MASLIHAT Intervention for Tajik Male Migrants Who Inject Drugs

MASLIHAT 对注射毒品的塔吉克男性移民的干预

基本信息

批准号：
10625301
负责人：
MARY ELLEN MACKESY-AMITI
金额：
$ 51.68万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-08-01 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10625301
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Address Adopted Alcohol consumption Alcohols Awareness Behavior Behavior Therapy Behavioral Behavioral Mechanisms Belief Central Asia China Cluster randomized trial Cognitive Control Groups Country Destinations Development Disease model Disinhibition Drug usage Education Enrollment Epidemic Evaluation Evidence based intervention HIV HIV risk HIV/AIDS HIV/HCV Heavy Drinking Home Individual Influentials Injecting drug user Intercept Intervention Knowledge Labor Migrations Learning Life Linear Regressions Logistic Regressions Measures Mediation Mediator Migrant Modeling Moscow Movement Needle Sharing Network-based Outcome Participant Persons Pharmaceutical Preparations Population Populations at Risk Prevention Preventive service Research Risk Risk Behaviors Russia Self Efficacy Sex Behavior Sexual Partners Social Network South Africa Southeastern Asia Tajikistan Testing Theoretical model Training Unemployment United States Unsafe Sex Vulnerable Populations Work alcohol behavior behavior change behavior influence cluster randomized design comparison control design efficacy testing evidence base group intervention health care availability health care service high risk improved injection drug use interest male marginalization marginalized population member men migration peer pilot test post intervention preventive intervention psychosocial psychosocial wellbeing randomized, clinical trials recruit role model self help sexual risk behavior social social culture theories transmission process

项目摘要

PROJECT SUMMARY Labor migration is a major contributor to fueling the global AIDS epidemic and also the movement of HIV across country borders and populations. Migrants who inject drugs while in a host country are at especially high risk. Tajikistan, a small country in Central Asia, exports more than a million Tajiks annually, many of whom inject drugs, to work temporarily outside of their own country. Our earlier research on Tajik labor migrants in Moscow showed them to be at alarmingly high normative and behavioral risk for HIV due to risky drug use, needle sharing, alcohol consumption, and unsafe sex with casual and paid sex partners. To help curb transmission in this vulnerable population, we developed and pilot tested the "Migrants' Approached Self- Learning Intervention in HIV/AIDS for Tajiks" (MASLIHAT) prevention model. The model recruits and trains current and former Tajik migrants who inject drugs as "peer educators" in delivering the intervention to others in their social networks while simultaneously reducing their own risk. The MASLIHAT Intervention and our research efforts build synergistically on 3 theoretical models: social-cognitive-behavioral theory, social network theory and Yang's Theory of Migration. The model itself culturally adapts the successful SHIELD model, which is a CDC- designated evidence-based best practice intervention in the U.S., for use with Tajik labor migrants in Russia who inject drugs. This study will test the efficacy of the MASLIHAT intervention against a control condition designed to be equal to the intervention condition in the number of sessions, duration, and interest level. We will deliver MASLIHAT and control group interventions over 5 sessions with groups of 5 to 9 Tajik male migrants who inject drugs for a total of 10 groups for each intervention. The peer educators will share what they learned with others in their social networks, including the 2 network members who inject drugs whom they recruited for enrollment in the study. We will assess MASLIHAT and control participants and their Tajik male social network members at baseline and at 3, 6, 9 and 12 months post-intervention. We will conduct repeated measures linear and logistic regressions using mixed effect models with random person intercepts to test: (1) if greater changes in HIV risk behaviors, prevention self-efficacy, and behavioral norms occur among MASLIHAT participants (peer educators) compared to control participants, and (2) if greater changes in HIV risk behaviors, prevention self-efficacy, and behavioral norms occur among peer educator network members compared to control group network members. By transforming their own risk behavior, and encouraging others at risk to do so as well, migrant peer educators can initiate positive changes at the individual and social network levels in both their host country and also their home country when they return. The impact of the proposed study lies in the development of a much needed scientifically tested intervention that reduces HIV transmission among migrants who inject drugs within and across country borders.

项目摘要劳动迁移是助长全球艾滋病流行和艾滋病毒运动的主要因素跨国边界和人口。尤其是在东道国注射毒品的移民尤其是高风险。塔吉克斯坦（Tajikistan）是中亚一个小国，每年出口超过一百万个塔吉克人注射毒品，暂时在自己的国家外工作。我们先前关于塔吉克劳工移民的研究莫斯科表明，由于毒品使用危险，他们的艾滋病毒的高规范和行为风险令人震惊针刺，饮酒和不安全的性爱伴侣和付费性伴侣不安全。帮助遏制在这个脆弱的人群中，我们开发和飞行员测试了“移民”的自我艾滋病毒/塔吉克人的艾滋病的学习干预”（马斯利哈特）预防模型。模型招募和火车当前和前塔吉克的移民将毒品注射为“同伴教育者”，以将干预措施交付给他人在他们的社交网络中，同时降低了自己的风险。 Maslihat干预和我们的研究工作以3种理论模型协同构建：社会认知行为理论，社交网络理论和杨的移民理论。该模型本身在文化上适应了成功的盾牌模型，该模型是美国cdc指定的最佳实践干预措施，用于与塔吉克劳工移民一起使用注射毒品的俄罗斯。这项研究将测试Maslihat干预对控制的功效旨在等于会话，持续时间和利益的干预条件的条件等级。我们将在5至9个塔吉克的组中提供5至9个会议的Maslihat和对照组干预措施每种干预措施总共注射10组药物的男性移民。同伴教育者将分享他们在社交网络中与他人学到的知识，包括注射毒品的两个网络成员他们招募了这项研究的入学人数。我们将评估Maslihat并控制参与者及其塔吉克干预后的基线和3、6、9和12个月的男性社交网络成员。我们将进行使用随机人拦截到测试：（1）如果艾滋病毒风险行为发生更大的变化，预防自我效能和行为规范 Maslihat参与者（同伴教育者）与对照参与者相比，（2）如果艾滋病毒的变化更大同伴教育网络成员之间发生风险行为，预防自我效能和行为规范与对照组网络成员相比。通过改变自己的风险行为并鼓励他人也有这样做的风险，移民同伴教育者可以对个人和社会进行积极的变化返回时，他们的东道国和祖国的网络水平。的影响拟议的研究在于开发急需的经过科学测试的干预措施，以减少HIV 在国家内部和跨国边界注射毒品的移民之间的传播。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

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

DOI：
10.3390/ijerph20115937
发表时间：
2023-05-24
期刊：
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
影响因子：
0
作者：
Mackesy-Amiti, Mary Ellen;Levy, Judith A;Bahromov, Mahbatsho;Jonbekov, Jonbek;Luc, Casey M
通讯作者：
Luc, Casey M

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

DOI：
10.1186/s12889-023-17543-1
发表时间：
2024-01-11
期刊：
BMC PUBLIC HEALTH
影响因子：
4.5
作者：
Luc, Casey Morgan;Levy, Judith;Bahromov, Mahbat;Jonbekov, Jonbek;Mackesy-Amiti, Mary E.
通讯作者：
Mackesy-Amiti, Mary E.