better health outcomes for FSW.

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“…The study conducted by Zabrocki et al in 2014 examined condom use and intimacy among 400 Tajik male migrants and their regular female partners sampled from bazaars and construction sites in Moscow. Each of the male migrants was married to a woman in Tajikistan and 351 (89%) of them reported also having a regular female partner in Moscow [41]. The study revealed that the length of relationship negatively affected condom use with a regular partner.…”

Section: Sexual and Reproductive Healthmentioning

confidence: 92%

“…Another correlate was trust in a partner's "sexual cleanliness" which was often linked to the partner's religion and nationality, rather than to awareness and knowledge of HIV risk and protection. In particular, 73% of Tajik male migrants always used condoms with a regular partner who was Christian and only 31% with a regular Muslim partner [41]. An earlier study carried out among 499 male labour migrants from the different former Soviet Union countries in Saint-Petersburg revealed that 30% of them reported multiple female partners in the past 3 months, with condom use ranging from 35% with regular partners to 52% with casual partners [42].…”

Section: Sexual and Reproductive Healthmentioning

confidence: 99%

Health of refugees and migrants from former Soviet Union countries in the Russian Federation: a narrative review

Bakunina

Gil

Polushkin³

et al. 2020

Int J Equity Health

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This narrative review was conducted to synthesize and summarize available up-to-date evidence on current health status, including both non-communicable diseases and infectious diseases, of migrants and refugees from the former Soviet Union countries in the Russian Federation. Epidemiological and sociological studies with one or more determinants of the health, as well as relevant qualitative studies characterizing risk factors, well-being indicators, and lifestyles of migrants and refugees from the former Soviet Union countries in Russia published from 2004 to 2019 in Russian and English languages were included in the review. Despite significant limitations of the available research literature in the field, some patterns in migrants’ health in Russia and issues that need to be addressed were identified. In particular, the syndemic epidemics of communicable and non-communicable diseases, additively increasing negative health consequences, including cardiovascular diseases and chronic digestive system diseases, high rates of sexually transmitted infections and HIV, respiratory diseases and a growing percentage of new tuberculosis cases among migrants from the former Soviet Union countries are all of great concern. Possibly, the burden of these co-occurring morbidities is linked to commonly reported issues among this population group, such as poor nutrition and living conditions, high prevalence of unskilled manual labour, non-compliance with sanitary norms, lack of basic vaccinations, lack of basic knowledge about safe sexual practices and risky sexual behaviour, low healthcare seeking behaviour and limited access to health care. Importantly, these findings may urge the government to increase efforts and promote international collaboration in combating the threat of infectious diseases. Additionally, it was found that migrants had higher levels of anxiety and post-traumatic stress disorder, and those who stayed in the receiving country 5 years or more had a higher level of somatic pathology than those whose stay was less than 5 years. In order to ensure an adequate health system response and fulfil the main Universal Health Coverage principle of “leaving no one behind”, a robust monitoring system of the health status of refugees and migrants and an integrated legal framework for the standardized and more inclusive routine care for this population in Russia is urgently needed.

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Condom use and intimacy among Tajik male migrants and their regular female partners in Moscow

Cited by 5 publications

References 37 publications

HIV knowledge, self-perception of HIV risk, and sexual risk behaviors among male Tajik labor migrants who inject drugs in Moscow

HIV knowledge, self-perception of HIV risk, and sexual risk behaviors among male Tajik labor migrants who inject drugs in Moscow

Condom-Use Negotiation, Alcohol Consumption, and Hiv-Risk Sexual Behavior among Female Sex Workers in Kupang, East Nusa Tenggara, Indonesia: A Cross-Sectional Study

Health of refugees and migrants from former Soviet Union countries in the Russian Federation: a narrative review

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