Association between human rights violations and HIV risk behaviours among men who have sex with men (MSM) in Almaty, Kazakhstan

MOPE268 – Poster Exhibition

Association between human rights violations and HIV risk behaviours among men who have sex with men (MSM) in Almaty, Kazakhstan

M. Berry1, A. Wirtz1, A. Janayeva2, V. Ragoza2, A. Terlikbayeva3, B. Amirov3, S. Baral1, C. Beyrer1

1Johns Hopkins School of Public Health, Epidemiology, Baltimore, United States, 2Amulet Public Organization, Almaty, Kazakhstan, 3Global Health Research Center of Central Asia, Columbia University, Almaty, Kazakhstan

Background: Little epidemiologic research has investigated the role of human rights violations in the HIV risk behavior for high-risk groups. This study developed an index to measure human rights violations and applied it to a sample of men who have sex with men in Almaty, Kazakhstan.

Methods: Respondent driven sampling was used to recruit participants, who answered an interviewer-administered questionnaire. The questionnaire included an 11-question human rights index. Weighted logistic regressions were used to analyze the associations between high-risk sex (i.e. unprotected anal intercourse with multiple male partners) and human rights violations, both as an index and on each human rights question.

Results: The average number of human rights violations reported by participants was 1.90 (std: 2.96). A high proportion of participants reported human rights violations, including rape (18%), and threats or assaults by a family member (16.4%). Overall, the relationship between high-risk sex and the human rights index was not statistically significant (AOR: 1.15, 95% CI: 0.99-1.33). However, several individual questions were statistically significantly related to high-risk sex, particularly having ever been assaulted or threatened by police or other government officials due to one¹s sexuality (AOR: 7.27, 95% CI:>1.89-27.93).

 Conclusions: The human rights index represents one of the first attempts to quantitatively assess a person¹s experiences with human rights violations. Questions from the index, when applied as an exposure to a health outcome, were found to be related to high-risk sex. The index could be expanded to further explore the relationship between human rights and poor health outcomes in high-risk groups.

Advertisements

Posted on July 23, 2012, in Uncategorized. Bookmark the permalink. Comments Off on Association between human rights violations and HIV risk behaviours among men who have sex with men (MSM) in Almaty, Kazakhstan.

Comments are closed.

%d bloggers like this: