This study is a randomized outcome trial of a social network HIV prevention intervention for at-risk labor migrants who have arrived in St. Petersburg, Russia, to seek work. Most come to St. Petersburg from Moldova, Tajikistan, Uzbekistan, Ukraine, and other poor post-Soviet republics. While living in Russia, labor migrants are also living in a city and country with high HIV prevalence. Many labor migrants have limited awareness of AIDS, and most are living in a location far from their spouses, family members, and others. For that reason, labor migrants are vulnerable to risk behavior for contracting HIV. This study hypothesizes that members of labor migrant social networks whose network leaders are trained to deliver HIV prevention messages will exhibit greater reductions in sexual risk behavior (unprotected intercourse with nonspousal partners) from baseline to 3- and 12-month followup assessments than will members of social networks whose members receive standard, individual HIV risk reduction counseling alone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
207
Social network leaders will communicate HIV prevention messages to members of their social networks.
Unprotected sexual intercourse events with a nonspousal partner
Time frame: up to 12 months post intervention
AIDS-related knowledge, attitudes, intentions, perceived norms, and self-efficacy
Factors reflecting HIV risk
Time frame: up to 12 months post intervention
Substance use related to sexual behavior
use of alcohol or other drugs in relation to sexual behavior
Time frame: up to 12 months post intervention
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