Understanding Risk Factors for HIV and Creating Innovative Prevention Interventions in Kazakhstan:
Start Date: 04/01/2008
End Date: 03/31/2013
Grave concern exists among international health leaders in respect to the current HIV epidemic in Central Asia, a region where the prevalence of HIV is continuing to rise. In Kazakhstan, the existence of heavy drug-trafficking, availability of low-cost heroin, and mobile populations of migrant workers and traders place groups such as sex workers, injecting drug users (IDUs), and migrant vendors at the greatest risk of infection, while cities, such as Almaty, that are involved in heavy trading activity tend to have higher levels of HIV infection as well.The long-term objective of these studies are to augment the knowledge of HIV and STI transmission factors and risky behaviors, as well as inform local officials and organizations so more appropriate and efficacious HIV and STI prevention and treatment programs can be made available to vulnerable populations in Central Asia. CPHHR investigator, Dr. Chris Beyrer has been invited to collaborate with Dr. Nabila El-Bassel and researchers from Columbia University's Global Health Research Center of Central Asia (GHRCCA) to further examine the risk factors and societal influences on HIV and sexually transmitted infection (STI) epidemics in Kazakhstan. Project Renaissance, conducted in 2008-2013 in Chu, Kazakhstan, was developed in response to the lack of behavioral interventions available to the particularly vulnerable IDU population. The study is enrolling IDUs and their intimate partners (a total of 400 couples) to test the efficacy of a couples-based HIV/STI prevention intervention. The project also aims to increase condom use and reduce unsafe injection practices among the IDUs.