哈萨克斯坦流动摊贩的流动模式和艾滋病毒风险对艾滋病毒预防的影响。
Implications of mobility patterns and HIV risks for HIV prevention among migrant market vendors in Kazakhstan.
机构信息
Global Health Research Center of Central Asia, Columbia University School of Social Work, 1255 Amsterdam Ave, New York, NY 10027, USA.
出版信息
Am J Public Health. 2011 Jun;101(6):1075-81. doi: 10.2105/AJPH.2010.300085. Epub 2011 Apr 14.
OBJECTIVES
We examined the relationships between mobility characteristics and sexual risk behaviors among male and female migrant market vendors in Almaty, Kazakhstan.
METHODS
Participants completed a structured interview covering sociodemographics, mobility characteristics, sexual behaviors, and biomarkers for HIV, HCV, and syphilis. We used multivariate analyses to examine associations between mobility patterns and HIV risks after adjusting for sociodemographics.
RESULTS
Longer duration of a participant's last trip outside Almaty increased the odds of reporting multiple sexual partners. More frequent travel to visit family or friends was associated with multiple sexual partners and unprotected sex with steady partners. More frequent travel to buy goods in the past year was associated with multiple sexual partners. Men who traveled more often to buy goods were more likely to have purchased sex within the previous 90 days.
CONCLUSIONS
Relationships between mobility patterns and sexual risk behaviors underscore the need for HIV-prevention strategies targeting the specific transmission dynamics that migrant vendors are likely to present.
目的
我们研究了哈萨克斯坦阿拉木图市男性和女性流动市场摊贩的流动性特征与性风险行为之间的关系。
方法
参与者完成了一项涵盖社会人口统计学、流动性特征、性行为以及艾滋病毒、丙型肝炎和梅毒生物标志物的结构化访谈。我们使用多变量分析来检验在调整社会人口统计学因素后，流动模式与艾滋病毒风险之间的关联。
结果
参与者上次离开阿拉木图的时间越长，报告多个性伴侣的可能性就越大。更频繁地前往探亲访友与多个性伴侣和与稳定伴侣发生无保护性行为有关。过去一年更频繁地旅行购买商品与多个性伴侣有关。更频繁地旅行购买商品的男性更有可能在过去 90 天内购买性服务。
结论
流动模式与性风险行为之间的关系强调了需要针对移民摊贩可能存在的特定传播动态制定艾滋病毒预防策略。
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