Socio-Structural Barriers, Protective Factors, and HIV Risk Among Central-Asian Female Migrants in Moscow

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Published: Jul 16, 2013
DOI: https://doi.org/10.5195/cajgh.2013.31

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Christopher Zabrocki
University of Illinois at Chicago
Stevan Weine
Stephanie Chen
Ivana Brajkovic
Mahbat Bahromov
Sana Loue
Case Western Reserve University, Cleveland, Ohio
Jonbek Jonbekov
Prisma Research Center, Moscow, Russia
Farzona Shoakova
Prisma Research Center, Moscow, Russia

Abstract

Objective: This study aimed to build formative knowledge on socio-structural barriers, protective factors, and HIV sexual risk amongst Central-Asian female migrants in Moscow.

Methods: Data collection included ethnographic interviews in Moscow with a purposive sample of 30 unmarried female migrants, 15 from Kyrgyzstan and 15 from Tajikistan.

Results: Study 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.

Conclusion: Future 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.

Article Details

How to Cite
Zabrocki, C., Weine, S., Chen, S., Brajkovic, I., Bahromov, M., Loue, S., Jonbekov, J., & Shoakova, F. (2013). Socio-Structural Barriers, Protective Factors, and HIV Risk Among Central-Asian Female Migrants in Moscow. Central Asian Journal of Global Health, 2(1). https://doi.org/10.5195/cajgh.2013.31
Issue
Vol. 2 No. 1 (2013)
Section
Research

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Author Biography

Christopher Zabrocki, University of Illinois at Chicago

Department of Psychiatry

References

Oishi N. Women in motion: Globalization, state policies, and labor migration in Asia. 1st ed. Stanford University Press; 2005.

UNIFEM. Estimate of needs and necessities of female labor migrants: Central Asia and Russia. New York: UNIFEM; 2005.

Karimov A, Maksudov M. Economic crisis forcing Central Asian migrants to leave Russia. 2010. Available from: http://centralasiaonline.com/en_GB/articles/caii/features/main/2010/02/09/feature-01

Kramer MA, Van Veen MG, De Coul E, Geskus RB, Coutinho RA, Van De Laar MJ, Prins M. Migrants travelling to their country of origin: A bridge population for HIV transmission? Sex Transm Infect. 2008; 84:554-555.

Marmot M, Friel S, Bell R, Houweling TA, Taylor S. Closing the gap in a generation: Health equity through action on the social determinants of health. Lancet. 2008; 372:1661-1669.

Magis-Rodríguez C, Lemp G, Hernandez MT, Sanchez MA, Estrada F, Bravo-García E. Going North: Mexican migrants and their vulnerability to HIV. J Acquir Immune Defic Syndr. 2009; 51(Suppl. 1):S21-S25.

Mmbaga EJ, Leyna GH, Hussain A, Mnyika KS, Sam NE, Klepp KI. The role of in-migrants in the increasing rural HIV-1 epidemic: Results from a village population survey in the Kilimanjaro region of Tanzania. Int J of Infect Dis, official publication of the International Society for Infectious Diseases. 2008; 12:519-525.

Puri M, Cleland J. Sexual behavior and perceived risk of HIV/AIDS among young migrant factory workers in Nepal. J Adolesc Health. 2006; 38:237-246.

Yang X, Derlega VJ, Luo H. Migration, behaviour change and HIV/STD risks in China. AIDS Care. 2007; 19:282-288.

O'Conner W. Russia: Central Asia's female labor migrants grapple with uncertainty. Eurasianet; 2009. Available from http://www.eurasianet.org/departments/insightb/articles/eav081209.shtml

Weine SM, Bahromov M, Mirzoev A. Unprotected Tajik male migrant workers in Moscow at risk for HIV/AIDS. Journal of Immigrant Minority Health. 2008; 10:461-468.

Hong Y, Li X, Yang H, Fang X, Zhao R. HIV/AIDS-related sexual risks and migratory status among female sex workers in a rural Chinese county. AIDS Care. 2009; 21:212-220.

Ojeda VD, Strathdee SA, Lozada R, Rusch ML, Fraga M, et al. Associations between migrant status and sexually transmitted infections among female sex workers in Tijuana, Mexico. Sexually Transmitted Infection. 2009; 85:420-426.

