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）：这份美俄合作研究俄罗斯联邦移民妇女艾滋病毒预防的申请已提交给美国国立卫生研究院，同时俄罗斯合作者也向俄罗斯基础研究基金会提交了一份平行申请。它建立在国际团队已完成和当前由美国国立卫生研究院支持的俄罗斯试点工作以及美国调查人员关于移民和艾滋病毒的广泛跨国研究的基础上。它提出了一种将人口层面的定量和定性分析与制度动态分析相结合的新方法，以描述来自吉尔吉斯斯坦、塔吉克斯坦和乌兹别克斯坦三个中亚国家的非正常女性移民的艾滋病毒风险，并确定预防和缓解艾滋病毒所面临的挑战和障碍。由这个弱势群体。具体来说，该研究将收集俄罗斯两个城市中亚移民妇女的统计代表性调查数据，这些数据是通过受访者驱动的抽样和来自这些妇女及其性伴侣子样本的定性信息而招募的。此外，机构民族志，包括对服务提供者和对提供者与客户互动的观察将在向移民妇女提供性健康和生殖健康以及艾滋病毒/性传播感染服务的诊所进行。分析将重点关注：妇女与其性伴侣就降低艾滋病毒风险进行的谈判；妇女利用其个人网络获取有关艾滋病毒风险和预防的信息、评估其风险并采取旨在降低这些风险的行动；妇女与正规医疗保健部门的互动以及这些互动所特有的提供者与客户之间的差距和脱节。这项探索性研究的结果将为后续设计和测试基于文化、性别敏感、全国可扩展的干预措施奠定基础，旨在降低移民妇女感染艾滋病毒的风险，并改善她们获得艾滋病毒咨询、检测和治疗的机会。治疗服务。