Bromberg, Daniel J. and Tate, Mary M. and Alaei, Arash and Rozanova, Julia and Karimov, Saifuddin and Saidi, Dilshod and Alaei, Kamiar and Altice, Frederick L. ``Who are you and what are you doing here?'': Social capital and barriers to movement along the HIV care cascade among Tajikistani migrants with HIV to Russia. AIDS and Behavior, 25 (10). pp. 3115-3127. ISSN 1090-7165, DOI https://doi.org/10.1007/s10461-021-03359-w.
Full text not available from this repository.Abstract
Tajikistani migrants who work in Russia and acquire HIV seldom receive HIV treatment while in Russia. Barriers to engagement in the HIV care cascade were identified from in-depth, semi-structured interviews with purposefully sampled Tajikistani migrants (n = 34) with HIV who had returned from Russia. Data were analyzed using thematic analysis, drawing from Putnam's theory of social capital, showing how bridging and bonding social capital relate to poor engagement in HIV care. We identified three barriers to Tajikistani migrants' movement through the HIV care cascade: (1) Russia's migration ban on people with HIV interrupts social capital accumulation and prevents access to HIV treatment within Russia; (2) mistrust of authority figures, including healthcare providers, leads to avoiding treatment and harm-reduction services upon their return to Tajikistan; and (3) because of pervasive discrimination, Tajikistani migrants form weak social ties while in Russia, which exacerbates risk, including with Russian citizens, and deters engagement with HIV care. Deploying a treatment as prevention strategy and abolishing Russia's ban on people with HIV would improve both individual and public health.
| Item Type: | Article |
|---|---|
| Funders: | United States Department of Health & Human Services National Institutes of Health (NIH) - USA [Grant No: D43 TW010540; T32 MH020031; R01 DA033679; K24 DA017072], Yale-Collaborative Action Project (Y-CAP) award from the Yale School of Public Health |
| Uncontrolled Keywords: | HIV treatment cascade; Eastern Europe and Central Asia; HIV; Migration; Social capital; Stigma; Discrimination |
| Subjects: | H Social Sciences > H Social Sciences (General) H Social Sciences > HV Social pathology. Social and public welfare |
| Divisions: | Centre of Excellence for Research in AIDS (CERiA) |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 04 Oct 2023 09:25 |
| Last Modified: | 05 Oct 2023 09:39 |
| URI: | http://eprints.um.edu.my/id/eprint/34081 |
Actions (login required)
 |
View Item |