Zuma K, Gouws E, Williams B, Lurie M. Risk factors for HIV infection among women in Carletonville, South Africa: Migration, demography and sexually transmitted diseases. International Journal of STD AIDS. 2003; 14:814-817.

Kossoudji SA, Ranney SI. The labor market experience of female migrants: the case of temporary Mexican migration to the U.S. The International Migration Review. 1984; 18:1120-1143.

Bronfman MN, Leyva R, Negroni MJ, Rueda CM. Mobile populations and HIV/AIDS in Central America and Mexico: Research for action. AIDS. 2002; 16:S42-S49.

Singh G. Paradoxical payoffs: Migrant women, informal sector work, and HIV/AIDS in South Africa. New Solutions a Journal of Environmental and Occupational Health Policy. 2007; 17:71-82.

Yang X, Xia G. Gender, migration, risky sex, and HIV infection in China. Studies in Family Planning. 2006; 37:241-250.

Bandyopadhyay M, Thomas J. Women migrant workers’ vulnerability to HIV infection in Hong Kong. AIDS Care. 2002; 14:509-521.

Cash K., Anansuchatkul B, Busayawong, W. Understanding the psychosocial aspects of HIV / AIDS prevention for northern Thai single adolescent migratory women workers. Appl Psychol. 1999; 48:125-137.

Ford K., King G, Nerenberg L, Rojo C. Aids knowledge and risk behaviors among Midwest migrant farm workers. AIDS Educ and Prev. 2001; 13:551-560.

Hirsch JS, Higgins J, Bentley ME, Nathanson CA. The social constructions of sexuality: Marital infidelity and sexually transmitted disease-HIV risk in a Mexican migrant community. Am J Public Health. 2012; 92:1227-1237.

Islam MM, Conigrave KM, Miah MS, Kalam KA. HIV awareness of outgoing female migrant workers of Bangladesh: A pilot study. J Immigr Minor Health. 2010; 12:940-946.

Organista KC, Organista PB, Garcia De Alba JE, Castillo Moran MA, Carrillo H. AIDS and condom-related knowledge, beliefs, and behaviors in Mexican migrant laborers. Hisp J Behav Sci. 1996; 18:392-406.

Kogan SM, Brody GH, Chen Y, Grange CM, Slater LM, DiClemente RJ. Risk and protective factors for unprotected intercourse among rural African American young adults. Public Health Rep. 2010; 125:709-717.

Mueller T, Gavin L, Oman R, Vesely S, Aspy C, Tolma E, Rodine S. Youth assets and sexual risk behavior: Differences between male and female adolescents. Health Educ Behav. 2010; 37:343-356.

Sychareun V, Thomsen S, Faxelid E. Concurrent multiple health risk behaviors among adolescents in Luangnamtha province, Lao PDR. BMC Public Health. 2011; 11:36.

Li N, Boulay M. Individual, familial and extra-familial factors associated with premarital sex among Bangladeshi male adolescents. Sex Health. 2010; 7:471-477.

World Health Organization. Epidemiological Fact Sheet on HIV/AIDS 2008. Geneva: World Health Organization; 2008.

Weine SM, Kashuba AB. Labor Migration and HIV Risk: A Systematic Review of the Literature. AIDS Behav. 2012; 16(6):1605-21.

Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000; 23:334-340.

Corbin J, Strauss A. Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage Publications; 2008.

Muhr T. ATLAS/ti 5.0 user's manual and reference. Version 5.0. Berlin: Scientific Software Development; 2004.

Miles MB, Huberman AM. Qualitative data analysis: An expanded sourcebook, 2nd ed. Thousand Oaks, CA: Sage Publications; 1994.

Tilden VP, Weinert C. Social support and the chronically ill individual. Nurs Clin North Am. 1987; 22(3):613-620.

Russian Federal Migration Services. Paperwork. Russian Federal Migration Services; 2010 [Retrieved 2011 Feb 3]. Available from http://www.fms.gov.ru/documents/

Hirsch JS, Wardlow H, Smith DJ, Phinney H. The secret: Love, marriage, and HIV. 1st ed. Nashville, TN: Vanderbilt University Press; 2010.

United Nations Development Fund for Women (UNIFEM). Turning the tide, CEDAW and the gender dimensions of the HIV/AIDS pandemic. New York: UNIFEM; 2001.

Busza J, Baker S. Protection and participation: an interactive programme introducing the female condom to migrant sex workers in Cambodia. AIDS Care. 2004; 16:507-518.