Social Intervention Group, Global Health Research Center of Central Asia, Global Health and Mental Health Unit of the Social Intervention Group, Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY, USA.
Curtis Center, School of Social Work, University of Michigan, Ann Arbor, MI, USA.
AIDS Behav. 2018 Nov;22(11):3480-3490. doi: 10.1007/s10461-018-2047-z.
We examined potentially traumatic events (PTEs) and the relationship between PTEs and HIV risk behaviors among male market workers in Kazakhstan, comparing Kazakhstani to external migrants. Using respondent-driven sampling, participants were 1342 male marketplace workers in Almaty, Kazakhstan. Univariate, bivariate, and logistic regressions were conducted. We found high prevalence of PTEs among participants, and significant differences between PTEs and HIV risk by migrant status. Kazakhstanis reporting 1-2 or three-or-more traumatic events were more likely to report engaging in sex trading, compared to Kazakhstanis who reported no PTEs (OR = 3.65, CI 1.20-11.11, p = 0.022; OR = 8.17, 95% CI 2.66-25.09, p = 0.000, respectively). Kazakhstanis who reported three-or-more PTEs were more likely to report unprotected sex (OR = 2.17, CI 2.17-3.89, p = 0.009). Results did not support this relationship among external migrants. Findings underscore the need for attention on services that address trauma and HIV risk among this population and more research to understand differences by migrant status.
我们研究了在哈萨克斯坦的男性市场工人中，潜在创伤性事件（PTEs）和 PTEs 与 HIV 风险行为之间的关系，并将哈萨克斯坦人与外来移民进行了比较。使用 respondent-driven sampling，参与者是哈萨克斯坦阿拉木图的 1342 名男性市场工人。进行了单变量、双变量和逻辑回归分析。我们发现参与者中 PTEs 的患病率很高，而且移民身份与 HIV 风险之间存在显著差异。报告 1-2 次或 3 次以上创伤事件的哈萨克斯坦人比没有 PTEs 的哈萨克斯坦人更有可能从事性交易（OR = 3.65，CI 1.20-11.11，p = 0.022；OR = 8.17，95% CI 2.66-25.09，p = 0.000）。报告 3 次以上 PTEs 的哈萨克斯坦人更有可能报告无保护性行为（OR = 2.17，CI 2.17-3.89，p = 0.009）。这一结果在外部移民中并不支持这一关系。研究结果强调了需要关注针对这一人群的创伤和 HIV 风险服务，并进行更多的研究以了解移民身份差异。
