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The roles of labor migrants' wives in HIV/AIDS risk and prevention in Tajikistan.

机译:塔吉克斯坦劳务移民的妻子在艾滋病毒/艾滋病风险和预防中的作用。

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摘要

This study aimed to build formative knowledge regarding labor migrants' wives' knowledge, attitudes, and behaviors regarding HIV/AIDS risk and protection that would inform developing innovative HIV prevention strategies. This was a collaborative ethnography in Tajikistan that included minimally structured interviews and focused field observations with 30 Tajik wives in Dushanbe married to Tajik male migrant workers currently working in Moscow. The results documented the wives' concerns over their husbands' safety in Moscow and the difficulties of living without husbands. In a male-dominated society, gender norms limit the wives' abilities to protect themselves and their husbands from HIV/AIDS. They have some awareness of HIV/AIDS, but limited abilities to speak about sexual activity, HIV/AIDS, condoms, and HIV testing. Wives do not use condoms with their husbands and depend upon their husband's role as their protector. Wives often turn for support to their "circle of friends" or to a primary care nurse for support, but seldom do these relationships focus on preventing HIV/AIDS. To respond to HIV/AIDS risks amongst the wives of Tajik male migrant workers in Moscow, preventive interventions could build upon migrants' wives' role as the primary family caregiver and their existing sources of social support from women's circles and nurses. The overall intervention strategy could be to expand their role as family caregivers to include HIV/AIDS protection, through enhancing their HIV/AIDS knowledge and prevention skills and negotiation strategies with their husbands.
机译:这项研究旨在建立关于移民工人妻子关于HIV / AIDS风险和保护的知识,态度和行为的形成性知识,这些知识将有助于制定创新的HIV预防策略。这是塔吉克斯坦的一项协作人种志,包括结构简单的采访和对杜尚别30名塔吉克妻子的专心观察,这些妻子娶了目前在莫斯科工作的塔吉克男性移民工人为生。结果记录了妻子对丈夫在莫斯科的安全以及没有丈夫生活的困难的担忧。在男性主导的社会中,性别规范限制了妻子保护自己和丈夫免受艾滋病毒/艾滋病侵害的能力。他们对艾滋病毒/艾滋病有一定的了解,但是对性活动,艾滋病毒/艾滋病,避孕套和艾滋病毒检测的能力有限。妻子不与丈夫一起使用避孕套,而是依靠丈夫作为保护者的角色。妻子常常向他们的“朋友圈”寻求支持,或者向初级保健护士寻求支持,但是很少有这些关系以预防艾滋病毒/艾滋病为重点。为了应对塔吉克男性移徙工人的妻子中的艾滋病毒/艾滋病风险,预防性干预措施可以建立在移民的妻子作为主要家庭照料者的角色以及她们从妇女界和护士那里获得的社会支持的现有来源的基础上。总体干预战略可以是通过增强其对艾滋病毒/艾滋病的知识和预防技能以及与丈夫的谈判策略,扩大其作为家庭照顾者的作用,以包括艾滋病毒/艾滋病的保护。

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