Abstract
This study examines associations between religion and sexual HIV risk among 1342 male migrant and non-migrant market vendors in Kazakhstan. In the multivariate analysis, religious influence was associated with a lower likelihood of having multiple partners. Regular attendance was associated with a lower likelihood of having anal sex with a male partner, but with increased likelihood of having multiple partners. Spending time socially with friends at a mosque or church was associated with lower risk of anal sex with a male partner and lower risk of unprotected sex.
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Agadjanian, V., & Zotova, N. (2019). Structure, culture, and HIV/STI vulnerabilities among migrant women in Russia. Advances in Medical Sociology,19, 47–67.
Alavi, S. M., & Soltani, M. H. (2010). Study of urethritis among subjects regardless to religious rites. Pakistan Journal of Medical Science,26(4), 946–949.
Altoma, R. (2018). The influence of Islam in post-Soviet Kazakhstan. In B. F. Manz (Ed.), Central Asia in historical perspective (pp. 164–181). London: Routledge.
Avert. (2019). HIV and AIDS in Eastern Europe and Central Asia Overview. Retrieved July 18, 2019 from https://www.avert.org/hiv-and-aids-eastern-europe-central-asia-overview.
Baral, S., Logie, C. H., Grosso, A., Wirtz, A. L., & Beyrer, C. (2013). Modified social ecological model: A tool to guide the assessment of the risks and risk contexts of HIV epidemics. BMC Public Health,13(1), 482.
Baumsteiger, R., & Chenneville, T. (2015). Challenges to the conceptualization and measurement of religiosity and spirituality in mental health research. Journal of Religion and Health,54(6), 2344–2354.
Booth, R. E., Mikulich-Gilbertson, S. K., Brewster, J. T., Salomonsen-Sautel, S., & Semerik, O. (2004). Predictors of self-reported HIV infection among drug injectors in Ukraine. JAIDS,35(1), 82–88.
Clarke, M., Charnley, S., & Lumbers, J. (2011). Churches, mosques, and condoms: Understanding successful HIV and AIDS interventions by faith-based organisations. Development in Practice,21(1), 3–17.
EDCD. (2013). European Centre for Disease Prevention and Control. Migrant health: Sexual transmission of HIV within migrant groups in the EU/EEA and implications for effective interventions. Stockholm. Retrieved July 18, 2019 from https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/Migrant-health-sexual-transmission.pdf.
El-Bassel, N., Gilbert, L., Shaw, S. A., Mergenova, G., Terlikbayeva, A., Primbetova, S., et al. (2016). The silk road health project: How mobility and migration status influence HIV risks among male migrant workers in Central Asia. PLoS ONE,11(3), e0151278.
Francis, S. A., & Liverpool, J. (2009). A review of faith-based HIV prevention programs. Journal of Religion and Health,48(1), 6–15.
Francis, J. M., Myers, B., Nkosi, S., Williams, P. P., Carney, T., Lombard, C., et al. (2019). The prevalence of religiosity and association between religiosity and alcohol use, other drug use, and risky sexual behaviours among grade 8-10 learners in Western Cape South Africa. PLoS ONE,14(2), e0211322.
Garcia, J., & Parker, R. G. (2011). Resource mobilization for health advocacy: Afro-Brazilian religious organizations and HIV prevention and control. Social Science and Medicine,72(12), 1930–1938.
Garofalo, R., Kuhns, L. M., Hidalgo, M., Gayles, T., Kwon, S., Muldoon, A. L., et al. (2015). Impact of religiosity on the sexual risk behaviors of young men who have sex with men. Journal of Sex Research,52(5), 590–598.
Gilbert, S. S. (2008). The influence of Islam on AIDS prevention among Senegalese university students. AIDS Education and Prevention,20(5), 399–407.
Heckathorn, D. D. (1997). Respondent-driven sampling: A new approach to the study of hidden populations. Social Problems,44, 174–199.
Heckathorn, D. D. (2007). Extentions of respondent-driven sampling: Analyzing continuous variables and controlling for differential recruitment. Sociological Methodology,37(1), 151–207.
