Center for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI 53202, USA.
J Immigr Minor Health. 2011 Oct;13(5):919-28. doi: 10.1007/s10903-010-9376-y.
Although the dire life circumstances of labor migrants working in Russia are well-known, their HIV risk vulnerability and prevention needs are understudied. Low socioeconomic status, lack of access to services, separation from family, and limited risk awareness all contribute to migrants' HIV vulnerability. Male labor migrants in St. Petersburg (n = 499) were administered assessments of their sexual behavior practices, substance use, and psychosocial characteristics related to risk and well-being. Thirty percent of migrants reported multiple female partners in the past 3 months. Condom use was low, ranging from 35% with permanent to 52% with casual partners. Central Asian migrants had very low AIDS knowledge, low levels of substance use, moderate sexual risk, high depression, and poor social supports. Eastern European migrants had higher AIDS knowledge, alcohol and drug use, and sexual risk. Improved HIV prevention efforts are needed to reduce the risk vulnerability of migrants who relocate to high disease prevalence areas.
尽管移民工人在俄罗斯的恶劣生活环境广为人知，但他们的艾滋病毒风险脆弱性和预防需求却鲜为人知。社会经济地位低、无法获得服务、与家人分离以及风险意识有限，这些都导致移民面临艾滋病毒的脆弱性。在圣彼得堡，对 499 名男性劳务移民进行了性行为实践、药物使用以及与风险和福祉相关的心理社会特征评估。30%的移民报告称，他们在过去 3 个月内有多个女性伴侣。避孕套使用率低，从与固定伴侣发生性行为时的 35%到与偶然伴侣发生性行为时的 52%不等。中亚移民对艾滋病的认识非常低，物质滥用程度低，性风险中等，抑郁程度高，社会支持差。东欧移民的艾滋病知识、酒精和药物使用以及性风险较高。需要加强艾滋病毒预防工作，以降低迁移到高疾病流行地区的移民的风险脆弱性。
