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

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 mini...

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Bibliographic Details
Published in:AIDS care 2011-01, Vol.23 (1), p.91-97
Main Authors: Golobof, Alexandra, Weine, Stevan, Bahromov, Mahbat, Luo, Jing
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
AIDS
AIDS/HIV
Anxiety
Biological and medical sciences
Condoms
Condoms - utilization
Disease prevention
Female
Health education
Health Knowledge, Attitudes, Practice
HIV
HIV Infections - prevention & control
HIV Infections - transmission
HIV prevention
HIV/AIDS
Human immunodeficiency virus
Human viral diseases
Humans
Infectious diseases
Intervention
Interventions
labor migration
Labour migration
Marriage - psychology
Married couples
Medical sciences
Mental health
Middle Aged
Migrant workers
Migrants
Prevention. Health policy. Planification
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk factors
Sexual Behavior
Sexual health
Social psychiatry. Ethnopsychiatry
Social Support
Spouses - psychology
Tadzhikistan
Tajikistan
Transients and Migrants - psychology
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Wives
Women
Young Adult
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Summary: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.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540121.2010.498859