Hirsch, J. S., Philbin, M. M., Smith, D. J., & Parker, R. G. (2018). From structural analysis to pragmatic action: The meso-level modifiable social determinants of HIV vulnerability for labor migrants. In D. Kerrigan & C. Barrington (Eds.), Structural dynamics of HIV (pp. 19–43). Berlin: Springer.
Iles, I., Boekeloo, B., Seate, A. A., & Quinton, S. (2016). The impact of spirituality and religiosity on unprotected sex for adult women. American Journal of Health Behavior,40, 240–247.
IOM. (2018). World Migration Report 2018. Retrieved July 18, 2019 from https://www.iom.int/wmr/world-migration-report-2018.
IOM. (2019). Kazakhstan Facts and Figures. Retrieved July 18, 2019 from https://www.iom.int/countries/kazakhstan.
Jana-Masri, A., & Priester, P. E. (2007). The development and validation of a Qur’an-based instrument to assess Islamic religiosity: The religiosity of Islam scale. Journal of Muslim Mental Health,2(2), 177–188.
Junisbai, B., Junisbai, A., & Zhussupov, B. (2017). Two countries, five years: Islam in Kazakhstan and Kyrgyzstan through the lens of public opinion surveys. Central Asian Affairs,4(1), 1–25.
Koenig, H. G., King, D., & Carson, V. B. (2012). Handbook of religion and health. New York: Oxford University Press.
Lassiter, J. M., & Parsons, J. T. (2016). Religion and spirituality’s influences on HIV syndemics among MSM: A systematic review and conceptual model. AIDS and Behavior,20(2), 461–472.
Leung, M. R., Chin, J. J., & Petrescu-Prahova, M. (2016). Involving immigrant religious organizations in HIV/AIDS prevention: The role of bonding and bridging social capital. Social Science and Medicine,162, 201–209.
Lim, S. H., Brown, S. E., Shaw, S. A., Kamarulzaman, A., Altice, F. L., & Beyrer, C. (2018). “You have to keep yourself hidden”: Perspectives from Malaysian Malay-Muslim men who have sex with men on policy, network, community, and individual Influences on HIV risk. Journal of Homosexuality. https://doi.org/10.1080/00918369.2018.1525946.
Liu, M. (2011). Central Asia in the post–Cold War world. Annual Review of Anthropology,40(1), 115–131.
Ludema, C., Doherty, I. A., White, B. L., Simpson, C. A., Villar-Loubet, O., McLellan-Lemal, E., et al. (2015). Religiosity, spirituality, and HIV risk behaviors among African American women from four rural counties in the southeastern U.S. Journal of Health Care for the Poor and Underserved,26(1), 168–181.
Michalopoulos, L. M., Aifah, A., & El-Bassel, N. (2016). A systematic review of HIV risk behaviors and trauma among forced and unforced migrant populations from low and middle-income countries: State of the literature and future directions. AIDS and Behavior,20(2), 243–261.
Mohd Mahudin, N. D., Noor, N. M., Dzulkifli, M. A., & Janon, N. S. (2016). Religiosity among Muslims: A scale development and validation study. Makara Hubs-Asia,20(2), 109–121.
Needle, R., Fisher, D. G., Weatherby, N., Chitwood, D., Brown, B., Cesari, H., et al. (1995). Reliability of self-reported HIV risk behaviors of drug users. Psychology of Addictive Behaviors,9(4), 242.
Nelson, L. E., Wilton, L., Zhang, N., Regan, R., Thach, C. T., Dyer, T. V., et al. (2016). Childhood exposure to religions with high prevalence of members who discourage homosexuality is associated with adult HIV risk behaviors and HIV infection in black men who have sex with men. American Journal of Men’s Health,11(5), 1309–1321.
Olufadi, Y. (2017). Muslim daily religiosity assessment scale (MUDRAS): A new instrument for Muslim religiosity research and practice. Psychology of Religion and Spirituality,9(2), 165.
Pan, S. W., Zhang, Z., Li, D., Carpiano, R. M., Schechter, M. T., Ruan, Y., et al. (2016). Religion and HIV sexual risk among men who have sex with men in China. Journal of Acquired Immune Deficiency Syndromes,73(4), 463–474.
