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HIV RISKS AMONG YOUNG MALE MIGRANTS USING HEROIN IN HANOI, VIETNAM

HIV RISKS AMONG YOUNG MALE MIGRANTS USING HEROIN IN HANOI, VIETNAM. Le Minh Giang †‡ ; Michael Clatts, † ; Lloyd Goldsamt † , Huso Yi † , Nguyen Minh Son ‡ † Institute for International Research on Youth At Risk National Development and Research Institutes, Inc. 71 West 23rd Street, 8th Floor

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HIV RISKS AMONG YOUNG MALE MIGRANTS USING HEROIN IN HANOI, VIETNAM

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  1. HIV RISKS AMONG YOUNG MALE MIGRANTS USING HEROIN IN HANOI, VIETNAM Le Minh Giang†‡; Michael Clatts,†; Lloyd Goldsamt†, Huso Yi†, Nguyen Minh Son‡ † Institute for International Research on Youth At Risk National Development and Research Institutes, Inc. 71 West 23rd Street, 8th Floor New York, NY 10010 ‡Hanoi Medical University, Hanoi, Vietnam

  2. Background and Objective • Circular migration and the spread of HIV/AIDS: A dominant image of migrant men with unsafe heterosexual relationships • Studies, especially in Southeast Asia, largely ignore other important sources of transmission risk • A preliminary analysis of HIV risks among male, economic migrants in Hanoi to illustrate the complex set of risk factors that migrants are facing in growing urban centers

  3. Source: The Asia Pacific Economic Center, Hanoi, Vietnam (2004)

  4. Background and Method • A multi-year study on early social course of drug injection • First phase: extensive ethnographic mapping of all nine wards of Hanoi • Second phase: a cross-sectional survey with targeted sampling of young, active heroin users between the age of 16 and 29 (N = 1270). • In this analysis, comparison of • Hanoi-based (N=921) vs. economic migrants (N=132).

  5. Background characteristics

  6. Health history and HIV knowledge

  7. Patterns of Drug Use: Current and Lifetime

  8. Onset of HIV risks and migration

  9. Discussion & Conclusion • Strength & Significance: • out-of-treatment sample recruited through extensive ethnographic mapping; • silent issue not only in the country’s response to but also in global image about HIV risks among young male migrants • Limitation: lack of qualitative data that could shed light on the interaction between migration and risks/resilience • Migration for economic opportunities in growing urban centers like Hanoi is itself a hazardous experience.

  10. Discussion & Conclusion • The confluence of both drug and sexual risks among young male migrants demands comprehensive approach to prevention planning • Further qualitative research is needed to understand the complex interaction between migration and risks/resilience • Prevention programming needs to seek ways to improve migration experience, rather than just focusing on behavioral approach to HIV/AIDS prevention.

  11. Young people who participated in the study. Young ethnographers from Hanoi Medical University and the Center for Community Health Research and Development. Grant Number DA016188 from U.S. National Institute on Drug Abuse and Grant Number 325 (03-050) from the World AIDS Foundation

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