Behavioral and institutional barriers to HIV prevention among migrant women

流动妇女艾滋病毒预防的行为和体制障碍

基本信息

批准号：
9118566
负责人：
VICTOR AGADJANIAN
金额：
$ 13.69万
依托单位：
UNIVERSITY OF KANSAS LAWRENCE
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-12-01 至 2017-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9118566
关键词：
AIDS prevention AIDS/HIV problem Academy Accounting Area Asians Basic Science Behavioral Caring Central Asia Cities Client Clinic Counseling Country Data Data Analyses Disadvantaged Epidemic Ethnography Exercise Exposure to Female Feminization Foundations Gender HIV HIV Infections HIV risk HIV/STD Health Health Care Sector Health Services Accessibility Human immunodeficiency virus test Inequality Infection International Intervention Interview Knowledge Kyrgyzstan Location Mediation Nomads Population Prevalence Prevention Provider Recruitment Activity Reproductive Health Reproductive Health Services Research Research Personnel Research Priority Resources Respondent Risk Risk Reduction Russia Sampling Science Scientist Services Sex Behavior Sexual Health Sexual Partners Sexual Transmission Site Subgroup Surveys Tajikistan Testing Time Translating United States National Institutes of Health Uzbekistan Vulnerable Populations Woman Work aged base behavioral/social science condoms design health care service utilization high risk high risk sexual behavior improved male men migration novel response risk mitigation social social exclusion social science research young adult

项目摘要

DESCRIPTION (provided by applicant): This application for collaborative U.S.-Russia research on HIV prevention among migrant women in the Russian Federation is submitted to the NIH in conjunction with a parallel application submitted by the Russian collaborators to the Russian Foundation for Basic Research. It builds upon the international team's completed and current NIH-supported pilot work in Russia as well as the US investigators' extensive cross-national research on migration and HIV. It proposes a novel combination of population-level quantitative and qualitative analyses with analyses of institutional dynamics to describe HIV risks of irregular female migrants from three Central Asian countries- Kyrgyzstan, Tajikistan, and Uzbekistan and to identify challenges and barriers in HIV prevention and mitigation faced by this vulnerable group. Specifically, the study will collect statistically representative survey data on migrant women from Central Asia in two Russian cities recruited through respondent driven sampling and qualitative information from a subsample of those women and their sexual partners. In addition, institutional ethnographies, including interviews with service providers and observations of provider-client interactions, will be carried out at clinics offering sexual and reproductive health and HIV/STI services to migrant women. The analyses will focus on: women's negotiation of HIV risk reduction with their sexual partners; women's use of their personal networks to obtain information about HIV risks and prevention, to evaluate their risks, and to take actions aimed at reducing those risks; and women's interactions with the formal health care sector and the provider- client gaps and disconnects that characterize those interactions. The results of this exploratory study will lay the foundation for subsequent design and testing of culturally-grounded, gender-sensitive, nationally-scalable interventions aimed at reducing the risks of HIV infection among migrant women and improving their access to HIV counseling, testing, and treatment services.

描述（由申请人提供）：俄罗斯联邦移民妇女在美国俄罗斯预防艾滋病毒预防的合作申请中，与俄罗斯合作者向俄罗斯基础研究基金会提交的平行申请一起提交了NIH。它建立在国际团队在俄罗斯完成的NIH目前支持的飞行员工作以及美国调查人员对移民和艾滋病毒的广泛跨国研究。它提出了人口水平定量和定性分析的新型组合以及对制度动力学的分析，以描述来自三个中亚国家 /地区的不规则女性移民的HIV风险 - 吉尔吉斯斯坦，塔吉克斯坦和乌兹别克斯坦，并确定了易受义务小组面临的艾滋病毒预防和缓解挑战。具体而言，这项研究将收集来自中亚移民妇女的统计代表性调查数据，这些妇女是通过受访者驱动的抽样招募的两个俄罗斯城市中的，以及从这些妇女及其性伴侣的子样本中招募的定性信息。此外，机构民族志，包括对服务提供商和将在诊所进行提供者 - 客户互动的观察，向移民妇女提供性健康和生殖健康以及HIV/STI服务。分析将重点关注：妇女与性伴侣降低艾滋病毒风险的谈判；妇女使用个人网络来获取有关艾滋病毒风险和预防的信息，评估自己的风险，并采取旨在降低这些风险的行动；妇女与正式医疗保健部门的互动以及提供者的差距和断开连接，这些互动是这些相互作用的特征。这项探索性研究的结果将奠定基础，以随后设计和测试具有培养性，性别敏感的，全国性的可观干预措施，旨在降低移民妇女中艾滋病毒感染的风险，并改善其获得艾滋病毒咨询，测试和治疗服务。