Rashid, R. A., Kamali, K., Habil, M. H., Shaharom, M. H., Seghatoleslam, T., & Looyeh, M. Y. (2014). A mosque-based methadone maintenance treatment strategy: Implementation and pilot results. International Journal of Drug Policy,25(6), 1071–1075.
Rhodes, T., Singer, M., Bourgois, P., Friedman, S. R., & Strathdee, S. A. (2005). The social structural production of HIV risk among injecting drug users. Social Science and Medicine,61(5), 1026–1044.
Schonlau, M., & Liebau, E. (2012). Respondent-driven sampling. Stata Journal,12(1), 72–93.
Shaw, S. A., McCrimmon, T., Mergenova, G., Sultangaliyeva, A., & El-Bassel, N. (2017). Islamic influence on HIV risk and protection among Central Asian male migrant workers in Kazakhstan. Qualitative Health Research,27(10), 1553–1561.
Smith, S. J. (2015). Risky sexual behavior among young adult Latinas: Are acculturation and religiosity protective? The Journal of Sex Research,52(1), 43–54.
UNAIDS. (2018). UNAIDS Data 2018. Retrieved July 18, 2019 from https://www.unaids.org/sites/default/files/media_asset/unaids-data-2018_en.pdf.
UNAIDS. (2019a). Country Fact Sheet: Kazakhstan. Retrieved July 18, 2019 from https://www.unaids.org/en/regionscountries/countries/kazakhstan.
UNAIDS. (2019b). Kazakstah overview. Retrieved July 18, 2019 from https://www.unaids.org/en/regionscountries/countries/kazakhstan.
Weine, S., Bahromov, M., Loue, S., & Owens, L. (2013). HIV sexual risk behaviors and multilevel determinants among male labor migrants from Tajikistan. Journal of Immigrant and Minority Health,15(4), 700–710.
Weine, S., Bahromov, M., & Mirzoev, A. (2008). Unprotected Tajik male migrant workers in Moscow at risk for HIV/AIDS. Journal of Immigrant and Minority Health,10(5), 461–468.
Weine, S., & Kashuba, A. (2012). Labor migration and HIV risk: A systematic review of the literature. AIDS and Behavior,16(6), 1605–1621.
Williams, T. T., Pichon, L. C., Davey-Rothwell, M., & Latkin, C. A. (2016). Church attendance as a predictor of number of sexual health topics discussed among high-risk HIV-negative Black women. Archives of Sexual Behavior,45(2), 451–458.
Wray, A., Ussher, J. M., & Perz, J. (2014). Constructions and experiences of sexual health among young, heterosexual, unmarried Muslim women immigrants in Australia. Culture, Health & Sexuality,16(1), 76–89.
Yemelianova, G. M. (2014). Islam, national identity and politics in contemporary Kazakhstan. Asian Ethnicity,15(3), 286–301.
Young, H., Moyes, A., Seagar, L., & McMillan, A. (1998). Novel recombinant-antigen enzyme immunoassay for serological diagnosis of Syphilis. Journal of Clinical Microbiology,36(4), 913–917.
Zhang, L., Chow, E. P. F., Jahn, H. J., Kraemer, A., & Wilson, D. P. (2013). High HIV prevalence and risk of infection among rural-to-urban migrants in various migration stages in China: A systematic review and meta-analysis. Sexually Transmitted Diseases,40(2), 136–147.
Zhussupov, B., McNutt, L. A., Gilbert, L., Terlikbayeva, A., & El-Bassel, N. (2015). Migrant workers in Kazakhstan: gender differences in HIV knowledge and sexual risk behaviors. AIDS and Behavior,19(7), 1298–1304.
Zwingmann, C., Klein, C., & Büssing, A. (2011). Measuring religiosity/spirituality: Theoretical differentiations and categorization of instruments. Religions,2(3), 345–357.
Funding
This study was funded by the National Institute of Health, NIMH R01 MH082684 to Dr. Nabila El-Bassel.
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Shaw, S.A., Mergenova, G. & El-Bassel, N. Religion and HIV Risk Among Male Market Vendors in Kazakhstan. J Relig Health 59, 2019–2031 (2020). https://doi.org/10.1007/s10943-019-00929-0
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DOI: https://doi.org/10.1007/s10943-019-00929-0