What Prevents Central Asian Migrant Workers from Accessing HIV Testing? Implications for Increasing HIV Testing Uptake in Kazakhstan

被引:0
作者
Alissa Davis
Assel Terlikbayeva
Dina Terloyeva
Sholpan Primbetova
Nabila El-Bassel
机构
[1] New York State Psychiatric Institute and Columbia University Medical Center,HIV Center, Division of Gender, Sexuality, & Health
[2] Columbia University,Social Intervention Group, School of Social Work
[3] Columbia University Global Health Research Center of Central Asia,undefined
来源
AIDS and Behavior | 2017年 / 21卷
关键词
HIV testing; Migrants; Structural and individual barriers; Kazakhstan;
D O I
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中图分类号
学科分类号
摘要
Several barriers prevent key populations, such as migrant workers, from accessing HIV testing. Using data from a cross-sectional study among Central Asian migrant workers (n = 623) in Kazakhstan, we examined factors associated with HIV testing. Overall, 48% of participants had ever received an HIV test. Having temporary registration (AOR 1.69; (95% CI [1.12–2.56]), having an employment contract (AOR 2.59; (95% CI [1.58–4.23]), being able to afford health care services (AOR 3.61; (95% CI [1.86–7.03]) having a medical check-up in the past 12 months (AOR 1.85; 95% CI [1.18–2.89]), and having a regular doctor (AOR 2.37; 95% CI [1.20–4.70]) were associated with having an HIV test. HIV testing uptake among migrants in Kazakhstan falls far short of UNAIDS 90-90-90 goals. Intervention strategies to increase HIV testing among this population may include initiatives that focus on improving outreach to undocumented migrants, making health care services more affordable, and linking migrants to health care.
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页码:2372 / 2380
页数:8
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