HIV
Conditions
Brief summary
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.
Interventions
BEHAVIORALSocial Network Intervention
Social network leaders will communicate HIV prevention messages to members of their social networks.
Sponsors
National Institute of Mental Health (NIMH)
Medical College of Wisconsin
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* being a labor migrant intending to temporarily work and reside in St. Petersburg, Russia, or being named as a member of the social network of a labor migrant; * being at least 16 years old (the age at which persons can be legal labor migrants and are also legally considered to be able to provide informed consent); * being able to complete written consent forms and questionnaire measures in Russian, Moldovan, Tajik, or Uzbek language * providing written informed consent
Exclusion criteria
* being younger than age 16; * not being able to complete written materials in the Russian, Moldovan, Tajik, or Uzbek language; * planning to reside in St. Petersburg, Russia, for less than four months; * having a severe mental or developmental disorder apparent by mental status during the study or consent explanation that, in the opinion of a trained interviewer, would preclude ability to understand informed consent or complete study measures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Unprotected sexual intercourse events with a nonspousal partner | up to 12 months post intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| AIDS-related knowledge, attitudes, intentions, perceived norms, and self-efficacy | up to 12 months post intervention | Factors reflecting HIV risk |
| Substance use related to sexual behavior | up to 12 months post intervention | use of alcohol or other drugs in relation to sexual behavior |
Outcome results
None listed