Abstract
ObjectiveThis study aimed to build formative knowledge on socio-structural barriers, protective factors, and HIV sexual risk amongst Central-Asian female migrants in Moscow.MethodsData collection included ethnographic interviews in Moscow with a purposive sample of 30 unmarried female migrants, 15 from Kyrgyzstan and 15 from Tajikistan.ResultsStudy participants reported difficulties with acquiring documents for legal status, financial insecurity, discrimination, sexual harassment, and lack of support. Based on analysis of the cases, one pathway linked lack of legal documentation and instrumental support with elevated sexual risk. Another pathways linked traditional cultural attitudes with both no and moderate sexual risk.ConclusionFuture HIV prevention efforts with Central Asian female migrants in Moscow should be multilevel and include: increasing HIV and prevention knowledge and skills, promoting condom use with regular partners, identifying and supporting cultural attitudes that protect against HIV sexual risk behaviors, facilitating legal status, building community support, and increasing economic options.
Highlights
MethodsWith each migrant we conducted a single minimally structured interview in English with interpretation in either Tajik or Russian by bilingual team members.[31] The interviews lasted between 60 and 150 minutes and were conducted in convenient locations for the participants, such as apartments, parks, cafes, or the research team’s office
This study found qualitative evidence suggesting possible associations between socio-structural barriers and current elevated HIV sexual risk
The study findings indicated that sociostructural barriers did not explain all HIV sexual risk
Summary
With each migrant we conducted a single minimally structured interview in English with interpretation in either Tajik or Russian by bilingual team members.[31] The interviews lasted between 60 and 150 minutes and were conducted in convenient locations for the participants, such as apartments, parks, cafes, or the research team’s office. These open-ended interviews focused on the women’s: (1) daily lives; (2) experiences with migration and life in Moscow; (3) home country lives and family; (4) social support and network in Moscow; (5) HIV/AIDS knowledge, attitudes, behaviors, and risk and prevention skills; and (6) access to healthcare and HIV testing. All interviews were audiotaped and transcribed into English. The initial study questions were refined through an iterative process of data collection and preliminary data analysis that followed standardized qualitative methods
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