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AIDS education and prevention : official publication of the International Society for AIDS Education
10, 2022;34 (5): 413-426.

Polydrug Use, Sexual Risk, and HIV Testing Among Cisgender Gay, Bisexual, and Other Men and Transgender and Nonbinary Individuals Who Have Sex With Men in Kazakhstan.

Yong Gun Lee, Gulnara Zhakupova, Vitaliy Vinogradov, Emily Allen Paine, Caitlin I Laughney, Kelsey Reeder, Alissa Davis, Timothy Hunt, Gaukhar Mergenova, Sholpan Primbetova, Assel Terlikbayeva, Elwin Wu
Author Information
  1. Yong Gun Lee: Social Intervention Group, Columbia University School of Social Work, New York, New York.
  2. Gulnara Zhakupova: Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan.
  3. Vitaliy Vinogradov: Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan.
  4. Emily Allen Paine: HIV Center for Clinical and Behavioral Studies, Columbia University and the New York Psychiatric Institute, New York, New York.
  5. Caitlin I Laughney: Columbia University School of Social Work, New York, New York.
  6. Kelsey Reeder: Columbia University School of Social Work, New York, New York.
  7. Alissa Davis: Social Intervention Group, Columbia University School of Social Work, New York, New York.
  8. Timothy Hunt: Social Intervention Group, Columbia University School of Social Work, New York, New York.
  9. Gaukhar Mergenova: Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan.
  10. Sholpan Primbetova: Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan.
  11. Assel Terlikbayeva: Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan.
  12. Elwin Wu: Social Intervention Group, Columbia University School of Social Work, New York, New York.
PMID: 36181500 DOI: 10.1521/aeap.2022.34.5.413

Abstract

This study examined substance use and sexual risk correlates of HIV testing among cisgender gay, bisexual, and other men (MSM) and transgender and nonbinary individuals (TSM) who have sex with men in Kazakhstan. We analyzed baseline data from an HIV prevention trial collected prior to intervention deployment ( = 304). Multivariable logistic regression analyses revealed that lifetime HIV testing was positively associated with poly-drug use (AOR = 4.4, 95% CI [2.0, 9.9]) and negatively with sexual risk (AOR = 0.4, 95% CI [0.2, 1.0]). Similarly, recent HIV testing was positively associated with polydrug use (AOR = 2.7, 95% CI [1.4, 5.2]) and negatively with sexual risk (AOR = 0.5, 95% CI [0.3, 0.9]). Current HIV testing was negatively associated with sexual risk (AOR = 0.6, 95% CI [0.3. 0.9]). Findings support the value of integrating drug treatment with HIV testing among MSM and TSM in Kazakhstan.

Keywords

HIV/AIDS Kazakhstan men who have sex with men transgender and nonbinary individuals

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Grants

  1. R01 DA040513/NIDA NIH HHS

MeSH Term

HIV Infections
HIV Testing
Homosexuality, Male
Humans
Kazakhstan
Male
Sexual Behavior
Sexual and Gender Minorities
Substance-Related Disorders
Transgender Persons
Journal Article
Article has an altmetric score of 7

Word Cloud

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